Patients Engaged in Prevention: Enhancing Outreach to Increase Patient Engagement in Diabetes Prevention (PEP)

Kaiser Permanente

Status: Completed

Conditions: Preventive Health Services; Health Communication

Treatments: Behavioral: Values affirmation; Behavioral: No affirmation

Study type: Interventional

Funder types: Other; NIH

Identifiers

NCT03550066

CN-14-1871-H

P30DK092924 (U.S. NIH Grant/Contract)

K01DK099404 (U.S. NIH Grant/Contract)

Details and patient eligibility

About

This study examines whether a health message that includes a self-affirmation intervention (where people reflect on values that are important to them) increases acceptance of the message and encourages people to take steps to prevent diabetes, as compared to a health message without the self affirmation intervention.

Full description

Background: Despite availability of evidence-based programs for diabetes prevention, few strategies exist to promote patients' interest in them. Strategies should be developed for racial/ethnic minority women with a history of gestational diabetes (GDM), who face exceptionally high risk for chronic diabetes. We previously found that a theory-based outreach message containing a streamlined values affirmation-two sentences prompting individuals to reflect on core personal values-increased women's likelihood of demonstrating interest in a preventive program. Extending this work, this pilot trial tests whether the values affirmation outreach message is as acceptable as (non-inferior to) a standard outreach message among African-American and Latina women.

Methods: Two-arm, parallel-group, randomized trial among English- and Spanish-speaking minority women with prior GDM and overweight/obesity in a healthcare system. Within an online survey, participants are randomized to read an outreach message promoting an existing preventive program. The message contains either a values affirmation (intervention condition) or no affirmation (control condition).

Enrollment: 90 patients

Sex: Female

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• History of gestational diabetes
• Body mass index ≥25 kg/m2
• English or Spanish language

Exclusion criteria

• Current diabetes
• Current pregnancy

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

90 participants in 2 patient groups

Values affirmation

Experimental group

Description:

In the values affirmation condition, the health outreach message contained a prompt asking participants to reflect on important personal values.

Treatment:

Behavioral: Values affirmation

No affirmation

Active Comparator group

Description:

In the "no affirmation" condition, the health outreach message appeared alone, with no values affirmation.

Treatment:

Behavioral: No affirmation