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Journal of Diabetes Research
Volume 2016 (2016), Article ID 4353956, 16 pages
http://dx.doi.org/10.1155/2016/4353956
Research Article

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

1Department of Epidemiology and Biostatistics, University of California San Francisco, San Francisco, CA, USA
2UCSF Center for Vulnerable Populations, Zuckerberg San Francisco General Hospital, San Francisco, CA 94110, USA
3Department of Psychiatry, UCSF/Zuckerberg San Francisco General Hospital, San Francisco, CA, USA
4Division of General Internal Medicine, UCSF/Zuckerberg San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA
5Department of Obstetrics and Gynecology, University of California San Francisco, San Francisco, CA, USA
6San Francisco General Hospital, San Francisco, CA, USA

Received 6 May 2016; Revised 1 August 2016; Accepted 14 August 2016

Academic Editor: Shari Bolen

Copyright © 2016 Priyanka Athavale et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.