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Systematic development and refinement of a user-centered evidence-based digital toolkit for supporting self-care in gestational diabetes mellitus.

作者信息

Nunes Maria Lua, Félix Beatriz, Nunes Francisco, Santos Inês

机构信息

Fraunhofer Portugal AICOS, Porto, Portugal.

Instituto de Saúde Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisbon, Portugal.

出版信息

Sci Rep. 2025 Apr 8;15(1):12009. doi: 10.1038/s41598-025-96318-7.


DOI:10.1038/s41598-025-96318-7
PMID:40199963
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11978992/
Abstract

Gestational diabetes mellitus (GDM) is a pregnancy complication affecting many women, requiring changes in behaviours, which command them to learn self-care practices shortly. Digital interventions have been developed to support women with GDM. However, they have often overlooked women's needs and characteristics and failed to frame self-care theories into their design. To address this issue, we adopted a mixed methods approach to develop and refine a user-centred, evidence-based digital Toolkit for supporting self-care in GDM, providing behavioural and educational content, particularly about nutrition. To inform the development and refinement of the Toolkit, we conducted a literature review, observed sixty-six nutrition appointments, interviewed eleven dietitians and seventeen patients, and held co-creation sessions with two dietitians, all of which were analysed using a deductive Thematic Analysis. To validate the Toolkit, we conducted a survey with seventeen healthcare professionals, which was analysed using descriptive statistics. The final version of the NUTRIA Toolkit consists of four main modules with thirty-eight artefacts, including behavioural tools to assist women in GDM management. Despite some limitations, this study robustly endorsed the development and refinement of a user-centred, evidence-based Toolkit for supporting self-care in GDM, aiming for future feasibility and trial testing.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c057/11978992/14cc37d9663a/41598_2025_96318_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c057/11978992/a3f241a3c775/41598_2025_96318_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c057/11978992/80e55ef64079/41598_2025_96318_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c057/11978992/14cc37d9663a/41598_2025_96318_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c057/11978992/a3f241a3c775/41598_2025_96318_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c057/11978992/80e55ef64079/41598_2025_96318_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c057/11978992/14cc37d9663a/41598_2025_96318_Fig3_HTML.jpg

相似文献

[1]
Systematic development and refinement of a user-centered evidence-based digital toolkit for supporting self-care in gestational diabetes mellitus.

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[2]
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本文引用的文献

[1]
Women's perspectives on mHealth behavior change interventions for the management of overweight, obesity, or gestational diabetes: A qualitative meta-synthesis.

Obes Rev. 2024-8

[2]
Effect of mobile-assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes: a randomised controlled trial.

BMJ Nutr Prev Health. 2023-12-6

[3]
5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes-2024.

Diabetes Care. 2024-1-1

[4]
15. Management of Diabetes in Pregnancy: Standards of Care in Diabetes-2024.

Diabetes Care. 2024-1-1

[5]
App-Supported Lifestyle Interventions in Pregnancy to Manage Gestational Weight Gain and Prevent Gestational Diabetes: Scoping Review.

J Med Internet Res. 2023-11-10

[6]
Associations of a current Australian model of dietetic care for women diagnosed with gestational diabetes and maternal and neonatal health outcomes.

BMC Health Serv Res. 2023-9-8

[7]
SweetMama: Usability Assessment of a Novel Mobile Application Among Low-Income Pregnant People to Assist With Diabetes Management and Support.

Diabetes Spectr. 2023-5

[8]
Adherence to medical nutrition therapy and it's challenges among antenatal women with gestational diabetes mellitus in South India- A sequential explanatory mixed-method study.

J Educ Health Promot. 2023-1-31

[9]
Digital health interventions for gestational diabetes mellitus: A systematic review and meta-analysis of randomised controlled trials.

PLOS Digit Health. 2022-2-24

[10]
Comprehensive self-tracking of blood glucose and lifestyle with a mobile application in the management of gestational diabetes: a study protocol for a randomised controlled trial (eMOM GDM study).

BMJ Open. 2022-11-7

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