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Study protocol for evaluating a web-support program with a control group for pregnant women and new mothers with type 1 diabetes mellitus.

Konferensbidrag (offentliggjort, men ej förlagsutgivet)
Författare Karolina Lindén
Carina Sparud Lundin
Marie Berg
Ann-Sofie Adolfsson
Publicerad i 7th International DIP Symposium - Diabetes, Hypertension, Metabolic syndrome & Pregnancy. Florence, Italy, March 13-16, 2013
Publiceringsår 2013
Publicerad vid Centrum för personcentrerad vård vid Göteborgs universitet (GPCC)
Institutionen för vårdvetenskap och hälsa
Språk en
Ämneskategorier Övrig annan medicin och hälsovetenskap

Sammanfattning

Background In the struggle to achieve normoglycemia during pregnancy, women with type 1 diabetes mellitus (T1D) alternate between mastering their situation and feeling enslaved. Caregivers not only have the responsibility of optimising the women’s biological probability of delivering healthy children, but also of supporting them during their transition to motherhood. In order to establish breastfeeding and simultaneously control blood glucose, the mothers require extended post-partum support. The aim was to describe the study design of an on-going randomized controlled trial evaluating a web-support program for pregnant women and new mothers with T1D. Methods The developed web-based support is being implemented through a randomized controlled trial in which women with T1D in early pregnancy are randomized to either web-based support in addition to usual care (IG) or usual care (CG). A sample size of 160 is required based on the two primary outcomes: a general wellbeing scale (W-BQ12) and a diabetes empowerment scale (SWE-DES) to reach a statistical power of 80% with a significance level of 0.05. Results The web-support consists of evidence-based information, person-centred self-care diaries and an online social community. Outcomes will be measured in early pregnancy (baseline), about five weeks before expected partus and at two and six months after partus. Conclusion The unique contribution of this project is the development of a specially designed web application for mothers with T1D which is expected to increase the women’s personal resources, including knowledge, and thereby strengthen their autonomy during pregnancy, breastfeeding and early motherhood.

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