The systematic development of an innovative DVD to raise awareness of preconception care

Authors

  • Dr Michelle Spence BSc, PhD,

    Research Fellow
    1. School of Biological Sciences, Queen's University Belfast, UK
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  • Professor Roy Harper BSc, MB BCh, BAO, MD, FRCP,

    Consultant Endocrinologist
    1. Ulster Hospital, South Eastern Health and Social Care Trust, UK
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  • Professor David R McCance BSc, MB, BCh, MD, FRCP,

    Consultant Endocrinologist
    1. Regional Centre for Endocrinology and Diabetes, Royal Victoria Hospital, Belfast Health and Social Care Trust, UK
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  • Professor Fiona A Alderdice BSc, PhD,

    Chair in Perinatal Health and Wellbeing
    1. School of Nursing and Midwifery, Queen's University Belfast, UK
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  • Dr Michelle C McKinley BSc, PhD,

    Senior Lecturer
    1. Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, UK
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  • Clare Hughes,

    Midwifery Teaching Fellow
    1. School of Nursing and Midwifery, Queen's University Belfast, UK
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  • Dr Valerie A Holmes RN, BSc, PhD,

    Senior Lecturer, Corresponding author
    1. Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, UK
    • Centre for Public Health, School of Medicine, Dentistry and Biomedical Sciences, Queen's University Belfast, BT12 6BA, UK
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  • For the Women with Diabetes Project Team


Abstract

The purpose of this article is to describe the design, development and process evaluation of a preconception counselling resource (a DVD) for women with pre-gestational diabetes.

DVD design and development centred on two key stakeholders (‘DVD user group’ and ‘professional advisory group’) working alongside a professional multimedia company. The DVD user group provided feedback on preferred DVD style, and informed modifications and improvements. The professional advisory group prepared the script, and ensured content and face validity. Evaluation of the DVD's acceptability and usefulness was assessed among women with diabetes via a postal questionnaire.

Development phase: the resulting DVD is a 45-minute programme with three parts, featuring eight women with diabetes sharing their views and experiences, alongside an evidence-based commentary. The programme focuses on the importance of preventing an unplanned pregnancy (highlighting contraception) and on essential planning advice.

Evaluation phase: 97 women (89 with type 1 and 8 with type 2 diabetes) evaluated the DVD using a rating scale of 0–10. Mean (SD) scores were: 9.1 (1.3) for quality; 9.0 (1.4) for content; 8.8 (1.5) for interest; 8.7 (1.8) for usefulness; 7.8 (2.2) for knowledge acquisition; and 8.0 (2.1) for knowledge confirmation.

This combined user and multi-professional advisory group approach has produced an innovative and highly acceptable preconception counselling resource for women with diabetes. The development process and outcome evaluation are an important point of reference for future educational programmes. Future research will evaluate the impact of this preconception counselling resource on pregnancy planning indicators and pregnancy outcome. Copyright © 2013 FEND. Published by John Wiley & Sons, Ltd.

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