The Effect of Self-care Educational/Training Interventions on the Outcomes of Gestational Diabetes: A Review Article
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Abstract
Background: This study aimed to evaluate the effect of self-care educational/training interventions on gestational diabetes.
Methods: In this review, we searched the ERIC, Clinical Key, Cochrane, Scopus, PubMed, and ISI databases as well as Iranian databases from 1990 until Jan 2017. Having evaluated 3267 articles by three of the authors, 20 clinical trials with educational/training approach remained for analysis. In this study, CONSORT checklist, JADAD scale and Cochrane handbook were used to evaluate the validity of articles.
Results: The quality of 34% of articles was found to be poor due to probability of bias in designing the interventions and the effect of absence of blinding of personnel and participants. However, absence of blinding had a low impact on the results of most studies carried out on objective scales like blood glucose levels, or maternal and neonatal results. Moreover, 66% of studies were assessed to be at a good level of quality.
Conclusion: There are few articles with educational/training approach on self-care in gestational diabetes mellitus, but based on the homogeneity of participants and significant results of self-care interventions, especially lifestyle ones, self-care guidelines can be developed for gestational diabetes mellitus.
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2. International Federation of Diabetes (2016). Gestational diabetes. http://www.idf.org/about-diabetes
3. Centers for Disease Control and Prevention. Na-tional diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: U.S. De-partment of Health and Human Services, Centers for Disease Control and Prevention, 2011. https://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf
4. Jafari-Shobeiri M, GHojazadeh M, Azami-Aghdash S, et al (2015). Prevalence and risk factors of gestational diabetes in Iran: A systematic review and meta-analysis. Iran J Public Health, 44(8):1036-1044.
5. Rahimi R, Dinari ZH, Najafi F (2010). Prevalence of gestational diabetes and its risk factors in Kermanshah 2009. Behbood J, 14(3):244-250. [In Persian]
6. Sayehmiri F, Bakhtiari S, Darvishi P, et al (2013). Assessment of prevalence of gestational diabetes in IRAN: systematic review and meta analysis. The Iranian Jour-nal of Obstetrics, Gynecology and Infertility, 15(40):16-23. [In Persian]
7. Ferrara A (2007). Increasing prevalence of gestational diabetes mellitus a public health perspective. Diabetes Care, 30 Suppl 2:S141-6.
8. Greuter MJE, Van Emmerik NMA, Wouters MGAJ, et al (2012). Quality of guidelines on the management of diabetes in pregnancy: A systematic review. BMC Pregnancy Childbirth, 12:58.
9. American Diabetes Association (2012). Standards of medical care in diabetesd. Diabetes Care, 36;S11-S 66.
10. Norris SL, Engelgau MM, Venka Narayan KM (2001). Effectiveness of self-management training in type 2 diabetes. Diabetes Care, 24:561–587.
11. Berger VW, Alperson SY (2009). A general framework for the evaluation of clinical trial quality. Rev Recent Clin Trials, 4(2): 79–88.
12. Jadad AR, Moore RA, Carrol D (1996). As-sessing the quality of reports of random-ized clinical trials: Is blinding necessary? Control Clin Trials, 17(1):1-12.
13. Halpern SH, Douglas MJ (2005). Jadad scale for reporting randomized controlled trials. Blackwell Publishing Ltd.
14. Higgins JPT, Green S (2011). Cochrane handbook for systematic reviews of in-terventions version 5.1.0. The Cochrane Collaboration. https://training.cochrane.org/handbook
15. Khadivzadeh T, Hoseinzadeh M, Azhari S, et al (2015). Effects of self-care education on perceived stress in women with gesta-tional diabetes under insulin treatment. Evidence Based Care Journal, 5(3): 7-18. [In Persian]
16. Viswanath L, Jose A (2014). Self-care agency of women with gestational diabetes melli-tus - effectiveness of a self-care enhanc-ing intervention. Int J Nursing Care, 2(1):26-31.
17. Amason JS (2013). The effect of an educa-tional intervention in women with gesta-tional diabetes: A pilot study. Dissertation, Georgia State University. http://scholarworks.gsu.edu/nursing_diss/34
18. Mendelson SH.G, McNeese-Smith D, Kon-iak-Griffin D, et al (2008). A community-based Parish nurse intervention program for Mexican American women with ges-tational diabetes. J Obstet Gynecol Neonatal Nurs, 37(4):415-25.
19. Petkova V, Dimitrov M, Geourgiev S (2011). Pilot project for education of gestational diabetes mellitus (GDM) patients – Can it be beneficial? Afr J Pharm Pharmacol, 5(10):1282-1286.
20. Kaveh M, Kiani A, Salehi M, Amouei,et al (2012). Impact of education on nutrition and exercise on the level of knowledge and metabolic control indicators of gesta-tional diabetes mellitus patients. Iran J En-docrinol Metab, 13(5):441-448. [In Persian]
21. Cao XP, Wang Z, Yang CH, et al (2012). Comprehensive intensive therapy for chinese gestational diabetes benefits both newborns and mothers. Diabetes Technol Ther, 14(11):1002-1007.
22. Youngwanichsetha S, Phumdoung S, Ingkathawornwong TH (2014). The ef-fects of mindfulness eating and yoga ex-ercise on Blood sugar levels of pregnant women with gestational diabetes mellitus. Appl Nurs Res, 27(4):227-30.
23. Abirami PAJ (2014). Reduction of risk on newly detected gestational diabetes melli-tus by multi model intervention- A hospi-tal based study. Int J Pharmaceut Clin Res, 6(4): 370-374.
24. Ferrara A, Hedderson MM, Albright CHL, et al (2011). A pregnancy and postpartum lifestyle intervention in women with ges-tational diabetes mellitus reduces diabetes risk factors. Diabetes Care, 34(7):1519-25.
25. Yang X, Tian H, Zhang F, et al (2014). A randomized translational trial of lifestyle intervention using a 3-tier shared care approach on pregnancy outcomes in Chinese women with gestational diabetes mellitus but without diabetes. J Transl Med, 12:290.
26. Bo S, Rosato R, Ciccone G, et al (2014). Simple lifestyle recommendations and the outcomes of gestational diabetes. A 2×2 factorial randomized trial. Diabetes Obes Metab, 16(10):1032-5.
27. Hasle RHE, Wallmman KE, Dimmock JA et al (2015). Home-based exercise improves fitness and exercise attitude and intention in women with GDM. Med Sci Sports Ex-erc, 47(8):1698-704.
28. De Barros MC, Lopes MAB, Francisco RPV, et al (2010). Resistance exercise and glycemic control in women with gesta-tional diabetes mellitus. Am J Obstet Gyne-col, 203(6):556.e1-6.
29. Brankston GN, Itchell BF, Ryan EA, et al (2004). Resistance exercise decreases the need for insulin in overweight women with gestational diabetes mellitus. Am J Obstet Gynecol, 190(1):188-93.
30. Avery MD, Leon AS, Kopher RA (1997). Effect of partially home based exercise program for women with gestational dia-betes. Obstet Gynecol, 89(1):10-15.
31. Valipur GH, Asemi z, Samimi M, et al (2014). The effect of DASH diet on insu-lin resistance, inflammation, and oxidative stress in gestational diabetes: A random-ized controlled clinical trial. Iran J Diabetes Metab, 13(4):352-361. [In Persian]
32. Reader D, Splett P, Gunderson EP (2006). Impact of gestational diabetes mellitus nutrition practice guidelines implemented by registered dietitians on pregnancy out-comes. J Am Diet Assoc, 106(9):1426-33.
33. Kaviani M, Bahoosh N, Azima S, et al (2014). The effect of relaxation on blood sugar and blood pressure changes of women with gestational diabetes: A ran-domized control trial. Iran J Diabet Obes, 6(1):14-22.
34. Homko CA, Sivan E, Reece EA (2002). The Impact of self-monitoring of blood glu-cose on self-efficacy and pregnancy out-comes in women with diet-controlled gestational diabetes. Diabetes Educ, 28(3):435-443.
35. Ko JM, Lee JK (2014). Effects of a coaching program on comprehensive lifestyle modification for women with gestational diabetes mellitus. J Korean Acad Nurs, 44(6):672-81.
36. Hod M, Kapur A, Sacks DA, et al (2015). The international federation of gynecolo-gy and obstetrics (FIGO) initiative on gestational diabetes mellitus: A pragmatic guide for diagnosis, management, and care. Int J Gynaecol Obstet, 131 Suppl 3:S173-211.
37. International Diabetes Federation (2009). Global guideline. Pregnancy and Diabe-tes. © International Diabetes Federation. https://www.idf.org/e-library/guidelines/84-pregnancy-and-diabetes.html
38. Avery MD, Walker AJ (2001). Acute effect of exercise on Blood glucose and insulin levels in women with gestational diabetes. J Matern Fetal Med, 10(1):52-58.
39. Davenport M.H, Mottola M.F, McManus, et al (2008). A walking intervention improve capillary glucose control in women with gestational diabetes mellitus: A pilot study. Appl Physiol Nutr Metab, 33(3):511-7.
40. Simony L, Nascimento, Fernanda G, et al (2012). Physical exercise during pregnan-cy: A systematic review. Curr Opin Obstet Gynecol, 24(6):387-94.
41. Ceysens G, Rouiller D, Boulvain M (2010). Exercise for diabetic pregnant women (Review). The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. https://www.cochrane.org/CD004225/PREG_exercise-for-diabetic-pregnant-women
42. Golbidi S, Laher I (2013). Potential Mecha-nisms of Exercise in Gestational Diabe-tes. J Nutr Metab, 2013:285948.
43. Bea ES, Park HJ (2013). Effects of a Case Management Program on Self-efficacy, Depression and Anxiety in Pregnant Women with Gestational Diabetes Melli-tus. Korean J Women Health Nurs, 19(2):88-98.
2. International Federation of Diabetes (2016). Gestational diabetes. http://www.idf.org/about-diabetes
3. Centers for Disease Control and Prevention. Na-tional diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. Atlanta, GA: U.S. De-partment of Health and Human Services, Centers for Disease Control and Prevention, 2011. https://www.cdc.gov/diabetes/pubs/pdf/ndfs_2011.pdf
4. Jafari-Shobeiri M, GHojazadeh M, Azami-Aghdash S, et al (2015). Prevalence and risk factors of gestational diabetes in Iran: A systematic review and meta-analysis. Iran J Public Health, 44(8):1036-1044.
5. Rahimi R, Dinari ZH, Najafi F (2010). Prevalence of gestational diabetes and its risk factors in Kermanshah 2009. Behbood J, 14(3):244-250. [In Persian]
6. Sayehmiri F, Bakhtiari S, Darvishi P, et al (2013). Assessment of prevalence of gestational diabetes in IRAN: systematic review and meta analysis. The Iranian Jour-nal of Obstetrics, Gynecology and Infertility, 15(40):16-23. [In Persian]
7. Ferrara A (2007). Increasing prevalence of gestational diabetes mellitus a public health perspective. Diabetes Care, 30 Suppl 2:S141-6.
8. Greuter MJE, Van Emmerik NMA, Wouters MGAJ, et al (2012). Quality of guidelines on the management of diabetes in pregnancy: A systematic review. BMC Pregnancy Childbirth, 12:58.
9. American Diabetes Association (2012). Standards of medical care in diabetesd. Diabetes Care, 36;S11-S 66.
10. Norris SL, Engelgau MM, Venka Narayan KM (2001). Effectiveness of self-management training in type 2 diabetes. Diabetes Care, 24:561–587.
11. Berger VW, Alperson SY (2009). A general framework for the evaluation of clinical trial quality. Rev Recent Clin Trials, 4(2): 79–88.
12. Jadad AR, Moore RA, Carrol D (1996). As-sessing the quality of reports of random-ized clinical trials: Is blinding necessary? Control Clin Trials, 17(1):1-12.
13. Halpern SH, Douglas MJ (2005). Jadad scale for reporting randomized controlled trials. Blackwell Publishing Ltd.
14. Higgins JPT, Green S (2011). Cochrane handbook for systematic reviews of in-terventions version 5.1.0. The Cochrane Collaboration. https://training.cochrane.org/handbook
15. Khadivzadeh T, Hoseinzadeh M, Azhari S, et al (2015). Effects of self-care education on perceived stress in women with gesta-tional diabetes under insulin treatment. Evidence Based Care Journal, 5(3): 7-18. [In Persian]
16. Viswanath L, Jose A (2014). Self-care agency of women with gestational diabetes melli-tus - effectiveness of a self-care enhanc-ing intervention. Int J Nursing Care, 2(1):26-31.
17. Amason JS (2013). The effect of an educa-tional intervention in women with gesta-tional diabetes: A pilot study. Dissertation, Georgia State University. http://scholarworks.gsu.edu/nursing_diss/34
18. Mendelson SH.G, McNeese-Smith D, Kon-iak-Griffin D, et al (2008). A community-based Parish nurse intervention program for Mexican American women with ges-tational diabetes. J Obstet Gynecol Neonatal Nurs, 37(4):415-25.
19. Petkova V, Dimitrov M, Geourgiev S (2011). Pilot project for education of gestational diabetes mellitus (GDM) patients – Can it be beneficial? Afr J Pharm Pharmacol, 5(10):1282-1286.
20. Kaveh M, Kiani A, Salehi M, Amouei,et al (2012). Impact of education on nutrition and exercise on the level of knowledge and metabolic control indicators of gesta-tional diabetes mellitus patients. Iran J En-docrinol Metab, 13(5):441-448. [In Persian]
21. Cao XP, Wang Z, Yang CH, et al (2012). Comprehensive intensive therapy for chinese gestational diabetes benefits both newborns and mothers. Diabetes Technol Ther, 14(11):1002-1007.
22. Youngwanichsetha S, Phumdoung S, Ingkathawornwong TH (2014). The ef-fects of mindfulness eating and yoga ex-ercise on Blood sugar levels of pregnant women with gestational diabetes mellitus. Appl Nurs Res, 27(4):227-30.
23. Abirami PAJ (2014). Reduction of risk on newly detected gestational diabetes melli-tus by multi model intervention- A hospi-tal based study. Int J Pharmaceut Clin Res, 6(4): 370-374.
24. Ferrara A, Hedderson MM, Albright CHL, et al (2011). A pregnancy and postpartum lifestyle intervention in women with ges-tational diabetes mellitus reduces diabetes risk factors. Diabetes Care, 34(7):1519-25.
25. Yang X, Tian H, Zhang F, et al (2014). A randomized translational trial of lifestyle intervention using a 3-tier shared care approach on pregnancy outcomes in Chinese women with gestational diabetes mellitus but without diabetes. J Transl Med, 12:290.
26. Bo S, Rosato R, Ciccone G, et al (2014). Simple lifestyle recommendations and the outcomes of gestational diabetes. A 2×2 factorial randomized trial. Diabetes Obes Metab, 16(10):1032-5.
27. Hasle RHE, Wallmman KE, Dimmock JA et al (2015). Home-based exercise improves fitness and exercise attitude and intention in women with GDM. Med Sci Sports Ex-erc, 47(8):1698-704.
28. De Barros MC, Lopes MAB, Francisco RPV, et al (2010). Resistance exercise and glycemic control in women with gesta-tional diabetes mellitus. Am J Obstet Gyne-col, 203(6):556.e1-6.
29. Brankston GN, Itchell BF, Ryan EA, et al (2004). Resistance exercise decreases the need for insulin in overweight women with gestational diabetes mellitus. Am J Obstet Gynecol, 190(1):188-93.
30. Avery MD, Leon AS, Kopher RA (1997). Effect of partially home based exercise program for women with gestational dia-betes. Obstet Gynecol, 89(1):10-15.
31. Valipur GH, Asemi z, Samimi M, et al (2014). The effect of DASH diet on insu-lin resistance, inflammation, and oxidative stress in gestational diabetes: A random-ized controlled clinical trial. Iran J Diabetes Metab, 13(4):352-361. [In Persian]
32. Reader D, Splett P, Gunderson EP (2006). Impact of gestational diabetes mellitus nutrition practice guidelines implemented by registered dietitians on pregnancy out-comes. J Am Diet Assoc, 106(9):1426-33.
33. Kaviani M, Bahoosh N, Azima S, et al (2014). The effect of relaxation on blood sugar and blood pressure changes of women with gestational diabetes: A ran-domized control trial. Iran J Diabet Obes, 6(1):14-22.
34. Homko CA, Sivan E, Reece EA (2002). The Impact of self-monitoring of blood glu-cose on self-efficacy and pregnancy out-comes in women with diet-controlled gestational diabetes. Diabetes Educ, 28(3):435-443.
35. Ko JM, Lee JK (2014). Effects of a coaching program on comprehensive lifestyle modification for women with gestational diabetes mellitus. J Korean Acad Nurs, 44(6):672-81.
36. Hod M, Kapur A, Sacks DA, et al (2015). The international federation of gynecolo-gy and obstetrics (FIGO) initiative on gestational diabetes mellitus: A pragmatic guide for diagnosis, management, and care. Int J Gynaecol Obstet, 131 Suppl 3:S173-211.
37. International Diabetes Federation (2009). Global guideline. Pregnancy and Diabe-tes. © International Diabetes Federation. https://www.idf.org/e-library/guidelines/84-pregnancy-and-diabetes.html
38. Avery MD, Walker AJ (2001). Acute effect of exercise on Blood glucose and insulin levels in women with gestational diabetes. J Matern Fetal Med, 10(1):52-58.
39. Davenport M.H, Mottola M.F, McManus, et al (2008). A walking intervention improve capillary glucose control in women with gestational diabetes mellitus: A pilot study. Appl Physiol Nutr Metab, 33(3):511-7.
40. Simony L, Nascimento, Fernanda G, et al (2012). Physical exercise during pregnan-cy: A systematic review. Curr Opin Obstet Gynecol, 24(6):387-94.
41. Ceysens G, Rouiller D, Boulvain M (2010). Exercise for diabetic pregnant women (Review). The Cochrane Collaboration. Published by John Wiley & Sons, Ltd. https://www.cochrane.org/CD004225/PREG_exercise-for-diabetic-pregnant-women
42. Golbidi S, Laher I (2013). Potential Mecha-nisms of Exercise in Gestational Diabe-tes. J Nutr Metab, 2013:285948.
43. Bea ES, Park HJ (2013). Effects of a Case Management Program on Self-efficacy, Depression and Anxiety in Pregnant Women with Gestational Diabetes Melli-tus. Korean J Women Health Nurs, 19(2):88-98.
| Files | ||
| Issue | Vol 47 No 12 (2018) | |
| Section | Review Article(s) | |
| Keywords | ||
| Gestational diabetes mellitus Self-care Education Training | ||
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How to Cite
1.
KOLIVAND M, RAHIMI MA, SHARIATI M, KERAMAT A, EMAMIAN MH. The Effect of Self-care Educational/Training Interventions on the Outcomes of Gestational Diabetes: A Review Article. Iran J Public Health. 2018;47(12):1805-1815.
