妊娠期糖尿病孕妇产后随访电子提醒效果的随机对照试验。

Effect of an electronic reminder of follow-up screening after pregnancy complicated by gestational diabetes mellitus: a randomized controlled trial.

机构信息

Department of Midwifery, University College of Northern Denmark, Aalborg Øst, Denmark.

Public Health and Epidemiology Group, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark.

出版信息

BMC Public Health. 2023 Jan 23;23(1):153. doi: 10.1186/s12889-023-15060-9.

DOI:10.1186/s12889-023-15060-9

PMID:36690965

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9872380/

Abstract

AIM

To determine the effectiveness of despatching an electronic reminder of participation in screening for gestational diabetes. The reminder was sent to the women 1-8 years after delivery.

METHODS

A registry-based, randomized controlled trial in the North Denmark Region among women with gestational diabetes. Randomization was made, which included seven groups stratified by the child's birth year (2012-2018). The intervention group received standard care supplemented by an electronic reminder through a secure nationwide email system (n = 731), while the control group received only standard care (n = 732). The primary outcome was based on blood testing for diabetes (OGTT, HbA1c or fasting P-glucose).

RESULTS

A total of 471 (32.1%) women participated in screening. The primary outcome was experienced by 257 women (35.1%) in the intervention group and 214 women (29.2%) in the control group. The effect of the reminder seemed to increase with recipient's age, non-western origin, urban dwelling, and multiparity. Of those who participated in follow-up screening, 56 (3.8%) were diagnosed with type 2 diabetes.

CONCLUSION

Electronic reminders, based on the principles of informed choice and patient-centred care, to women have been shown to support life-long participation in follow-up screening. Attempts to further stimulation of coverage could however be considered.

TRAIL REGISTRATION

ISRCTN registry (22/04/2022, ISRCTN23558707).

摘要

目的

确定发送电子提醒参与妊娠糖尿病筛查的效果。该提醒在产后 1-8 年内发送给女性。

方法

这是一项基于注册的、在丹麦北部地区的随机对照试验，纳入了患有妊娠糖尿病的女性。随机分组包括按孩子出生年份（2012-2018 年）分层的七个组。干预组接受标准护理，同时通过安全的全国电子邮件系统补充电子提醒（n=731），而对照组仅接受标准护理（n=732）。主要结局是基于糖尿病的血液检测（OGTT、HbA1c 或空腹 P-葡萄糖）。