Efficacy of a media education programme in post gestational diabetes
Research type
Research Study
Full title
A multimedia approach to diabetes structured education: The effects of "Keeping Healthy After Gestational Diabetes" on patient knowledge, self-efficacy and acceptability of a multimedia based education program.
IRAS ID
140757
Contact name
Helen Jacobs
Contact email
Sponsor organisation
Consultant Physician in Endocrinology and Diabetes
Duration of Study in the UK
1 years, 0 months, 1 days
Research summary
Summary of Research
Women with gestational diabetes are at increased risk of developing type 2 diabetes in the future (Bellamy et al., 2009) and evidence shows that lifestyle intervention is an effective technique in delaying or preventing the onset of type 2 diabetes in this high risk population (Ratner at al., 2008). Therefore, this group offer a unique opportunity for the primary prevention of type 2 diabetes (Nicklas et al., 2011).
The Diabetes Specialist team at the Countess of Chester Hospital NHS Foundation Trust have previously implemented a structured group education class for this population, however attendance was poor, possibly due to the myriad barriers to lifestyle change cited by women following gestational diabetes.
The Diabetes Specialist team at the Countess of Chester Hospital NHS Foundation Trust propose that a multimedia based education program is required to meet the needs and overcome the barriers to education in this population, in order to encourage a greater sense of knowledge and self efficacy for patients following gestational diabetes.
The research aims to develop and evaluate a multimedia based education programme: "Keeping Healthy After Gestational Diabetes", and identify if it has an impact on patient knowledge and self-efficacy.
The study will take the form of a prospective cohort study using a mixed qualitative and quantitative approach using questionnaires before and after the multimedia education program.
The research will take place at the Countess of Chester Hospital Diabetes Unit and participants will be those who have had gestational diabetes diagnosed and are attending their routine 6 week post-gestational Oral Glucose Tolerance Test appointment, who are under the care of the Countess of Chester Hospital NHS Foundation Trust.Summary of Results
Women with gestational diabetes (GDM) are at increased risk of developing type 2 diabetes in the future . Lifestyle intervention is an effective technique in delaying or preventing the onset of type 2 diabetes . This high risk population offered a unique opportunity for the primary prevention of type 2 diabetes. We evaluated the acceptability and impact on knowledge of a multimedia based education program ("Keeping Healthy After Gestational Diabetes") in women following GDM compared to traditional face to face education . Non-traditional face to face education is becoming more widespread with advances in technology and internet. Different ways to engage the younger tech savvy patients are needed. There is a growing place for the use of multimedia to provide standardized, focused and relevant information. Such programs require patient involvement and need testing for suitability and acceptability before rolling out in a structured manner. We found that a multimedia based education program on a mobile device ( I-pad) is acceptable in the majority of women after GDM and could be expanded to other forms of education. Opportunistic delivery at the time of an OGTT or other suitable contacts (immunization visits, health visitor contacts) might be effective in meeting the educational needs in this increasing group of women at high risk.REC name
Wales REC 4
REC reference
14/WA/1169
Date of REC Opinion
30 Oct 2014
REC opinion
Further Information Favourable Opinion