PMID- 37398401
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240409
DP  - 2023 Jun 2
TI  - Gestational diabetes knowledge improves with interactive online training modules: 
      a pre-post analysis.
LID - rs.3.rs-2860961 [pii]
LID - 10.21203/rs.3.rs-2860961/v1 [doi]
AB  - BACKGROUND: The risk of developing type 2 diabetes mellitus (T2DM) is up to 50% 
      among women with gestational diabetes mellitus (GDM). GDM also increases risks 
      for pre-term birth, macrosomia, fetal hypoglycemia, and C-section delivery. 
      Education for expectant mothers with GDM about nutrition, exercise, and the risks 
      of developing T2DM after delivery enhances the probability of postpartum diabetes 
      screening. However, the availability of diabetes education is limited. To bridge 
      this gap, our team developed four training modules on GDM tailored for nurses and 
      community health workers. This pilot study assesses changes in knowledge, 
      self-efficacy for providing diabetes education, attitudes, and intentions to 
      recommend diabetes prevention before and after training completion. METHODS: 
      These interactive online modules, each lasting 45-60 minutes and featuring 
      engaging case studies and integrated knowledge assessment questions, were 
      disseminated through various professional organizations to clinical staff 
      providing care for women with GDM. Optional pre- and post-training surveys were 
      conducted to gauge the effectiveness of the modules. Collected data did not 
      follow a normal distribution pattern. We provided an overview of the baseline 
      characteristics of the population, self-efficacy, attitudes, intentions, and GDM 
      knowledge by calculating the median scores and interquartile ranges. We assessed 
      the changes in scores on self-efficacy, attitudes, intentions, and GDM knowledge 
      before and after training using non-parametric Wilcoxon matched-pair signed rank 
      tests. RESULTS: Eighty-two individuals completed baseline evaluation and 20 
      individuals accessed all modules and completed post-training assessments. Among 
      those completing the training, improvement was noted in GDM knowledge [56.5% 
      (16.0) v. 78.3% (22.0), p < 0.001], Self-efficacy for providing diabetes 
      education [6.60 (2.73) v. 9.33 (0.87), p < 0.001], attitudes toward the value of 
      tight control [4.07 (0.79) v. 4.43 (0.86), p = 0.003], and intentions to 
      recommend diabetes prevention measures [4.81 (0.63) v. 5.00 (0.00), p = 0.009)]. 
      CONCLUSIONS: Completion of our interactive online modules improved knowledge, 
      intention to recommend diabetes prevention methods, self-efficacy to provide 
      diabetes education, and attitudes toward the value of tight control among 
      individuals caring for women with GDM. Enhanced accessibility to such curricula 
      is crucial to improve access to diabetes education. TRIAL REGISTRATION: This 
      study was registered at clinicaltrials.gov, identifier: NCT04474795.
FAU - Krutilova, Petra
AU  - Krutilova P
AD  - Washington University School of Medicine, Metabolism & Lipid Research.
FAU - Williams, Roxann
AU  - Williams R
AD  - Washington University School of Medicine, Metabolism & Lipid Research.
FAU - Morey, Rebecca
AU  - Morey R
AD  - TriStar Centennial Medical Center.
FAU - Field, Carole
AU  - Field C
AD  - Washington University School of Medicine, Metabolism & Lipid Research.
FAU - Byrth, Veronda
AU  - Byrth V
AD  - Washington University.
FAU - Tepe, Melissa
AU  - Tepe M
AD  - Affinia Healthcare.
FAU - McQueen, Amy
AU  - McQueen A
AD  - Washington University.
FAU - Herrick, Cynthia
AU  - Herrick C
AD  - Washington University School of Medicine, Metabolism & Lipid Research.
LA  - eng
SI  - ClinicalTrials.gov/NCT04474795
GR  - K23 HD096204/HD/NICHD NIH HHS/United States
GR  - T32 DK007120/DK/NIDDK NIH HHS/United States
PT  - Preprint
DEP - 20230602
PL  - United States
TA  - Res Sq
JT  - Research square
JID - 101768035
PMC - PMC10312972
OTO - NOTNLM
OT  - Gestational diabetes mellitus
OT  - community health workers
OT  - diabetes education
OT  - nurses
OT  - online modules
EDAT- 2023/07/03 13:06
MHDA- 2023/07/03 13:07
PMCR- 2023/06/30
CRDT- 2023/07/03 11:46
PHST- 2023/07/03 13:06 [pubmed]
PHST- 2023/07/03 13:07 [medline]
PHST- 2023/07/03 11:46 [entrez]
PHST- 2023/06/30 00:00 [pmc-release]
AID - rs.3.rs-2860961 [pii]
AID - 10.21203/rs.3.rs-2860961/v1 [doi]
PST - epublish
SO  - Res Sq [Preprint]. 2023 Jun 2:rs.3.rs-2860961. doi: 10.21203/rs.3.rs-2860961/v1.