Linking High Risk Postpartum Women with a Technology Enabled Health Coaching Program to Reduce Diabetes Risk and Improve Wellbeing: Program Description, Case Studies, and Recommendations for Community Health Coaching Programs.
Background. Low-income minority women with prior gestational diabetes mellitus (pGDM) or high BMIs have increased risk for chronic illnesses postpartum. Although the Diabetes Prevention Program (DPP) provides an evidence-based model for reducing diabetes risk, few community-based interventions have adapted this program for pGDM women.Methods. STAR MAMA is an ongoing randomized control trial (RCT) evaluating a hybrid HIT/Health Coaching DPP-based 20-week postpartum program for diabetes prevention compared with education from written materials at baseline. Eligibility includes women 18-39 years old, ≥32 weeks pregnant, and GDM or BMI > 25. Clinic- and community-based recruitment in San Francisco and Sonoma Counties targets 180 women. Sociodemographic and health coaching data from a preliminary sample are presented.Results. Most of the 86 women included to date (88%) have GDM, 80% were identified as Hispanic/Latina, 78% have migrant status, and most are Spanish-speaking. Women receiving the intervention indicate high engagement, with 86% answering 1+ calls. Health coaching callbacks last an average of 9 minutes with range of topics discussed. Case studies presented convey a range of emotional, instrumental, and health literacy-related supports offered by health coaches.Discussion. The DPP-adapted HIT/health coaching model highlights the possibility and challenge of delivering DPP content to postpartum women in community settings. This trial is registered with ClinicalTrials.gov NCT02240420.
Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA; UCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Hospital, San Francisco, CA 94110, USA.
Priyanka
0000-0002-5968-350X
P
Athavale
Department of Psychiatry, UCSF/Zuckerberg San Francisco General Hospital, San Francisco, CA, USA.
Melanie
M
Thomas
Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA.
Adriana T
AT
Delgadillo-Duenas
Division of General Internal Medicine, UCSF/Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA.
Karen
K
Leong
Division of General Internal Medicine, UCSF/Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA.
Adriana
A
Najmabadi
Department of Obstetrics and Gynecology, University of California San Francisco, San Francisco, CA, USA; San Francisco General Hospital, San Francisco, CA, USA.
Elizabeth
E
Harleman
UCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Hospital, San Francisco, CA 94110, USA; Division of General Internal Medicine, UCSF/Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA.
Christina
C
Rios
UCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Hospital, San Francisco, CA 94110, USA; Division of General Internal Medicine, UCSF/Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA.
Judy
J
Quan
UCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Hospital, San Francisco, CA 94110, USA; Division of General Internal Medicine, UCSF/Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA.
Catalina
C
Soria
Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA; UCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Hospital, San Francisco, CA 94110, USA; Division of General Internal Medicine, UCSF/Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA.
Margaret A
MA
Handley
D000293:Adolescent; D000328:Adult; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000517:prevention & control*; D016640:Diabetes, Gestational / Q000453:epidemiology / Q000628:therapy*; D005260:Female; D057220:Health Literacy; D006304:Health Status; D006630:Hispanic or Latino; D006801:Humans; D008490:Medical Informatics / Q000379:methods*; D000071252:Mentoring / Q000379:methods*; D008913:Minority Groups; D009765:Obesity / Q000453:epidemiology / Q000628:therapy*; D049590:Postpartum Period; D011203:Poverty; D011247:Pregnancy; D016730:Program Development; D016032:Randomized Controlled Trials as Topic; D040242:Risk Reduction Behavior; D012944:Social Support; D013689:Telephone; D055815:Young Adult