4.3 Article

Evaluation of a DVD for women with diabetes: impact on knowledge and attitudes to preconception care

Journal

DIABETIC MEDICINE
Volume 29, Issue 7, Pages 950-956

Publisher

WILEY
DOI: 10.1111/j.1464-5491.2012.03650.x

Keywords

diabetes; education; preconception counselling; prepregnancy care

Funding

  1. Diabetes UK [07/0003548]
  2. Diabetes UK [07/0003548] Funding Source: researchfish

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Diabet. Med. 29, 950956 (2012) Abstract 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 1840 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 womens 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 < 0.001], 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.

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