GooD4Mum

Project Details

GooD4Mum aims to prevent, among women with past gestational diabetes (GDM), progression to type 2 diabetes. It is a general practice-based cluster randomised controlled trial (RCT) to address system, practice and individual level barriers to implementation of guideline recommendations to increase diabetes screening and lifestyle prevention program uptake in mothers who have had gestational diabetes. This project will use the GRHANITE® research data extraction tool and our expertise in de-identified record linkage to link data from the National Diabetes Register NDR and University of Melbourne’s Patron de-identified general practice data. It will also compare sensitivity of the national register versus GP records to identify women with past gestational diabetes. The RCT tests a new system for recalling women and trials a new diabetes prevention program.

Patron ID: PAT1009

For more information about participation go to: https://www.mchri.org.au/good4mum/

Get involved - GooD4Mum

The GooD4Mum study is a general practice – real world (pragmatic) trial to address system, practice and individual level barriers to implementation of guideline recommendations to increase type 2 diabetes mellitus (T2DM) screening and lifestyle ‘Prevention Program’ uptake after Gestational Diabetes Mellitus (GDM). The project builds on the investigators’ previous partnership projects ‘Mothers After Gestational Diabetes in Australia’ (MAGDA) which developed a lifestyle Prevention Program (PP), and the GooD4Mum pilot study. The National Gestational Diabetes Register (NGDR) managed by Diabetes Australia was integral in the previous projects and remains so with the current study. Diabetes Australia and Diabetes Victoria are partners in this project.
Phase I of this project which was approved in 2021, as written in black in this document, required record linkage between the National Diabetes Register (NDR) and National Gestational Diabetes Register (NGDR) with Patron dataset to compare sensitivity of the register versus GP records in helping build lists of mothers that should be eligible for inclusion in practice-based registers that will be a part of Phase II of this project.

Phase 1

Fact finding / data exploration and creation of GRHANITE® NGDR linkage with Patron.Data remains de-identified to researchers. Also, aggregated lists of patients that may be eligible for recall will be compiled to inform the recruitment of practices for the Phase II trial (see more at E4) and used to match control practices to intervention practices.

Phase 2

A general practice-based implementation trial comparing intervention and control practices. All intervention (n=10-12) and data only control practices will contribute data to Patron.

Following practice recruitment to the trial, intervention practices will use Future Health Today-based recall registers for mothers diagnosed with GDM. Recall will occur using GPs’ regular methods and workflows. Patron data shall also be used to analyse the outcomes of the trial for participating practices.


Patron data is sought for (1) the processes associated with the creation of appropriate linkage with the NDR/NGDR, (2) determining the extent that (de-identified) women identified as having GDM in the GP electronic medical record (EMR) would be included on a GP practice GDM recall register linked to NGDR (academic exercise - researchers will see only de-identified data), (3) checking whether women have progressed to T2DM (which excludes them from study participation) and checking if their status is accurately reflected in the NDR/NGDR (another academic / fact finding exercise), (4) identifying practices suitable to invite to the trial (the practices will not be identifiable to the researchers, but will be re-identified by the Patron technical team prior to practice recruitment – using ethics approved methods, (5) use data from matched practices in the Patron repository to act as ‘real world’ controls, thus eliminating the need to recruit control practices when recruitment of general practices is known to be increasingly difficult.


While phase II is described in this application for context, either a second application or an amendment to this one will be submitted when Patron data for Phase II are sought.

Researchers

Collaborators

  • Prof Helena Teede, Lead Investigator, Monash University
  • Dr Siew Lim                 Monash University
  • Prof Danny Liew          Monash University
  • Dr Sharon Licqurish    Monash University
  • Prof James Dunbar      Deakin University
  • A/Prof Vincent Versace          Deakin University
  • Prof Jane Speight        Deakin University
  • Dr Mark Morgan         Bond University
  • Dr Sharleen O’Reilly   University College Dublin
  • Dr Dale Ford                Improvement Foundation
  • The Australian Centre for Behavioural Research in Diabetes
  • Diabetes Australia
  • Diabetes Australia-Victoria
  • RACGP

Funding

NHMRC partnership grant, Australian Government Department of Health, Diabetes Australia Research Limited, and in-kind funding from RACGP, Diabetes Victoria, Improvement Foundation (Australia) Ltd.

Research Group

HABIC R2

Key Contact

For further information about this research, please contact the research group leader.

Department / Centre

General Practice and Primary Care

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