Development and initial testing of a GDM information website for multi-ethnic women with GDM
Development and initial testing of a GDM information website for multi-ethnic women with GDM
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DOI：
10.1186/s12884-015-0578-0
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发表时间：
2015-07-05
影响因子：
3.1
通讯作者：
Krenzin, Gillian
中科院分区：
文献类型：
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作者：
Carolan-Olah, Mary;Steele, Cheryl;Krenzin, Gillian
背景：妊娠期糖尿病（GDM）影响澳大利亚大约5-15%的孕妇。肥胖妇女、特定种族背景妇女和社会经济地位低下妇女的发病率最高。这些特征也影响自我管理建议的采纳。GDM如果没有得到很好的管理，可能会引起严重的妊娠并发症。这个项目的目的是开发和测试的干预措施，以提高知识的GDM和GDM自我管理principles.Methods：一个基于网络的干预，包括资源，旨在在低水平的识字率，开发和测试中的多民族妇女在澳大利亚墨尔本的大都市医院。采用基本的单组前测/后测设计，探讨干预对知识的影响，包括3个领域：（1）GDM知识;（2）食物价值观;（3）GDM自我管理原则。使用社会科学统计软件包（SPSS）21.0版分析问卷数据。Fisher精确检验被用来测试在每个知识scale.Results的改善：21名妇女与GDM，从多种族背景，参加了测试的干预。结果表明，干预措施是有效的，在提高知识得分，这种效果是最大的第一个领域，GDM的知识。虽然在其他两个领域，食物价值观和自我管理原则的知识得分发生了一些改善，这些改善低于预期。这一发现可能与对网络资源和调查问题的解释存在一些误解有关。这些问题将需要解决之前，进行临床试验。结论：本研究的初步结果看起来很有希望，并建议，有一些改进，干预措施可以证明是一个有用的辅助支持妇女GDM从多种族和低社会经济背景。进行随机对照试验在未来是可行的，并将提供一个有用的手段来检查干预的有效性。
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.