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A web-based support for pregnant women and new mothers with type 1 diabetes mellitus in Sweden (MODIAB-Web): study protocol for arandomized controlled trial
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden. (Complications in the Reproductive Life of Women)ORCID iD: 0000-0002-2577-1632
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
Department of Obstetrics and Gynecology, Skaraborg Hospital Skövde, Skövde, Sweden.
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2014 (English)In: Trials, ISSN 1745-6215, Vol. 15, 513- p.Article in journal (Other academic) Published
Abstract [en]

Background: Women with type 1 diabetes face particular demands in their lives in relation to childbearing. During pregnancy, in order to optimize the probability of giving birth to a healthy child, their blood glucose levels need to be as normal as possible. After childbirth, they experience a 'double stress': in addition to the ordinary challenges they face as new mothers, they also need to focus on getting their blood glucose levels normal. To improve self-management of diabetes and overall well-being in women with type 1 diabetes, a person-centered web-based support was designed to be tested in a randomized controlled trial (RCT) to be used during pregnancy and early motherhood. This protocol outlines the design of this RCT, which will evaluate the effectiveness of the specially designed web-based support for mothers with type 1 diabetes in Sweden.

Methods: The study is designed as an RCT. The web support consists of three parts: 1) evidence-based information, 2) a self-care diary, and 3) communication with peers. The primary outcome is general well-being evaluated with the Well-Being Questionnaire short version (W-BQ12) and diabetes management evaluated with the Diabetes Empowerment Scale, short version (SWE-DES). Women attending six hospital-based antenatal care centers in Sweden are invited to participate. The inclusion period is November 2011 to late 2014. The allocation of participants to web support (intervention group) and to usual care (control group) is equal (1:1). In total, 68 participants in each group will be needed to reach a statistical power of 80% with significance level 0.05.

Discussion: The web support is expected to strengthen the women's personal capacity and autonomy during pregnancy, breastfeeding, and early motherhood, leading to optimal well-being and diabetes management.

Place, publisher, year, edition, pages
2014. Vol. 15, 513- p.
Keyword [en]
Diabetes Mellitus, Type 1, Pregnancy, Support, Social Media, Access Information, Parenting, Motherhood, Randomized Controlled Trial
National Category
Nursing
Research subject
Caring sciences
Identifiers
URN: urn:nbn:se:oru:diva-36254ISI: 000349125300001PubMedID: 25543854OAI: oai:DiVA.org:oru-36254DiVA: diva2:742303
Projects
MODIAB-Web
Note

Funding Agencies:

Center for Person-Centered Care at the University of Gothenburg (GPCC), Sweden

Swedish Diabetes Association

Health & Medical Care Committee of the Regional Executive Board, Region Västra Götaland

Institute of Health and Care Sciences

Sahlgrenska Academy at the University of Gothenburg, Sweden

Available from: 2014-09-01 Created: 2014-09-01 Last updated: 2017-10-17Bibliographically approved

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Adolfsson, AnnsofieLarsson, Per-Göran
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CiteExportLink to record
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