Cothran Mary M, Sereika Susan M, Fischl Andrea Rodgers, Schmitt Patricia L, Charron-Prochownik Denise
Robert Morris University, Moon Township, Pennsylvania (Dr Cothran)
University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania (Dr Sereika, Ms Fischl, Ms Schmitt, Dr Charron-Prochownik).
Diabetes Educ. 2009 Jul-Aug;35(4):652-6. doi: 10.1177/0145721709334516. Epub 2009 May 15.
The purpose of this study was to develop, implement, and evaluate the effectiveness of a self-instructional preconception counseling (PC) training program for Certified Diabetes Educators (CDEs) to enhance PC knowledge and self-efficacy.
A 1-group, pre-post test study was conducted with 31 CDEs from a large medical center in western Pennsylvania. The self-instructional program included selected readings, such as the American Diabetes Association's position statement on PC of women with diabetes and an interactive CD-ROM, "Reproductive-Health Awareness for Teenage Women With Diabetes" ("READY-Girls"). Paper-and-pencil knowledge and self-efficacy questionnaires regarding PC and pregnancies of women with diabetes were completed by the CDEs before and immediately following the self-instructional program. Upon completion, participants received 5.0 Continuing Nursing Education contact hours (CNEs) from the State Nurses Association.
Prior to receiving the program, all of the participants indicated they would benefit from further training on PC. Pretest knowledge scores averaged in the 70th percentile; following the program, the participants significantly increased (P < .01) PC knowledge and self-efficacy in providing PC to women with diabetes, including adolescents.
Although CDEs knew relevant information, they lacked some specific knowledge about PC, and they lacked confidence in their knowledge and in their ability to counsel patients. Diabetes educators can benefit from an education program to provide PC to their female patients, including adolescents. Computer or Web-based accessibility could make this a low-cost and easily disseminated program.
本研究旨在开发、实施并评估一项针对糖尿病教育认证专家（CDE）的自我指导式孕前咨询（PC）培训项目，以增强其PC知识和自我效能感。
对宾夕法尼亚州西部一家大型医疗中心的31名CDE开展了一项单组前后测研究。自我指导式项目包括精选读物，如美国糖尿病协会关于糖尿病女性孕前咨询的立场声明，以及一张交互式光盘《糖尿病少女的生殖健康意识》（“READY-Girls”）。CDE在自我指导式项目开展前及结束后立即完成了关于糖尿病女性PC及妊娠的纸笔知识和自我效能问卷。项目结束后，参与者从州护士协会获得了5.0个继续护理教育接触时长（CNE）。
在接受该项目之前，所有参与者均表示他们将从PC方面的进一步培训中受益。前测知识得分平均处于第70百分位；项目结束后，参与者在为糖尿病女性（包括青少年）提供PC方面的PC知识和自我效能显著提高（P <.01）。
尽管CDE了解相关信息，但他们缺乏一些关于PC的具体知识，并且对自己的知识以及为患者提供咨询的能力缺乏信心。糖尿病教育者可以从一项为其女性患者（包括青少年）提供PC的教育项目中受益。基于计算机或网络的获取方式可使该项目成为低成本且易于传播的项目。
