Document Detail


Evaluation of a DVD for women with diabetes: impact on knowledge and attitudes to preconception care.
MedLine Citation:
PMID:  22416804     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aims:  To determine if an educational DVD increases knowledge and changes attitudes of women with diabetes towards preconception care. Methods:  Ninety-seven women with diabetes (Type 1, n = 89; Type 2, n = 8), aged 18-40 years, completed a pre-DVD and post-DVD intervention study by postal questionnaire. Beliefs and attitudes associated with preventing an unplanned pregnancy and seeking preconception care were assessed using a validated questionnaire; scales included benefits, barriers, personal attitudes and self-efficacy. Knowledge of pregnancy planning and pregnancy-related risks were assessed by a 22-item questionnaire. Results After viewing the DVD there was significant positive change in women's perceived benefits of, and their personal attitudes to, receiving preconception care and using contraception: change in score post DVD viewing 0.7 (95% confidence interval 0.3, 1.2), P = 0.003, and 0.8 (0.3, 1.2), P = 0.001, respectively. The DVD significantly improved self-efficacy, that is, self-confidence to use contraception for prevention of an unplanned pregnancy and to access preconception care [3.3 (1.9, 4.7), P < 0.0001], and significantly reduced perceived barriers to preconception care [-0.7 (-1.2, -0.2), P = 0.01]. Knowledge of pregnancy planning and pregnancy-related risks increased significantly after viewing the DVD: mean increase was 37.6 ± 20.0%, P < 0.001, and 16.9 ± 21.2%, P < 0.001, respectively. Conclusions:  This study demonstrates the effectiveness of a DVD in increasing knowledge and enhancing attitudes of women with diabetes to preconception care. This DVD could be used as a prepregnancy counselling resource to prepare women with diabetes for pregnancy. © 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK.
Authors:
V A Holmes; M Spence; D R McCance; C C Patterson; R Harper; F A Alderdice
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-3-14
Journal Detail:
Title:  Diabetic medicine : a journal of the British Diabetic Association     Volume:  -     ISSN:  1464-5491     ISO Abbreviation:  -     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-3-15     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8500858     Medline TA:  Diabet Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK.
Affiliation:
School of Nursing and Midwifery, Queen's University Belfast, UK School of Biological Sciences, Queen's University Belfast, UK Regional Centre for Endocrinology and Diabetes, Belfast Health and Social Care Trust, Royal Victoria Hospital, Belfast, UK Centre for Public Heath, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, UK South Eastern Health and Social Care Trust, Ulster Hospital, Dundonald, UK.
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