A randomized controlled trial of a web-based education intervention for women with gestational diabetes mellitus
A randomized controlled trial of a web-based education intervention for women with gestational diabetes mellitus
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DOI：
10.1016/j.midw.2018.08.019
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发表时间：
2019-01-01
期刊：
影响因子：
2.7
通讯作者：
Sayakhot, Padaphet
中科院分区：
文献类型：
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作者：
Carolan-Olah, Mary;Sayakhot, Padaphet
目的：本研究旨在调查产妇体重指数（BMI），血压和血糖水平和婴儿出生体重的变化，使用在线教育计划相比，标准的临床为基础的GDM education.Design：一个初步的随机对照试验的在线干预进行了墨尔本，澳大利亚2014年和2015年之间。共有110名妇女被随机分为（1）对照组，接受标准的基于临床的GDM教育;或（2）干预组，接受标准护理加基于网络的教育计划。在两个时间点收集数据：基线和产后12周。还记录了婴儿出生体重。采用卡方检验、独立t检验和配对t检验比较结果。参与者：澳大利亚墨尔本西部地区新诊断为GDM的孕妇。结果：干预组和对照组的孕妇体重和干预后体重有统计学显著差异（p < 0.05）。与对照组相比，干预组中有更多的妇女报告了干预后体重减轻（90.4% vs 48.3%，p < 0.001），并在产后12周被认为是健康体重（BMI = 18.5，24.9kg/m2）（44.2% vs 31%）。产后12周时，干预组有更多的妇女参加了OGTT随访（96.2%比70.7%，p < 0.001）。比较干预组干预前后的测量结果，母亲BMI较低[（28.60 +/- 7.93）vs（29.60 +/- 8.32）; p = 0.000]，母体收缩压升高，但在正常范围内[（108.19 +/- 11.80）vs（107.29 +/- 12.13）; p = 0.001]，母体血糖水平恢复至正常范围内[（4.86 +/- 0.42）vs（8.80 +/- 2.50）; p = 0.026]。两组中大多数妇女生下正常出生体重的婴儿（92.3%和94.8%）。这些研究结果是抵消组中的差异在baseline.Key结论：研究结果表明，教育干预对妇女的产后体重和出席OGTT产后12周的积极影响。未发现对母亲血压或婴儿出生体重的影响。需要进一步研究匹配的干预和对照组，以获得更明确的结论。
Objective: This study aimed to investigate changes in maternal body mass index (BMI), blood pressure and glycemic level and infant birthweight using an online educational program compared to standard clinic-based GDM education.Design: A preliminary randomized controlled trial of the online intervention was conducted in Melbourne, Australia between 2014 and 2015. A total of 110 women were randomized to (1) the control group and received standard clinic-based GDM education; or (2) the intervention group and received standard care plus the web-based education program. Data were collected at two time points: baseline and 12 weeks postpartum. Infant birthweight was also recorded. Chi-squared test, independent t-test and paired t-test were used to compare outcomes.Participants: Pregnant women with newly diagnosed GDM, in the Western region of Melbourne, Australia.Findings: Statistically significant differences were reported between intervention and control groups in maternal weight and glycemia post-intervention (p < 0.05). More women in the intervention group than in the control group reported weight loss post-intervention (90.4% vs 48.3%, p < 0.001), and were considered a healthy weight (BMI = 18.5, 24.9kg/m(2)) at 12 weeks postpartum (44.2% vs 31%). More women in the intervention group had attended for follow up OGTT at 12 weeks postpartum (96.2% vs 70.7%, p < 0.001). Comparing measures preand post-intervention in the intervention group, maternal BMI was lower [(28.60 +/- 7.93) vs (29.60 +/- 8.32); p = 0.000], maternal systolic blood pressure was increased but within normal range [(108.19 +/- 11.80) vs (107.29 +/- 12.13); p = 0.001], and maternal glycemic level returned to within normal limits [(4.86 +/- 0.42) vs (8.80 +/- 2.50); p = 0.026]. Most women in both groups gave birth to normal birthweight infants (92.3% and 94.8%). These findings are offset by differences in the groups at baseline.Key conclusions: Findings suggest that the education intervention had a positive impact on women's postpartum weight and attendance at OGTT by 12 weeks postpartum. No effect was found on maternal blood pressure or infant birthweight. Further studies with matched intervention and control groups are needed to achieve more definitive conclusions.