Trial Outcomes & Findings for Meals 4 Moms: A Multilevel Community-based Lifestyle Intervention for GDM (NCT NCT06227247)

NCT ID: NCT06227247

Last Updated: 2026-05-05

Results Overview

Percent of participants who report they would be likely or very likely to participate again if they had gestational diabetes (GDM) again.

Recruitment status

TERMINATED

Study phase

NA

Target enrollment

8 participants

Primary outcome timeframe

Follow-Up (aim: within 2 weeks post-delivery)

Results posted on

2026-05-05

Participant Flow

Participant milestones

Participant milestones
Measure
Meals 4 Moms Intervention
Participants randomized to the M4M condition will receive: * Food budget of $266 per week in credits to spend towards medically-tailored GDM meals * Enhanced educational GDM-specific education on exercise, nutrition, and blood sugar glucose management * Activity tracker and digital scale * Usual GDM care Meals4Moms Intervention: A community-based, healthy living program including continued gestational diabetes (GDM) education, physical activity level monitoring, and delivery of medically-tailored GDM meals for the management of gestational diabetes in pregnant people.
Usual GDM Care
Usual care (UC) will consist of the current treatment care that is provided by the participant's prenatal care provider. Usual care consists of a special diet, monitoring of blood glucose levels and encouragement/guidance of increasing a participant's exercise.
Overall Study
STARTED
4
4
Overall Study
COMPLETED
4
2
Overall Study
NOT COMPLETED
0
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Meals 4 Moms Intervention
Participants randomized to the M4M condition will receive: * Food budget of $266 per week in credits to spend towards medically-tailored GDM meals * Enhanced educational GDM-specific education on exercise, nutrition, and blood sugar glucose management * Activity tracker and digital scale * Usual GDM care Meals4Moms Intervention: A community-based, healthy living program including continued gestational diabetes (GDM) education, physical activity level monitoring, and delivery of medically-tailored GDM meals for the management of gestational diabetes in pregnant people.
Usual GDM Care
Usual care (UC) will consist of the current treatment care that is provided by the participant's prenatal care provider. Usual care consists of a special diet, monitoring of blood glucose levels and encouragement/guidance of increasing a participant's exercise.
Overall Study
Lost to Follow-up
0
2

Baseline Characteristics

Meals 4 Moms: A Multilevel Community-based Lifestyle Intervention for GDM

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Meals 4 Moms Intervention
n=4 Participants
Participants randomized to the M4M condition will receive: * Food budget of $266 per week in credits to spend towards medically-tailored GDM meals * Enhanced educational GDM-specific education on exercise, nutrition, and blood sugar glucose management * Activity tracker and digital scale * Usual GDM care Meals4Moms Intervention: A community-based, healthy living program including continued gestational diabetes (GDM) education, physical activity level monitoring, and delivery of medically-tailored GDM meals for the management of gestational diabetes in pregnant people.
Usual GDM Care
n=4 Participants
Usual care (UC) will consist of the current treatment care that is provided by the participant's prenatal care provider. Usual care consists of a special diet, monitoring of blood glucose levels and encouragement/guidance of increasing a participant's exercise.
Total
n=8 Participants
Total of all reporting groups
Age, Continuous
35.5 years
STANDARD_DEVIATION 3.9 • n=54 Participants
30.5 years
STANDARD_DEVIATION 3.0 • n=60 Participants
33.0 years
STANDARD_DEVIATION 4.2 • n=114 Participants
Sex: Female, Male
Female
4 Participants
n=54 Participants
4 Participants
n=60 Participants
8 Participants
n=114 Participants
Sex: Female, Male
Male
0 Participants
n=54 Participants
0 Participants
n=60 Participants
0 Participants
n=114 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=54 Participants
1 Participants
n=60 Participants
1 Participants
n=114 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
4 Participants
n=54 Participants
3 Participants
n=60 Participants
7 Participants
n=114 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=54 Participants
0 Participants
n=60 Participants
0 Participants
n=114 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=54 Participants
0 Participants
n=60 Participants
0 Participants
n=114 Participants
Race (NIH/OMB)
Asian
0 Participants
n=54 Participants
0 Participants
n=60 Participants
0 Participants
n=114 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=54 Participants
0 Participants
n=60 Participants
0 Participants
n=114 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=54 Participants
0 Participants
n=60 Participants
0 Participants
n=114 Participants
Race (NIH/OMB)
White
4 Participants
n=54 Participants
4 Participants
n=60 Participants
8 Participants
n=114 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=54 Participants
0 Participants
n=60 Participants
0 Participants
n=114 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=54 Participants
0 Participants
n=60 Participants
0 Participants
n=114 Participants
Region of Enrollment
United States
4 participants
n=54 Participants
4 participants
n=60 Participants
8 participants
n=114 Participants

PRIMARY outcome

Timeframe: Follow-Up (aim: within 2 weeks post-delivery)

Population: Only participants in the Meals4Moms arm were asked acceptability questions

Percent of participants who report they would be likely or very likely to participate again if they had gestational diabetes (GDM) again.

Outcome measures

Outcome measures
Measure
Usual GDM Care
Usual care (UC) will consist of the current treatment care that is provided by the participant's prenatal care provider. Usual care consists of a special diet, monitoring of blood glucose levels and encouragement/guidance of increasing a participant's exercise.
Meals 4 Moms Intervention
n=4 Participants
Participants randomized to the M4M condition will receive: * Food budget of $266 per week in credits to spend towards medically-tailored GDM meals * Enhanced educational GDM-specific education on exercise, nutrition, and blood sugar glucose management * Activity tracker and digital scale * Usual GDM care Meals4Moms Intervention: A community-based, healthy living program including continued gestational diabetes (GDM) education, physical activity level monitoring, and delivery of medically-tailored GDM meals for the management of gestational diabetes in pregnant people.
Acceptability (Participate Again)
0 Participants
4 Participants

PRIMARY outcome

Timeframe: Follow-Up (aim: within 2 weeks post-delivery)

Population: Only participants in the Meals4Moms arm were asked acceptability questions.

Percent of participants who report they would be likely to very likely to recommend the M4M intervention to a friend with gestational diabetes (GDM).

Outcome measures

Outcome measures
Measure
Usual GDM Care
Usual care (UC) will consist of the current treatment care that is provided by the participant's prenatal care provider. Usual care consists of a special diet, monitoring of blood glucose levels and encouragement/guidance of increasing a participant's exercise.
Meals 4 Moms Intervention
n=4 Participants
Participants randomized to the M4M condition will receive: * Food budget of $266 per week in credits to spend towards medically-tailored GDM meals * Enhanced educational GDM-specific education on exercise, nutrition, and blood sugar glucose management * Activity tracker and digital scale * Usual GDM care Meals4Moms Intervention: A community-based, healthy living program including continued gestational diabetes (GDM) education, physical activity level monitoring, and delivery of medically-tailored GDM meals for the management of gestational diabetes in pregnant people.
Acceptability (Recommended)
0 Participants
4 Participants

PRIMARY outcome

Timeframe: Baseline

Population: Pregnant patients with GDM contacted for eligibility screening

Recruitment rates will be calculated from the number of patients approached and reasons for ineligibility and non-participation.

Outcome measures

Outcome measures
Measure
Usual GDM Care
Usual care (UC) will consist of the current treatment care that is provided by the participant's prenatal care provider. Usual care consists of a special diet, monitoring of blood glucose levels and encouragement/guidance of increasing a participant's exercise.
Meals 4 Moms Intervention
n=30 Participants
Participants randomized to the M4M condition will receive: * Food budget of $266 per week in credits to spend towards medically-tailored GDM meals * Enhanced educational GDM-specific education on exercise, nutrition, and blood sugar glucose management * Activity tracker and digital scale * Usual GDM care Meals4Moms Intervention: A community-based, healthy living program including continued gestational diabetes (GDM) education, physical activity level monitoring, and delivery of medically-tailored GDM meals for the management of gestational diabetes in pregnant people.
Recruitment
Could not reach/no response
3 Participants
Recruitment
Not interested in participating
3 Participants
Recruitment
Screened ineligible
6 Participants
Recruitment
Eligible but did not complete baseline survey
4 Participants
Recruitment
Consented but did not complete baseline procedures
6 Participants
Recruitment
Randomized
8 Participants

PRIMARY outcome

Timeframe: Follow-Up (aim: within 2 weeks post-delivery)

Percent of participants who complete any aspect of the follow-up assessment.

Outcome measures

Outcome measures
Measure
Usual GDM Care
n=4 Participants
Usual care (UC) will consist of the current treatment care that is provided by the participant's prenatal care provider. Usual care consists of a special diet, monitoring of blood glucose levels and encouragement/guidance of increasing a participant's exercise.
Meals 4 Moms Intervention
n=4 Participants
Participants randomized to the M4M condition will receive: * Food budget of $266 per week in credits to spend towards medically-tailored GDM meals * Enhanced educational GDM-specific education on exercise, nutrition, and blood sugar glucose management * Activity tracker and digital scale * Usual GDM care Meals4Moms Intervention: A community-based, healthy living program including continued gestational diabetes (GDM) education, physical activity level monitoring, and delivery of medically-tailored GDM meals for the management of gestational diabetes in pregnant people.
Retention
2 Participants
4 Participants

PRIMARY outcome

Timeframe: Follow-Up (aim: within 2 weeks post-delivery)

Population: Only participants in the Meals4Moms arm received meals. Percent of meal budget based on food orders eligible to place (not number orders placed).

Percent of participants who spent at least 80% of weekly $266 food budget.

Outcome measures

Outcome measures
Measure
Usual GDM Care
Usual care (UC) will consist of the current treatment care that is provided by the participant's prenatal care provider. Usual care consists of a special diet, monitoring of blood glucose levels and encouragement/guidance of increasing a participant's exercise.
Meals 4 Moms Intervention
n=4 Participants
Participants randomized to the M4M condition will receive: * Food budget of $266 per week in credits to spend towards medically-tailored GDM meals * Enhanced educational GDM-specific education on exercise, nutrition, and blood sugar glucose management * Activity tracker and digital scale * Usual GDM care Meals4Moms Intervention: A community-based, healthy living program including continued gestational diabetes (GDM) education, physical activity level monitoring, and delivery of medically-tailored GDM meals for the management of gestational diabetes in pregnant people.
Receipt of Intervention (Meal Ordering)
0 Participants
1 Participants

PRIMARY outcome

Timeframe: Follow-Up (aim: within 2 weeks post-delivery)

Population: Only participants in the Meals4Moms arm engaged in exercise sessions with the trainer.

Percent of participants who completed at least 80% of exercise sessions they were eligible to complete.

Outcome measures

Outcome measures
Measure
Usual GDM Care
Usual care (UC) will consist of the current treatment care that is provided by the participant's prenatal care provider. Usual care consists of a special diet, monitoring of blood glucose levels and encouragement/guidance of increasing a participant's exercise.
Meals 4 Moms Intervention
n=4 Participants
Participants randomized to the M4M condition will receive: * Food budget of $266 per week in credits to spend towards medically-tailored GDM meals * Enhanced educational GDM-specific education on exercise, nutrition, and blood sugar glucose management * Activity tracker and digital scale * Usual GDM care Meals4Moms Intervention: A community-based, healthy living program including continued gestational diabetes (GDM) education, physical activity level monitoring, and delivery of medically-tailored GDM meals for the management of gestational diabetes in pregnant people.
Receipt of Intervention (Exercise Session Completion)
0 Participants
0 Participants

Adverse Events

Meals 4 Moms Intervention

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Usual GDM Care

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Meals 4 Moms Intervention
n=4 participants at risk
Participants randomized to the M4M condition will receive: * Food budget of $266 per week in credits to spend towards medically-tailored GDM meals * Enhanced educational GDM-specific education on exercise, nutrition, and blood sugar glucose management * Activity tracker and digital scale * Usual GDM care Meals4Moms Intervention: A community-based, healthy living program including continued gestational diabetes (GDM) education, physical activity level monitoring, and delivery of medically-tailored GDM meals for the management of gestational diabetes in pregnant people.
Usual GDM Care
n=4 participants at risk
Usual care (UC) will consist of the current treatment care that is provided by the participant's prenatal care provider. Usual care consists of a special diet, monitoring of blood glucose levels and encouragement/guidance of increasing a participant's exercise.
Renal and urinary disorders
Kidney stones
0.00%
0/4 • from baseline assessment until end of follow-up (approximately 2 weeks post-delivery)
25.0%
1/4 • Number of events 1 • from baseline assessment until end of follow-up (approximately 2 weeks post-delivery)
Psychiatric disorders
Elevated depressive symptoms at baseline
25.0%
1/4 • Number of events 1 • from baseline assessment until end of follow-up (approximately 2 weeks post-delivery)
25.0%
1/4 • Number of events 1 • from baseline assessment until end of follow-up (approximately 2 weeks post-delivery)
Psychiatric disorders
Elevated depressive symptoms at follow-up
25.0%
1/4 • Number of events 1 • from baseline assessment until end of follow-up (approximately 2 weeks post-delivery)
0.00%
0/2 • from baseline assessment until end of follow-up (approximately 2 weeks post-delivery)

Additional Information

Dr. Molly Waring (study statistician)

University of Connecticut

Phone: 860-486-1446

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place