University of Surrey

Test tubes in the lab Research in the ATI Dance Research

Preconception care education for women with diabetes: a systematic review of conventional and digital health interventions

Nwolise, CH, Carey, N and Shawe, JA (2016) Preconception care education for women with diabetes: a systematic review of conventional and digital health interventions Journal of Medical Internet Research.

[img] Text
NWOLISE et al SR Preconception WWDiabetes e health.doc - Accepted version Manuscript
Restricted to Repository staff only
Available under License : See the attached licence file.

Download (358kB)
[img]
Preview
Text (licence)
SRI_deposit_agreement.pdf
Available under License : See the attached licence file.

Download (33kB) | Preview

Abstract

Background Worldwide, 199.5 million women have diabetes mellitus. Preconception care education starting from adolescence has been recommended as an effective strategy for safeguarding maternal and child health. However, traditional preconception care advice provided by healthcare professionals within clinic settings is hindered by inadequate resources, sub-optimal coverage and busy clinics. eHealth which is instrumental in solving problems around scarce health resources could be of value in overcoming these limitations, and be used to improve preconception care and pregnancy outcomes for women with diabetes mellitus. Objective Objectives were to: (1) identify, summarise and critically appraise the current methods of providing PCC education, (2) examine the relationship between preconception care educational interventions (including use of technology as an intervention medium) on patient and behavioural outcomes, and (3) highlight limitations of current interventions and make recommendations for development of eHealth in this field. Method Electronic databases, using predefined search terms for preconception care education in women with type 1 or 2 diabetes mellitus, were searched for quantitative studies from 2003 until June 2016. Of the 1,969 titles identified, 20 full papers were retrieved and 12 papers included in the review. Results The reviewed studies consistently reported that women receiving educational interventions via healthcare professionals and eHealth had significantly improved levels of glycosylated haemoglobin (P<.001 and P<.0001) with fewer preterm deliveries (P=.02) and adverse fetal outcomes (P=.026). Significant improvements in knowledge (P<.001) and attitudes to seeking preconception care (P=.003) and, fewer barriers (P<.001) were also reported. Conclusion Preconception care has a positive effect on pregnancy outcomes for women with diabetes mellitus. However, uptake of preconception care is low and the use of eHealth applications for preconception care of women with diabetes mellitus still in its infancy. Initial results are promising but further research, incorporating smartphones and apps, is needed. Clearly, there is much to be done if the full potential of eHealth preconception care to improve obstetric outcomes for women with diabetes mellitus is to be realised.

Item Type: Article
Subjects : Health care
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
AuthorsEmailORCID
Nwolise, CHUNSPECIFIEDUNSPECIFIED
Carey, NUNSPECIFIEDUNSPECIFIED
Shawe, JAUNSPECIFIEDUNSPECIFIED
Date : 2016
Identification Number : https://doi.org/10.2196/jmir.5615
Uncontrolled Keywords : preconception care, education, diabetes, women, review, smartphones, applications, apps, ehealth, technology
Depositing User : Symplectic Elements
Date Deposited : 19 Oct 2016 09:20
Last Modified : 21 Dec 2016 18:26
URI: http://epubs.surrey.ac.uk/id/eprint/812497

Actions (login required)

View Item View Item

Downloads

Downloads per month over past year


Information about this web site

© The University of Surrey, Guildford, Surrey, GU2 7XH, United Kingdom.
+44 (0)1483 300800