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Development and initial testing of a GDM information website for multi-ethnic women with GDM.

Carolan-Olah M, Steele C, Krenzin G - BMC Pregnancy Childbirth (2015)

Bottom Line: Results indicated that the intervention was effective at improving knowledge scores and this effect was greatest in the first domain, knowledge of GDM.Although some improvement of knowledge scores occurred in the other two domains, food values and self-management principles, these improvements were less than expected.This finding may relate to a number of misunderstandings in the interpretation of the web resource and survey questions.

View Article: PubMed Central - PubMed

Affiliation: Nursing and Midwifery, College of Health and Biomedicine, Victoria University, St Alban's Campus, PO Box 14228, Melbourne, 8001, Australia. Mary.carolan@vu.edu.au.

ABSTRACT

Background: Gestational diabetes mellitus (GDM) affects approximately 5-15 % of pregnant women in Australia. Highest rates are seen among women who are obese, from specific ethnic backgrounds and low socio-economic circumstance. These features also impact on uptake of self-management recommendations. GDM that is not well managed can give rise to serious pregnancy complications. The aim of this project was to develop and test an intervention to improve knowledge of GDM and GDM self-management principles.

Methods: A web-based intervention, consisting of resources aimed at a low level of literacy, was developed and tested among multi-ethnic women at a metropolitan hospital in Melbourne Australia. A basic one-group pre-test/post-test design was used to explore the impact of the intervention on knowledge, in 3 domains: (1) Knowledge of GDM; (2) food values, and;(3) GDM self-management principles. Questionnaire data was analysed using Statistical Package for the Social Sciences (SPSS), version 21.0. Fisher's exact test was used to test for an improvement in each knowledge scale.

Results: Twenty-one women with GDM, from multi-ethnic backgrounds, participated in the testing of the intervention. Results indicated that the intervention was effective at improving knowledge scores and this effect was greatest in the first domain, knowledge of GDM. Although some improvement of knowledge scores occurred in the other two domains, food values and self-management principles, these improvements were less than expected. This finding may relate to a number of misunderstandings in the interpretation of the web resource and survey questions. These issues will need to be resolved prior to proceeding to a clinical trial.

Conclusion: Initial results from this study look promising and suggest that with some improvements, the intervention could prove a useful adjunct support for women with GDM from multi-ethnic and low socio-economic backgrounds. Conducting a randomised controlled trial is feasible in the future and will provide a useful means of examining efficacy of the intervention.

No MeSH data available.


Related in: MedlinePlus

Sample questions
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Fig1: Sample questions

Mentions: The instrument used was the Knowledge of GDM questionnaire [33] which is based on an earlier validated questionnaire, the Diabetes Knowledge Scale, developed to measure knowledge and understanding of diabetes types 1 and 2, food values, and maintenance of blood glucose levels [34]. A number of modifications were made to the earlier questionnaire in a bid to make it more relevant to GDM and changes were informed by an expert panel, as reported elsewhere [33]. The Knowledge of GDM questionnaire, has now been used successfully among women with GDM from a number of ethnic groups, including Vietnamese, Indian and locally born Australian women [33], and White American, African American and Asian women in America [35]. The questionnaire is composed of twenty-four questions, which fall into three main domains: (1) Knowledge of GDM, including the impact of GDM on mother and baby, and recognising normal glycemic levels; (2) Knowledge of food, including food values; and, (3) Knowledge of GDM self-management principles (see Fig. 1 for sample questions). The majority of questions had one correct answer and were scored simply as correct/ incorrect. Four questions had more than one correct answer, and were scored as correct (all correct answers identified) or incorrect (did not identify all correct answers). The additional 3 questions which sought the women’s views of the website, as above, completed the post-test questionnaire.Fig. 1


Development and initial testing of a GDM information website for multi-ethnic women with GDM.

Carolan-Olah M, Steele C, Krenzin G - BMC Pregnancy Childbirth (2015)

Sample questions
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4491240&req=5

Fig1: Sample questions
Mentions: The instrument used was the Knowledge of GDM questionnaire [33] which is based on an earlier validated questionnaire, the Diabetes Knowledge Scale, developed to measure knowledge and understanding of diabetes types 1 and 2, food values, and maintenance of blood glucose levels [34]. A number of modifications were made to the earlier questionnaire in a bid to make it more relevant to GDM and changes were informed by an expert panel, as reported elsewhere [33]. The Knowledge of GDM questionnaire, has now been used successfully among women with GDM from a number of ethnic groups, including Vietnamese, Indian and locally born Australian women [33], and White American, African American and Asian women in America [35]. The questionnaire is composed of twenty-four questions, which fall into three main domains: (1) Knowledge of GDM, including the impact of GDM on mother and baby, and recognising normal glycemic levels; (2) Knowledge of food, including food values; and, (3) Knowledge of GDM self-management principles (see Fig. 1 for sample questions). The majority of questions had one correct answer and were scored simply as correct/ incorrect. Four questions had more than one correct answer, and were scored as correct (all correct answers identified) or incorrect (did not identify all correct answers). The additional 3 questions which sought the women’s views of the website, as above, completed the post-test questionnaire.Fig. 1

Bottom Line: Results indicated that the intervention was effective at improving knowledge scores and this effect was greatest in the first domain, knowledge of GDM.Although some improvement of knowledge scores occurred in the other two domains, food values and self-management principles, these improvements were less than expected.This finding may relate to a number of misunderstandings in the interpretation of the web resource and survey questions.

View Article: PubMed Central - PubMed

Affiliation: Nursing and Midwifery, College of Health and Biomedicine, Victoria University, St Alban's Campus, PO Box 14228, Melbourne, 8001, Australia. Mary.carolan@vu.edu.au.

ABSTRACT

Background: Gestational diabetes mellitus (GDM) affects approximately 5-15 % of pregnant women in Australia. Highest rates are seen among women who are obese, from specific ethnic backgrounds and low socio-economic circumstance. These features also impact on uptake of self-management recommendations. GDM that is not well managed can give rise to serious pregnancy complications. The aim of this project was to develop and test an intervention to improve knowledge of GDM and GDM self-management principles.

Methods: A web-based intervention, consisting of resources aimed at a low level of literacy, was developed and tested among multi-ethnic women at a metropolitan hospital in Melbourne Australia. A basic one-group pre-test/post-test design was used to explore the impact of the intervention on knowledge, in 3 domains: (1) Knowledge of GDM; (2) food values, and;(3) GDM self-management principles. Questionnaire data was analysed using Statistical Package for the Social Sciences (SPSS), version 21.0. Fisher's exact test was used to test for an improvement in each knowledge scale.

Results: Twenty-one women with GDM, from multi-ethnic backgrounds, participated in the testing of the intervention. Results indicated that the intervention was effective at improving knowledge scores and this effect was greatest in the first domain, knowledge of GDM. Although some improvement of knowledge scores occurred in the other two domains, food values and self-management principles, these improvements were less than expected. This finding may relate to a number of misunderstandings in the interpretation of the web resource and survey questions. These issues will need to be resolved prior to proceeding to a clinical trial.

Conclusion: Initial results from this study look promising and suggest that with some improvements, the intervention could prove a useful adjunct support for women with GDM from multi-ethnic and low socio-economic backgrounds. Conducting a randomised controlled trial is feasible in the future and will provide a useful means of examining efficacy of the intervention.

No MeSH data available.


Related in: MedlinePlus