Gestational diabetes in Uganda and India: Design and Evaluation of Educational Films for improving Screening and Self-management (GUIDES)
乌干达和印度的妊娠糖尿病:用于改善筛查和自我管理的教育电影的设计和评估(指南)
基本信息
- 批准号:MR/R021392/1
- 负责人:
- 金额:$ 84.79万
- 依托单位:
- 依托单位国家:英国
- 项目类别:Research Grant
- 财政年份:2018
- 资助国家:英国
- 起止时间:2018 至 无数据
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
Gestational diabetes mellitus (GDM) is a condition in which the body of pregnant women cannot control the levels of blood sugar. This can result in a number of short- and long-term health problems for both the mother and her child. This condition is now becoming much more common in developing countries, yet most women are not diagnosed on time, and those who are diagnosed do not usually receive appropriate care. This is because the doctors and pregnant women in these countries don't know enough about this condition, as it is a relatively new experience for these societies. The aim of our research is to assess whether an educational and behavioural intervention, delivered primarily through film, can improve the care of women with GDM. Films are a simple and low-cost way of delivering health interventions, and they are particularly suitable for people who are not very literate. So far, films have been shown to be useful in imparting health education and changing health-related behaviours in developed countries, but not in developing countries, which is a primary motivation for our research. We will develop and evaluate an intervention with three different components. The first will be a training programme for doctors and nurses. Films will cover how to identify and treat GDM, and how to support women to make changes to their lifestyle (healthy eating, more physical activity). Secondly, a short film for pregnant women and their families, designed to raise awareness of GDM, will be shown in the waiting areas where women receive antenatal care (routine health care in pregnancy). Thirdly, a programme for women diagnosed with GDM to help them manage their condition. These films will educate them about treatment, and will support them to make changes for a healthier lifestyle. Films will be supplemented by Q&A sessions run by a trained nurse. We will carry out our research in Uganda (Entebbe) and India (Bengaluru) because they are at different stage of economic development. First, we will carry out research to understand people's daily lives in these countries to develop an intervention that is suitable for their culture. Then we will test and refine it further until it is fit-for-purpose. We will then assess whether the intervention improves care for women with GDM in independent studies in both sites. In each site, thirty maternity units will be selected, from which half will be randomly chosen to receive the new intervention. Women visiting the participating clinics during pregnancy will be invited to join the study. To evaluate whether the interventions are successful, we will measure three things. Firstly, whether women have been screened for and/or diagnosed with GDM. Secondly, we will invite women who tell us that have been diagnosed with GDM to visit clinics so we can take a blood sample. We will test this blood to see how well their blood sugar is being controlled. Thirdly, we will calculate how many women have experienced a negative birth outcome which could be because of GDM (for example, having a baby who is larger than average, or giving birth by caesarean section). We will also conduct interviews with women and health providers to help us understand how and why the intervention may be (or may not be) successful. If the intervention is successful in improving the detection and management of GDM, we expect there to be financial savings from a reduction in maternal and infant complications associated with GDM. We also think that the intervention may reduce the number of women who are diagnosed with type 2 diabetes later in life. In the longer term, it is hoped that the intervention will encourage the provision and quality of GDM screening and care across all LMICs.
妊娠期糖尿病(GDM)是一种孕妇身体无法控制血糖水平的疾病。这可能会给母亲和孩子带来一些短期和长期的健康问题。这种情况现在在发展中国家变得更加普遍,但大多数妇女没有及时得到诊断,而那些得到诊断的妇女通常也没有得到适当的护理。这是因为这些国家的医生和孕妇对这种情况了解不够,因为这对这些社会来说是一种相对较新的体验。我们研究的目的是评估主要通过电影进行的教育和行为干预是否可以改善对GDM女性的护理。电影是提供卫生干预措施的一种简单而低成本的方式,特别适合不太识字的人。到目前为止,电影已被证明在发达国家有助于传授健康教育和改变与健康有关的行为,但在发展中国家则不然,这是我们研究的主要动机。我们将开发和评估一个有三个不同组成部分的干预措施。第一个将是医生和护士的培训计划。影片将介绍如何识别和治疗GDM,以及如何支持妇女改变她们的生活方式(健康饮食,更多的体育活动)。第二,将在妇女接受产前保健(怀孕期间的常规保健)的等候区播放一部为孕妇及其家庭制作的短片,以提高对妊娠糖尿病的认识。第三,为诊断为GDM的妇女制定方案,帮助她们控制病情。这些电影将教育他们如何治疗,并将支持他们为更健康的生活方式做出改变。影片将辅以由训练有素的护士主持的问答环节。我们将在乌干达(恩德培)和印度(班加罗尔)进行研究,因为它们处于不同的经济发展阶段。首先,我们将进行研究,了解这些国家的人们的日常生活,以制定适合他们文化的干预措施。然后我们将进一步测试和完善它,直到它适合我们的目的。然后,我们将在两个地点的独立研究中评估干预是否改善了对GDM妇女的护理。在每个地点,将选择30个产科单位,从中随机选择一半接受新的干预措施。在怀孕期间访问参与诊所的妇女将被邀请参加研究。为了评估干预措施是否成功,我们将衡量三件事。首先,女性是否接受过GDM筛查和/或诊断。其次,我们将邀请那些告诉我们已经被诊断为GDM的女性来诊所,这样我们就可以采集血液样本。我们将测试这些血液,看看他们的血糖控制得如何。第三,我们将计算有多少女性经历过可能由于GDM而导致的负面分娩结果(例如,生下一个比平均身高大的婴儿,或剖腹产)。我们还将与妇女和保健提供者进行面谈,以帮助我们了解干预措施可能(或可能不)成功的方式和原因。如果干预措施成功地改善了GDM的发现和管理,我们期望通过减少与GDM相关的母婴并发症来节省资金。我们还认为,这种干预可能会减少女性在以后的生活中被诊断为2型糖尿病的人数。从长远来看,希望该干预措施将鼓励在所有中低收入国家提供和提高GDM筛查和护理的质量。
项目成果
期刊论文数量(8)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
Diagnosis of gestational diabetes in Uganda: The reactions of women, family members and health workers.
诊断乌干达妊娠糖尿病:妇女,家庭成员和卫生工作者的反应。
- DOI:10.1177/17455065211013769
- 发表时间:2021-01
- 期刊:
- 影响因子:0
- 作者:Zalwango F;Seeley J;Namara A;Kinra S;Nyirenda M;Oakley L
- 通讯作者:Oakley L
Interventions to promote health literacy among patients with chronic diseases
提高慢性病患者健康素养的干预措施
- DOI:
- 发表时间:2020
- 期刊:
- 影响因子:0
- 作者:Papachristou Nadal I
- 通讯作者:Papachristou Nadal I
169-LB: Is It Time for Country-Specific Glucose Cut-Off Values for Diagnosing Gestational Diabetes Mellitus in the Indian Population?
169-LB:现在是时候采用国家特定的血糖临界值来诊断印度人群中的妊娠糖尿病了吗?
- DOI:10.2337/db20-169-lb
- 发表时间:2020
- 期刊:
- 影响因子:7.7
- 作者:BABU G
- 通讯作者:BABU G
Health care professionals' perspectives on screening and management of gestational diabetes mellitus in public hospitals of South India - a qualitative study.
- DOI:10.1186/s12913-021-06077-0
- 发表时间:2021-02-12
- 期刊:
- 影响因子:2.8
- 作者:Sahu B;Babu GR;Gurav KS;Karthik M;Ravi D;Lobo E;John DA;Oakley L;Oteng-Ntim E;Nadal IP;Kinra S
- 通讯作者:Kinra S
Pregnant women's awareness about (GDM) and their perspective about using Educational films in public healthcare facilities: A qualitative study in Bangalore
孕妇对 (GDM) 的认识及其对在公共医疗机构中使用教育电影的看法:班加罗尔的一项定性研究
- DOI:
- 发表时间:2020
- 期刊:
- 影响因子:0
- 作者:Karthik M
- 通讯作者:Karthik M
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Sanjay Kinra其他文献
[Body image is associated with anthropometric status in adolescents, but not with lifestyle].
[身体形象与青少年的人体测量状况相关,但与生活方式无关]。
- DOI:
- 发表时间:
2023 - 期刊:
- 影响因子:0
- 作者:
Lorena Rocha Andrade;Mônica Leila Portela de Santana;Priscila Ribas Farias Costa;A. M. Assis;Sanjay Kinra - 通讯作者:
Sanjay Kinra
35. Does a Motivational Lifestyle Intervention (the Healthy Eating and Lifestyle Programme (HELP)) Work for Obese Young People
- DOI:
10.1016/j.jadohealth.2014.10.038 - 发表时间:
2015-02-01 - 期刊:
- 影响因子:
- 作者:
Deborah Christie;Lee D. Hudson;Sanjay Kinra;Irwin Nazareth;Rebecca Holt;Anthony Kessel;Ian Wong;Tim Cole;Steve Morris;Silvia Costa;Russell M. Viner - 通讯作者:
Russell M. Viner
Erratum to: Interaction between FTO gene variants and lifestyle factors on metabolic traits in an Asian Indian population
- DOI:
10.1186/s12986-016-0100-3 - 发表时间:
2016-06-13 - 期刊:
- 影响因子:4.100
- 作者:
Karani S. Vimaleswaran;Dhanasekaran Bodhini;N. Lakshmipriya;K. Ramya;R. Mohan Anjana;Vasudevan Sudha;Julie A. Lovegrove;Sanjay Kinra;Viswanathan Mohan;Venkatesan Radha - 通讯作者:
Venkatesan Radha
Development of a tool to estimate sugar and caloric contents in alcoholic beverages for a diabetes self-management program in Thailand.
- DOI:
10.1016/j.heliyon.2023.e21162 - 发表时间:
2023-11 - 期刊:
- 影响因子:4
- 作者:
Thin Nyein Nyein Aung;Kanittha Thaikla;Nutchar Wiwatkunupakarn;Chanchanok Aramrat;Kanokporn Pinyopornpanish;Wichuda Jiraporncharoen;Orawan Quansri;Iliatha Papachristou Nadal;Sanjay Kinra;Chaisiri Angkurawaranon - 通讯作者:
Chaisiri Angkurawaranon
Effect of Yoga-Based Cardiac Rehabilitation Program on Endothelial Function, Oxidative Stress, and Inflammatory Markers in Acute Myocardial Infarction: A Randomized Controlled Trial
基于瑜伽的心脏康复计划对急性心肌梗死内皮功能、氧化应激和炎症标志物的影响:随机对照试验
- DOI:
- 发表时间:
2024 - 期刊:
- 影响因子:1.6
- 作者:
Satish G Patil;Edmin Christa Sobitharaj;A. Chandrasekaran;Shankar S. Patil;Kalpana Singh;Ruby Gupta;Kishore K. Deepak;A. Jaryal;Dinu S. Chandran;Sanjay Kinra;Ambuj Roy;Dorairaj Prabhakaran - 通讯作者:
Dorairaj Prabhakaran
Sanjay Kinra的其他文献
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{{ truncateString('Sanjay Kinra', 18)}}的其他基金
Explaining the differential severity of COVID-19 between Indians in India and the UK
解释印度和英国印度人之间的 COVID-19 严重程度差异
- 批准号:
MR/V040235/1 - 财政年份:2021
- 资助金额:
$ 84.79万 - 项目类别:
Research Grant
Dietary ompatterns, microbiome, metabole and cardiovascular disease risk in transitioning India
印度转型期的饮食模式、微生物组、代谢和心血管疾病风险
- 批准号:
MR/V001221/1 - 财政年份:2021
- 资助金额:
$ 84.79万 - 项目类别:
Research Grant
Extending an inter-generational cohort to develop a multimorbidity research platform in rural and urbanising India
扩大代际队列,在印度农村和城市化地区开发多病研究平台
- 批准号:
MC_PC_MR/T038292/1 - 财政年份:2020
- 资助金额:
$ 84.79万 - 项目类别:
Research Grant
Dietary patterns, microbiome, metabolome and cardiovascular disease risk in transitioning India
印度转型期的饮食模式、微生物组、代谢组和心血管疾病风险
- 批准号:
MR/T008504/1 - 财政年份:2019
- 资助金额:
$ 84.79万 - 项目类别:
Research Grant
A scalable solution for supporting informal stroke caregivers in Malaysia: systematic development and feasibility study
支持马来西亚非正式中风护理人员的可扩展解决方案:系统开发和可行性研究
- 批准号:
MR/T018968/1 - 财政年份:2019
- 资助金额:
$ 84.79万 - 项目类别:
Research Grant
A scalable solution for delivery of Diabetes Self-Management Education in Thailand
用于在泰国提供糖尿病自我管理教育的可扩展解决方案
- 批准号:
MR/R020876/1 - 财政年份:2018
- 资助金额:
$ 84.79万 - 项目类别:
Research Grant
Development and evaluation of a yoga-based cardiac rehabilitation programme (Yoga-CaRe) for secondary prevention of myocardial infarction
用于心肌梗死二级预防的基于瑜伽的心脏康复计划(Yoga-CaRe)的开发和评估
- 批准号:
MR/J000175/1 - 财政年份:2013
- 资助金额:
$ 84.79万 - 项目类别:
Research Grant
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Multi-morbidity in Uganda Research Capacity Initiative (MURCI) at Mbarara University of Science and Technology
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