# Group versus Traditional Prenatal Care for Diabetes: A Randomized Controlled Trial

> **NIH NIH K23** · WASHINGTON UNIVERSITY · 2020 · $151,433

## Abstract

Project Summary/Abstract
As rates of Type 2 Diabetes, Gestational diabetes mellitus, and hypertensive disorders of pregnancy rise, so
do the challenges of antepartum treatment and postpartum risk-reduction for future adverse cardiovascular
events. The purpose of this Mentored Patient-Oriented Career Development Award (K23) is to enable the
candidate to develop a funded research program that optimizes management of medical co-morbidities during
pregnancy and identifies innovative ways to alter a woman's future chronic disease trajectory. To achieve this
goal, training and mentorship are proposed in three key areas: 1) Advanced training in community-based
participatory research, biostatistics, and clinical trials, 2) Protected time to perform patient-oriented research on
the ability of a group diabetes-focused prenatal care program to improve postpartum health, and 3)
Foundational research and introductions to relevant databases to facilitate future research on the relationship
between pregnancy complications and future cardiovascular disease to facilitate research in the next phase.
The research plan for this award will be implemented with the support of the training plan and an
interdisciplinary team of expert mentors and advisors. The proposed project examines the ability of group
prenatal diabetes care, Diabetes Centering Pregnancy (Diabetes CP), to improve outcomes for low-income
pregnant African-American women with diabetes. These women are at increased long-term risk of developing
cardiovascular disease, and this project takes advantage of the antenatal period to promote healthy behaviors
that may carry over into the postpartum period and thus reduce this risk. Specifically, this project will determine
whether Diabetes CP reduces maternal postpartum weight retention up to one year. The project will employ a
randomized controlled design and a rigorous, systematic approach. The expected outcome of this study is
high-quality pilot data assessing the efficacy of group prenatal care in women with type 2 and gestational
diabetes. If the trial provides evidence that Diabetes CP is effective, data and experience from this study will
support the development of an R01 application to test Diabetes CP in a multi-center randomized trial. If the
hypothesis that group prenatal care reduces maternal postpartum weight retention is confirmed, the findings
will revolutionize diabetes care in the United States. Group prenatal care will be a simple, cost-effective
intervention for the increasing numbers of women with diabetes in pregnancy. The training and research
activities outlined in this proposal will complement the candidate's background in public health and place her in
a unique position to advance our ability to treat women with chronic diseases of pregnancy and improve their
long-term health. Ultimately, this work will lead to new, innovative ways of providing prenatal care to women
with co-morbid diseases that may impair their health, both during pregn...

## Key facts

- **NIH application ID:** 9991886
- **Project number:** 5K23HD095075-03
- **Recipient organization:** WASHINGTON UNIVERSITY
- **Principal Investigator:** Ebony Boyce Carter
- **Activity code:** K23 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $151,433
- **Award type:** 5
- **Project period:** 2018-09-01 → 2023-08-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9991886

## Citation

> US National Institutes of Health, RePORTER application 9991886, Group versus Traditional Prenatal Care for Diabetes: A Randomized Controlled Trial (5K23HD095075-03). Retrieved via AI Analytics 2026-05-23 from https://api.ai-analytics.org/grant/nih/9991886. Licensed CC0.

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