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Published in: Irish Journal of Medical Science (1971 -) 1/2018

01-02-2018 | Original Article

Assessment of the effectiveness of group education on knowledge for women with newly diagnosed gestational diabetes

Authors: H. Alayoub, S. Curran, M. Coffey, M. Hatunic, M. Higgins

Published in: Irish Journal of Medical Science (1971 -) | Issue 1/2018

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Abstract

Background

Gestational diabetes mellitus (GDM) is identified in pregnancy and resolves following delivery. It increases maternal and foetal morbidity and may increase risk of future type 2 diabetes. Women diagnosed with GDM need high-quality multidisciplinary education in order to apply necessary changes to their diet and lifestyle. There is a paucity of information on the effectiveness of group education for women with GDM.

Aims

The aim of this study was to assess the effect of a multidisciplinary group intervention delivered by a specialist midwife and dietitian on women’s knowledge of GDM.

Methods

All women with a diagnosis of GDM were invited to attend a multidisciplinary group educational session on lifestyle and GDM management. Participants were invited to complete a questionnaire before and after the educational intervention; only individuals who completed both questionnaires were included. The questionnaire reviewed knowledge of suitable diet, implications of GDM diagnosis and management of GDM.

Results

A total of 716 women completed both questionnaires; mean age of the participants was 34 years. Just under half of women (46.9%, n = 333) were primiparous. The majority of the women (62.5%, n = 439) were Irish; 53.4% (n = 382) had a family history of diabetes. There was a significant increase in median score for knowledge following the educational intervention (pre-intervention score 8 (−2–12); post-intervention score 12 (1–12); p < 0.001).

Conclusions

This study demonstrates the benefit of a multidisciplinary group educational session delivered by a specialized midwife and a dietitian on pregnant women’s knowledge and understanding of GDM.
Literature
1.
go back to reference McPhee AJ, Crowther CA, Middleton P, et al (2014). Screening and subsequent management for gestational diabetes for improving maternal and infant health. Cochrane Database of Systematic Reviews. McPhee AJ, Crowther CA, Middleton P, et al (2014). Screening and subsequent management for gestational diabetes for improving maternal and infant health. Cochrane Database of Systematic Reviews.
3.
go back to reference Bernstein JA, McCloskey L, Gebel CM et al (2016) Lost opportunities to prevent early onset type 2 diabetes mellitus after a pregnancy complicated by gestational diabetes: Table 1. BMJ Open Diabetes Res Care 4(1):e000250CrossRefPubMedPubMedCentral Bernstein JA, McCloskey L, Gebel CM et al (2016) Lost opportunities to prevent early onset type 2 diabetes mellitus after a pregnancy complicated by gestational diabetes: Table 1. BMJ Open Diabetes Res Care 4(1):e000250CrossRefPubMedPubMedCentral
4.
go back to reference Crowther CA, Hiller JE, Moss JR et al (2005) Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med 352(24):2477–2486CrossRefPubMed Crowther CA, Hiller JE, Moss JR et al (2005) Effect of treatment of gestational diabetes mellitus on pregnancy outcomes. N Engl J Med 352(24):2477–2486CrossRefPubMed
5.
go back to reference Schwartz N, Green M, Nachum Z (2015) Risk factors for gestational diabetes mellitus recurrence: a meta-analysis. Am J Obstet Gynecol 212(1):S405–S406 Schwartz N, Green M, Nachum Z (2015) Risk factors for gestational diabetes mellitus recurrence: a meta-analysis. Am J Obstet Gynecol 212(1):S405–S406
6.
go back to reference McGowan C, Walsh JM, Byrne J, Curran S, McAuliffe FM (2013) The influence of a low glycaemic index dietary intervenion on maternal dietary intake, glycaemic index and gesatational weight gain during pregnancy: a randomised controlled trial. Nut J 12:e140CrossRef McGowan C, Walsh JM, Byrne J, Curran S, McAuliffe FM (2013) The influence of a low glycaemic index dietary intervenion on maternal dietary intake, glycaemic index and gesatational weight gain during pregnancy: a randomised controlled trial. Nut J 12:e140CrossRef
7.
go back to reference . Sousa AM da S , , Fiuza D, Mikami, FCF, et al. Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group. Revista da Associação Médica Brasileira. 2016 62(3):212–217. . Sousa AM da S , , Fiuza D, Mikami, FCF, et al. Evaluation of information retention and adherence to treatment in patients with gestational diabetes mellitus after multidisciplinary group. Revista da Associação Médica Brasileira. 2016 62(3):212–217.
8.
go back to reference Tadesse WG, Dunleavy F, Nazir SF et al (2016) Multidisciplinary group education for the treatment of gestational diabetes mellitus. AJOG 214(1):S92–S93 (Abstract No 139) CrossRef Tadesse WG, Dunleavy F, Nazir SF et al (2016) Multidisciplinary group education for the treatment of gestational diabetes mellitus. AJOG 214(1):S92–S93 (Abstract No 139) CrossRef
9.
go back to reference Kirkpatrick R (1996) Great ideas revisited. Techniques for evaluating training programs. Revisiting Kirkpatrick’s four-level model. Train Dev 50:54–59 Kirkpatrick R (1996) Great ideas revisited. Techniques for evaluating training programs. Revisiting Kirkpatrick’s four-level model. Train Dev 50:54–59
Metadata
Title
Assessment of the effectiveness of group education on knowledge for women with newly diagnosed gestational diabetes
Authors
H. Alayoub
S. Curran
M. Coffey
M. Hatunic
M. Higgins
Publication date
01-02-2018
Publisher
Springer London
Published in
Irish Journal of Medical Science (1971 -) / Issue 1/2018
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-017-1609-9

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