Paper presented at Diabetes UK Annual Professional Conference, March 2011, London. Diabetic Medicine 2011; 28 (Supplement 1): 19
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Article: Education and Psychological Issues
Evaluation of a DVD for women with diabetes: impact on knowledge and attitudes to preconception care
Article first published online: 19 JUN 2012
DOI: 10.1111/j.1464-5491.2012.03650.x
© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK
Additional Information
How to Cite
Holmes, V. A., Spence, M., McCance, D. R., Patterson, C. C., Harper, R. and Alderdice, F. A. (2012), Evaluation of a DVD for women with diabetes: impact on knowledge and attitudes to preconception care. Diabetic Medicine, 29: 950–956. doi: 10.1111/j.1464-5491.2012.03650.x
Publication History
- Issue published online: 19 JUN 2012
- Article first published online: 19 JUN 2012
- Accepted manuscript online: 14 MAR 2012 01:12PM EST
- Accepted 8 March 2012
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Keywords:
- diabetes;
- education;
- preconception counselling;
- prepregnancy care
Diabet. Med. 29, 950–956 (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 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 < 0.001], 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.