Paper presented at Diabetes UK Annual Professional Conference, March 2011, London. Diabetic Medicine 2011; 28 (Supplement 1): 19
Article: Education and Psychological Issues
Evaluation of a DVD for women with diabetes: impact on knowledge and attitudes to preconception care
Version of Record online: 19 JUN 2012
© 2012 The Authors. Diabetic Medicine © 2012 Diabetes UK
Volume 29, Issue 7, pages 950–956, July 2012
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
- Issue online: 19 JUN 2012
- Version of Record online: 19 JUN 2012
- Accepted manuscript online: 14 MAR 2012 01:12PM EST
- Accepted 8 March 2012
- preconception counselling;
- prepregnancy care
Diabet. Med. 29, 950–956 (2012)
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.