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Effectiveness of psychoeducation interventions for pregnant women with gestational diabetes mellitus: an integrative review.

BMC public health
January 1, 1970
Mutairah Alshammari et al. (4 authors)
Journal ArticleReviewHuman Study
Study Details

Study Goal

The researchers aimed to synthesize evidence on the effects of psychoeducational interventions, including mindfulness, on stress, anxiety, self-efficacy, and birth outcomes in pregnant women with gestational diabetes mellitus.

Results Summary

Mindfulness training, as part of psychoeducational interventions, showed inconsistent effects on anxiety and depression but contributed to improved self-care behaviors. Only two studies specifically focused on mindfulness for stress and anxiety reduction.

Population

Pregnant women diagnosed with gestational diabetes mellitus.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Psychoeducational interventions
increase
self-care behaviours
women with gestational diabetes mellitus
-
may enhance
#1
Psychoeducational interventions
increase
self-efficacy
women with gestational diabetes mellitus
-
may improve
#2
Psychoeducational interventions
decrease
stress
women with gestational diabetes mellitus
-
may reduce
#3
Psychoeducational interventions
decrease
depression
women with gestational diabetes mellitus
-
may reduce
#4
cognitive-behavioural stress management training
decrease
stress and anxiety
pregnant women with gestational diabetes mellitus
-
focused on reducing
#5
mindfulness training
decrease
stress and anxiety
pregnant women with gestational diabetes mellitus
-
focused on reducing
#6
educational interventions
no change
self-efficacy
pregnant women with gestational diabetes mellitus
-
effects were inconsistent
#7
educational interventions
no change
knowledge
pregnant women with gestational diabetes mellitus
-
effects were inconsistent
#8
educational interventions
no change
depression
pregnant women with gestational diabetes mellitus
-
effects were inconsistent
#9
educational interventions
no change
anxiety
pregnant women with gestational diabetes mellitus
-
effects were inconsistent
#10
educational interventions
no change
birthing outcomes
pregnant women with gestational diabetes mellitus
-
effects were inconsistent
#11
educational interventions
increase
self-care behaviours
pregnant women with gestational diabetes mellitus
-
consistent positive outcomes were found
#12
Abstract

BACKGROUND: Gestational diabetes mellitus occurs in approximately 15-17% of pregnant women worldwide and causes high mortality and morbidity for mothers and infants. Pregnant women who are newly diagnosed with gestational diabetes mellitus experience higher levels of stress and anxiety than pregnant women without this condition. Thus, it is important to identify effective interventions to help pregnant women cope with the additional stress and anxiety associated with pregnancy-related complications. AIM: This integrative review aimed to synthesise evidence on the effects of educational interventions for pregnant women with gestational diabetes mellitus regarding knowledge, self-efficacy, self-care behaviour, anxiety, depression, and birth outcomes. METHODS: An integrative review of articles published between 2009 and 2024, written in English and Arabic. The review followed the Whittemore and Knafl's 5-stage process framework. RESULTS: From the 922 abstracts identified using search terms, 16 articles were eligible for this review. Psychoeducational interventions were provided for (1) informational support: information about gestational diabetes mellitus, diabetes mellitus, blood glucose monitoring, exercise management, diet management, and stress; (2) motivational support: setting individual goals, enhancing health behaviours, and motivational messages; (3) emotional support: expression of feelings, enforcement of self-management, and sharing of experiences; and (4) relaxation techniques: breathing exercises, meditation, and mindfulness. In this review, only two studies entirely focused on reducing stress and anxiety through cognitive-behavioural stress management training and mindfulness training. The effects of the interventions on self-efficacy, knowledge, depression, anxiety, and birthing outcomes were inconsistent due to variations in intervention designs and duration. However, consistent positive outcomes were found in self-care behaviours. CONCLUSION: This integrative review found informational and motivational support were frequently used by pregnant women. In contrast, emotional support and relaxation techniques were rarely used. Psychoeducational interventions may enhance self-care behaviours, improve self-efficacy, and reduce stress and depression for women with gestational diabetes mellitus. Nurses and midwives play an essential role in providing holistic care through comprehensive psychoeducational interventions for pregnant women.

Medical Subject Headings (MeSH)
HumansDiabetes, GestationalPregnancyFemalePatient Education as TopicPregnant PeopleSelf EfficacyDepressionAnxiety
Study Links
Quality Scores
SafetyNot Assessed
Efficacy65/10
Quality75/10
Citation Metrics
Total Citations1
Citations/Year1.0
Research Impact Scores
APT Score0.50
Weight Score1.37
Normalized Score0.61
Related Supplements
Effectiveness of psychoeducation interventions for pregnant ... | Panacea Index