Fit for Two: Incorporating Wearable Trackers Into Clinical Care for Pregnant Women With Diabetes (FFT)

This is a small, one-armed pilot study testing a physical activity intervention for pregnant
patients with diabetes. The intervention will use both counseling and technology (a FitBit
physical activity tracker and smartphone app) to create an individualized, interactive
program for each patient. The primary aims of the study are to assess the feasibility of
recruiting patients and implementing the program in the clinical setting, and the
acceptability of the program for patients and clinicians. Participants will receive a
counseling session based on the principles of motivational interviewing to help them set
physical activity and step goals, then the interventionist will help them personalize the
Fitbit app to their goals. Participants are instructed to continue adaptive goal setting and
email their goals and activity weekly to their physicians. In addition to assessing
feasibility and acceptability, we will also evaluate change in activity to explore potential
efficacy.

Inclusion Criteria:

- diagnosed with type 2 diabetes or gestational diabetes

- currently pregnant

- in week 5-25 of gestation

- under active (<100 minutes/week of physical activity)

- access to a smartphone

Exclusion Criteria:

- any medical condition that would make unsupervised activity unsafe or unfeasible, as
determined by their physician

- moving from the area within 3 months