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Person‐centred, web‐based support in pregnancy and early motherhood for women with Type 1 diabetes mellitus: a randomized controlled trial
Author(s) -
Linden K.,
Berg M.,
Adolfsson A.,
SparudLundin C.
Publication year - 2018
Publication title -
diabetic medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.474
H-Index - 145
eISSN - 1464-5491
pISSN - 0742-3071
DOI - 10.1111/dme.13552
Subject(s) - medicine , randomized controlled trial , childbirth , peer support , pregnancy , diabetes mellitus , type 2 diabetes , self management , physical therapy , nursing , machine learning , genetics , computer science , biology , endocrinology
Aims To report results from and explore use of a multicentre, parallel‐group, unblinded, randomized controlled trial testing the effectiveness in terms of well‐being and diabetes management of a person‐centred, web‐based support programme for women with Type 1 diabetes, in pregnancy and postpartum. Methods Between 2011 and 2014, 174 pregnant women with Type 1 diabetes were randomly allocated (1:1) to web‐based support and standard care (intervention group, n =83), or standard care (control group, n =91). The web‐based support consisted of evidence‐based information; a self‐care diary for monitoring of daily activities; and peer support in a discussion forum. The primary outcomes (mean difference, measured at 6 months after childbirth) were well‐being and diabetes management. Results No differences were found with regard to the primary outcome measure scores for general well‐being [1.04 (95% CI –1.28 to 3.37); P =0.68] and self‐efficacy of diabetes management [0.08 (95% CI –0.12 to 0.28); P = 0.75], after adjustment for baseline differences in the insulin administration method, nor with regard to the secondary outcome measures. Conclusions At 6 months after childbirth, the web‐based support plus standard care was not superior to standard care in terms of general well‐being or self‐efficacy of diabetes management. This might be explained by the low number of participants who had a high activity level. Few simultaneously active participants in the web‐based programme and stressors in motherhood and diabetes postpartum were the main barriers to its use. Further intervention studies that offer web‐based support are needed, with lessons learned from the present study. (Clinicaltrials.gov identification number: NCT015665824)