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Published in: BMC Medical Informatics and Decision Making 1/2012

Open Access 01-12-2012 | Correspondence

Web-based information for pregnant women and new mothers with type 1 diabetes- a description of the development process

Authors: Karolina Linden, Marie Berg, Carina Sparud-Lundin

Published in: BMC Medical Informatics and Decision Making | Issue 1/2012

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Abstract

Background

This paper describes the process of developing specifically designed web-based maternity information for women with type 1 diabetes.

Methods

A participatory design was used and the information was evaluated in seven stages by researchers, professional experts and users. All steps of the development process were noted in an online logbook.

Results

The information developed gradually and its contents were reviewed by nurse-midwives, nurses and physicians specializing in different key areas including diabetes care, paediatrics, obstetrics and breastfeeding, a clinical dietician and mothers with type 1 diabetes. The draft was reviewed in regard to its cultural suitability and the information material was adjusted to meet quality criterions. Finally, the text was adapted for a lay audience.

Conclusions

Using participatory design required time and resources, however; it proved a functional way of producing appropriate information for the target group.
Appendix
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Literature
1.
go back to reference Berg M, Sparud-Lundin C: Experiences of professional support during pregnancy and childbirth - a qualitative study of women with type 1 diabetes. BMC Pregnancy Childbirth. 2009, 9: 27-10.1186/1471-2393-9-27.CrossRefPubMedPubMedCentral Berg M, Sparud-Lundin C: Experiences of professional support during pregnancy and childbirth - a qualitative study of women with type 1 diabetes. BMC Pregnancy Childbirth. 2009, 9: 27-10.1186/1471-2393-9-27.CrossRefPubMedPubMedCentral
3.
go back to reference Evers IM, De Valk HW, Visser GHA: Risk of complications of pregnancy in women with type 1 diabetes: nationwide prospective study in the netherlands. Br Med J. 2004, 328 (7445): 915-918. 10.1136/bmj.38043.583160.EE.CrossRef Evers IM, De Valk HW, Visser GHA: Risk of complications of pregnancy in women with type 1 diabetes: nationwide prospective study in the netherlands. Br Med J. 2004, 328 (7445): 915-918. 10.1136/bmj.38043.583160.EE.CrossRef
4.
go back to reference Kapoor N, Sankaran S, Hyer S, Shehata H: Diabetes in pregnancy: a review of current evidence. Curr Opin Obstet Gynecol. 2007, 19 (6): 586-590. 10.1097/GCO.0b013e3282f20aad.CrossRefPubMed Kapoor N, Sankaran S, Hyer S, Shehata H: Diabetes in pregnancy: a review of current evidence. Curr Opin Obstet Gynecol. 2007, 19 (6): 586-590. 10.1097/GCO.0b013e3282f20aad.CrossRefPubMed
5.
go back to reference Bell R, Glinianaia S, Tennant P, Bilous R, Rankin J: Peri-conception hyperglycaemia and nephropathy are associated with risk of congenital anomaly in women with pre-existing diabetes: a population-based cohort study. Diabetologia. 2012, 55 (4): 936-947. 10.1007/s00125-012-2455-y.CrossRef Bell R, Glinianaia S, Tennant P, Bilous R, Rankin J: Peri-conception hyperglycaemia and nephropathy are associated with risk of congenital anomaly in women with pre-existing diabetes: a population-based cohort study. Diabetologia. 2012, 55 (4): 936-947. 10.1007/s00125-012-2455-y.CrossRef
6.
go back to reference Macintosh MCM, Fleming KM, Bailey JA, Doyle P, Modder J, Acolet D, Golightly S, Miller A: Perinatal mortality and congenital anomalies in babies of women with type 1 or type 2 diabetes in England, Wales, and Northern Ireland: population based study. Br Med J. 2006, 333 (7560): 177-180. 10.1136/bmj.38856.692986.AE.CrossRef Macintosh MCM, Fleming KM, Bailey JA, Doyle P, Modder J, Acolet D, Golightly S, Miller A: Perinatal mortality and congenital anomalies in babies of women with type 1 or type 2 diabetes in England, Wales, and Northern Ireland: population based study. Br Med J. 2006, 333 (7560): 177-180. 10.1136/bmj.38856.692986.AE.CrossRef
7.
go back to reference Handisurya A, Bancher-Todesca D, Schober E, Klein K, Tobler K, Schneider B, Pollak A, Husslein P, Luger A, Kautzky-Willer A: Risk factor profile and pregnancy outcome in women with type 1 and type 2 diabetes mellitus. J Womens Health. 2011, 20 (2): 263-271. 10.1089/jwh.2010.2033.CrossRef Handisurya A, Bancher-Todesca D, Schober E, Klein K, Tobler K, Schneider B, Pollak A, Husslein P, Luger A, Kautzky-Willer A: Risk factor profile and pregnancy outcome in women with type 1 and type 2 diabetes mellitus. J Womens Health. 2011, 20 (2): 263-271. 10.1089/jwh.2010.2033.CrossRef
8.
go back to reference Hawdon JM: Babies born after diabetes in pregnancy: what are the short- and long-term risks and how can we minimise them?. Best Practice & Research Clinical Obstetrics & Gynaecology. 2011, 25 (1): 91-104. 10.1016/j.bpobgyn.2010.10.005.CrossRef Hawdon JM: Babies born after diabetes in pregnancy: what are the short- and long-term risks and how can we minimise them?. Best Practice & Research Clinical Obstetrics & Gynaecology. 2011, 25 (1): 91-104. 10.1016/j.bpobgyn.2010.10.005.CrossRef
9.
go back to reference Berg M, Honkasalo ML: Pregnancy and diabetes - a hermeneutic phenomenological study of women's experiences. J Psychosom Obstet Gynaecol. 2000, 21 (1): 39-48. 10.3109/01674820009075607.CrossRefPubMed Berg M, Honkasalo ML: Pregnancy and diabetes - a hermeneutic phenomenological study of women's experiences. J Psychosom Obstet Gynaecol. 2000, 21 (1): 39-48. 10.3109/01674820009075607.CrossRefPubMed
10.
go back to reference Sparud-Lundin C, Berg M: Extraordinary exposed in early motherhood - a qualitative study exploring experiences of mothers with type 1 diabetes. BMC Womens Health. 2011, 11: 10-10.1186/1472-6874-11-10.CrossRefPubMedPubMedCentral Sparud-Lundin C, Berg M: Extraordinary exposed in early motherhood - a qualitative study exploring experiences of mothers with type 1 diabetes. BMC Womens Health. 2011, 11: 10-10.1186/1472-6874-11-10.CrossRefPubMedPubMedCentral
11.
go back to reference Nelson AM: Transition to motherhood. J Obstet Gynecol Neonatal Nurs. 2003, 32 (4): 465-477. 10.1177/0884217503255199.CrossRefPubMed Nelson AM: Transition to motherhood. J Obstet Gynecol Neonatal Nurs. 2003, 32 (4): 465-477. 10.1177/0884217503255199.CrossRefPubMed
12.
go back to reference House JS: Work stress and social support. Reading. 1981, Mass: Addison-Wesley House JS: Work stress and social support. Reading. 1981, Mass: Addison-Wesley
13.
go back to reference Sparud-Lundin C, Ranerup A, Berg M: Internet use, needs and expectations of web-based information and communication in childbearing women with type 1 diabetes. BMC Med Inform Decis Mak. 2011, 11 (1): 49-10.1186/1472-6947-11-49.CrossRefPubMedPubMedCentral Sparud-Lundin C, Ranerup A, Berg M: Internet use, needs and expectations of web-based information and communication in childbearing women with type 1 diabetes. BMC Med Inform Decis Mak. 2011, 11 (1): 49-10.1186/1472-6947-11-49.CrossRefPubMedPubMedCentral
14.
go back to reference Kaufman N: Internet and information technology use in treatment of diabetes. Int J Clin Pract Suppl. 2010, 166: 41-46.CrossRefPubMed Kaufman N: Internet and information technology use in treatment of diabetes. Int J Clin Pract Suppl. 2010, 166: 41-46.CrossRefPubMed
15.
go back to reference Mühlhauser I, Berger M: Evidence-based patient information in diabetes. Diabet Med. 2000, 17 (12): 823-829. 10.1046/j.1464-5491.2000.00383.x.CrossRefPubMed Mühlhauser I, Berger M: Evidence-based patient information in diabetes. Diabet Med. 2000, 17 (12): 823-829. 10.1046/j.1464-5491.2000.00383.x.CrossRefPubMed
16.
go back to reference Dixon-Woods M: Writing wrongs? an analysis of published discourses about the use of patient information leaflets. Soc Sci Med. 2001, 52 (9): 1417-1432. 10.1016/S0277-9536(00)00247-1.CrossRefPubMed Dixon-Woods M: Writing wrongs? an analysis of published discourses about the use of patient information leaflets. Soc Sci Med. 2001, 52 (9): 1417-1432. 10.1016/S0277-9536(00)00247-1.CrossRefPubMed
17.
go back to reference Garner M, Ning Z, Francis J: A framework for the evaluation of patient information leaflets. Health Expect. 2012, 15 (3): 283-294. 10.1111/j.1369-7625.2011.00665.x.CrossRefPubMed Garner M, Ning Z, Francis J: A framework for the evaluation of patient information leaflets. Health Expect. 2012, 15 (3): 283-294. 10.1111/j.1369-7625.2011.00665.x.CrossRefPubMed
18.
go back to reference Gregory J: Scandinavian approaches to participatory design. Int J Eng Educ. 2003, 19 (1 SPEC): 62-74. Gregory J: Scandinavian approaches to participatory design. Int J Eng Educ. 2003, 19 (1 SPEC): 62-74.
19.
go back to reference Spinuzzi C: The methodology of participatory design. Tech Commun. 2005, 52 (2): 163-174. Spinuzzi C: The methodology of participatory design. Tech Commun. 2005, 52 (2): 163-174.
21.
go back to reference Jensen DM, Damm P, Moelsted-Pedersen L, Ovesen P, Westergaard JG, Moeller M, Beck-Nielsen H: Outcomes in type 1 diabetic pregnancies:a nationwide, population-based study. Diabetes Care. 2004, 27 (12): 2819-2823. 10.2337/diacare.27.12.2819.CrossRefPubMed Jensen DM, Damm P, Moelsted-Pedersen L, Ovesen P, Westergaard JG, Moeller M, Beck-Nielsen H: Outcomes in type 1 diabetic pregnancies:a nationwide, population-based study. Diabetes Care. 2004, 27 (12): 2819-2823. 10.2337/diacare.27.12.2819.CrossRefPubMed
22.
go back to reference Rankin D, Heller S, Lawton J: Understanding information and education gaps among people with type 1 diabetes: a qualitative investigation. Patient Educ Couns. 2011, 83 (1): 87-91. 10.1016/j.pec.2010.04.026.CrossRefPubMed Rankin D, Heller S, Lawton J: Understanding information and education gaps among people with type 1 diabetes: a qualitative investigation. Patient Educ Couns. 2011, 83 (1): 87-91. 10.1016/j.pec.2010.04.026.CrossRefPubMed
23.
go back to reference Chuang CH, Velott DL, Weisman CS: Exploring knowledge and attitudes related to pregnancy and preconception health in women with chronic medical conditions. Matern Child Health J. 2010, 14 (5): 713-719. 10.1007/s10995-009-0518-6.CrossRefPubMedPubMedCentral Chuang CH, Velott DL, Weisman CS: Exploring knowledge and attitudes related to pregnancy and preconception health in women with chronic medical conditions. Matern Child Health J. 2010, 14 (5): 713-719. 10.1007/s10995-009-0518-6.CrossRefPubMedPubMedCentral
24.
go back to reference Cartwright A, Wallymahmed M, Macfarlane I, Casson I: What do women with diabetes know about pregnancy and contraception?. Practl Diabetes Int. 2009, 26 (6): 238-242. 10.1002/pdi.1383.CrossRef Cartwright A, Wallymahmed M, Macfarlane I, Casson I: What do women with diabetes know about pregnancy and contraception?. Practl Diabetes Int. 2009, 26 (6): 238-242. 10.1002/pdi.1383.CrossRef
25.
go back to reference Doak CC, Doak LG, Root JH: Teaching Patients with Low Literacy Skills. 1996, USA: Lippincot Company, 2 Doak CC, Doak LG, Root JH: Teaching Patients with Low Literacy Skills. 1996, USA: Lippincot Company, 2
27.
go back to reference Stvilia B, Mon L, Yi YJ: A model for online consumer health information quality. J Am Soc Inf Sci Technol. 2009, 60 (9): 1781-1791. 10.1002/asi.21115.CrossRef Stvilia B, Mon L, Yi YJ: A model for online consumer health information quality. J Am Soc Inf Sci Technol. 2009, 60 (9): 1781-1791. 10.1002/asi.21115.CrossRef
28.
go back to reference Bunge M, Mühlhauser I, Steckelberg A: What constitutes evidence-based patient information? overview of discussed criteria. Patient Educ Couns. 2010, 78 (3): 316-328. 10.1016/j.pec.2009.10.029.CrossRefPubMed Bunge M, Mühlhauser I, Steckelberg A: What constitutes evidence-based patient information? overview of discussed criteria. Patient Educ Couns. 2010, 78 (3): 316-328. 10.1016/j.pec.2009.10.029.CrossRefPubMed
29.
go back to reference Nilsen ES, Myrhaug HT, Johansen M, Oliver S, Oxman AD: Methods of consumer involvement in developing healthcare policy and research, clinical practice guidelines and patient information material. Cochrane Database Syst Rev. 2006, 3: Nilsen ES, Myrhaug HT, Johansen M, Oliver S, Oxman AD: Methods of consumer involvement in developing healthcare policy and research, clinical practice guidelines and patient information material. Cochrane Database Syst Rev. 2006, 3:
30.
go back to reference Coulter A: Evidence based patient information. Br Med J. 1998, 317 (7153): 225-226. 10.1136/bmj.317.7153.225.CrossRef Coulter A: Evidence based patient information. Br Med J. 1998, 317 (7153): 225-226. 10.1136/bmj.317.7153.225.CrossRef
31.
go back to reference Tutty L, O'Connor G: Patient information leaflets: some pertinent guidelines. Radiography. 1999, 5 (1): 11-14. 10.1016/S1078-8174(99)90003-2.CrossRef Tutty L, O'Connor G: Patient information leaflets: some pertinent guidelines. Radiography. 1999, 5 (1): 11-14. 10.1016/S1078-8174(99)90003-2.CrossRef
32.
go back to reference Robins D, Holmes J, Stansbury M: Consumer health information on the web: the relationship of visual design and perceptions of credibility. J Am Soc Inf Sci Technol. 2010, 61 (1): 13-29. 10.1002/asi.21224.CrossRef Robins D, Holmes J, Stansbury M: Consumer health information on the web: the relationship of visual design and perceptions of credibility. J Am Soc Inf Sci Technol. 2010, 61 (1): 13-29. 10.1002/asi.21224.CrossRef
33.
go back to reference Grime J, Dudley B: Developing written information on osteoarthritis for patients: facilitating user involvement by exposure to qualitative research. Health Expect. in press Grime J, Dudley B: Developing written information on osteoarthritis for patients: facilitating user involvement by exposure to qualitative research. Health Expect. in press
34.
go back to reference Helitzer D, Hollis C, Cotner J, Oestreicher N: Health literacy demands of written health information materials: an assessment of cervical cancer prevention materials. Cancer Control. 2009, 16 (1): 70-78.PubMed Helitzer D, Hollis C, Cotner J, Oestreicher N: Health literacy demands of written health information materials: an assessment of cervical cancer prevention materials. Cancer Control. 2009, 16 (1): 70-78.PubMed
Metadata
Title
Web-based information for pregnant women and new mothers with type 1 diabetes- a description of the development process
Authors
Karolina Linden
Marie Berg
Carina Sparud-Lundin
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Medical Informatics and Decision Making / Issue 1/2012
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/1472-6947-12-134

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