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Person-centred web-based support in pregnancy and early motherhood for women with Type 1 Diabetes Mellitus: a randomized controlled trial
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-Centred Care, University of Gothenburg, Gothenburg, Sweden. (Komplikationer under de reproduktiva åren)
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-Centred Care, University of Gothenburg, Gothenburg, Sweden. (Komplikationer under de reproduktiva åren)
Örebro University, School of Health Sciences. Faculty of Health Sciences, Department of Nursing Science, University College of Southeast Norway, Kongsberg, Norway. (Komplikationer under de reproduktiva åren)ORCID iD: 0000-0002-2577-1632
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-Centred Care, University of Gothenburg, Gothenburg, Sweden. (Komplikationer under de reproduktiva åren)
2018 (English)In: Diabetic Medicine, ISSN 0742-3071, E-ISSN 1464-5491, Vol. 5, no 2, p. 232-241Article in journal (Refereed) Published
Abstract [en]

Aims: To report results from and explore use of a multicentre, parallel-group, unblinded, randomized controlled trial testing the effectiveness in terms of well-being and diabetes management of a person-centred, web-based support programme for women with Type 1 diabetes, in pregnancy and postpartum.

Methods: Between 2011 and 2014, 174 pregnant women with Type 1 diabetes were randomly allocated (1:1) to web-based support and standard care (intervention group, n=83), or standard care (control group, n=91). The web-based support consisted of evidence-based information; a self-care diary for monitoring of daily activities; and peer support in a discussion forum. The primary outcomes (mean difference, measured at 6 months after childbirth) were well-being and diabetes management.

Results: No differences were found with regard to the primary outcome measure scores for general well-being [1.04 (95% CI -1.28 to 3.37); P= 0.68] and self-efficacy of diabetes management [0.076 (95% CI -0.123 to 0.275); P= 0.75], after adjustment for baseline differences in the insulin administration method, nor with regard to the secondary outcome measures.

Conclusions: At 6 months after childbirth, the web-based support plus standard care was not superior to standard care in terms of general well-being or self-efficacy of diabetes management. This might be explained by the low number of participants who had a high activity level. Few simultaneously active participants in the web-based programme and stressors in motherhood and diabetes postpartum were the main barriers to its use. Further intervention studies that offer web-based support are needed, with lessons learned from the present study.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2018. Vol. 5, no 2, p. 232-241
Keywords [en]
Type 1 Diabetes Mellitus, Randomized Controlled Trial, Pregnancy, Motherhood, Web-based intervention
National Category
Obstetrics, Gynecology and Reproductive Medicine Nursing Endocrinology and Diabetes
Identifiers
URN: urn:nbn:se:oru:diva-61538DOI: 10.1111/dme.13552ISI: 000419902200009PubMedID: 29171071OAI: oai:DiVA.org:oru-61538DiVA, id: diva2:1149305
Projects
MoDiab-Web
Funder
Swedish Diabetes Association
Note

Funding Agencies:

Centre for Person-Centred Care at the University of Gothenburg, Sweden 

Health and Medical Care Committee of the Regional Executive Board, Sweden  

Region Västra Götaland, Sweden  

Institute of Health and Care Sciences, Sweden  

Sahlgrenska Academy at the University of Gothenburg, Sweden 

Available from: 2017-10-15 Created: 2017-10-15 Last updated: 2018-09-06Bibliographically approved

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Adolfsson, Annsofie

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