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Personcentrerat, webbaserat stöd vid graviditet och tidigt moderskap för kvinnor med typ 1-diabetes mellitus: en randomiserad kontrollerad studie

Forskningsprojekt
Avslutad forskning
Projekttid
2009 - 2014
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Institutionen för Vårdvetenskap och Hälsa, Sahlgrenska Akademin, Göteborgs universitet

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GPCC, FOU VGR, Svenska Diabetesfonden
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Hälsa & medicin

Kort beskrivning

Projektet utvecklade och studerade effekten av ett personcentrerat web baserat stödprogram för kvinnor med typ 1 diabetes att användas under graviditet och tidigt moderskap. Effekten studerades i form av upplevt välbefinnande och diabeteshantering.

Kort beskrivning av huvudsakliga resultat

Studien utvärderade ett specialutvecklat web-baserat stöd, som bestod av socialt stöd från peers och evidens-baserad information. Stödet visade sig i en randomiserad kontrollerad studie inte vara tillräckligt för att förbättra välbefinnande och diabeteshanteringen under graviditet och till 6 månader efter förlossning.

Utöver huvudstudien genomfördes flera delstudier.

Publikationer

VETENSKAPLIGA PUBLIKATIONER

Berg M*, Linden K*, Adolfsson A, Sparud Lundin C, Ranerup A. Web-Based Intervention for Women With Type 1 Diabetes in Pregnancy and Early Motherhood: Critical Analysis of Adherence to Technological Elements and Study Design. Journal of medical Internet research. 2018;20(5):e160. (*Equal contributers.)

Linden K, Berg M, Adolfsson A, Sparud-Lundin C. Person-centred, web-based support in pregnancy and early motherhood for women with Type 1 diabetes mellitus: a randomized controlled trial. Diabetic medicine : a journal of the British Diabetic Association. 2018;35(2):232-41.

Linden K, Berg M, Adolfsson A, Sparud-Lundin C. Well-being, diabetes management and breastfeeding in mothers with type 1 diabetes - An explorative analysis. Sex Reprod Healthc. 2018;15:77-82.

Carlsson I-M, Berg M, Adolfsson A, Sparud-Lundin C. Reprioritizing life: A conceptual model of how women with type 1 diabetes deal with main concerns in early motherhood. International Journal Of Qualitative Studies On Health And Well-Being. 2017.

Linden K, Sparud-Lundin C, Adolfsson A, Berg M. Well-Being and Diabetes Management in Early Pregnant Women with Type 1 Diabetes Mellitus. International journal of environmental research and public health. 2016;13(8).

Adolfsson, A., Arbhede, E., Marklund, E., Larsson, P.-G., & Berg, M. (2015). Miscarriage Evidence Based Information for the Web and Its Development Procedure. Advances in Sexual Medicine, 5(04), 89-110.

Ranerup A, Sparud-Lundin C, Koinberg I, Skärsäter I, Jenholt Nolbris M, Berg M. (2014). Role of Theories in the Design of Web-Based Person-Centered Support - A Critical Analysis. International Journal of Chronic Diseases; Article ID 603047, 9 pages

Adolfsson, A., Linden, K., Sparud-Lundin, C., Larsson, P. G., & Berg, M. (2014). A web based support for pregnant women and new mothers with type 1 diabetes mellitus in Sweden (MODIAB-Web): study protocol for a randomized controlled trial. Trials, 15(1), 513. doi:10.1186/1745-6215-15-513

Sparud-Lundin, C., Josefsson, U., Berg, M., Hellstrom, A.-L., Koinberg, I., Nolbris, M. J., Skarsater, I. (2013). Use of participatory design in the development of person-centred web-based support for persons with long-term illness. European Journal for Person Centered Healthcare, 1(2), 369-380.

Berg, M., Adolfsson, A., Ranerup, A., Sparud-Lundin, C., & for the University 91̽»¨ Centre for Person-Centred Care, C. (2013). Person-Centered Web Support to Women with Type 1 Diabetes in Pregnancy and Early Motherhood—The Development Process. Diabetes Technology & Therapeutics, 15(1), 20-25.

Adolfsson, A., & Jansson, M. (2012). Prototype for Internet support of pregnant women and mothers with type 1 diabetes: focus group testing. Psychol Res Behav Manag, 5, 97-103. doi: 10.2147/prbm.s32799

Linden, K., Berg, M., & Sparud-Lundin, C. (2012). Web-based information for pregnant women and new mothers with type 1 diabetes-a description of the development process. BMC Medical Informatics and Decision Making, 12(1), 134.

Sparud-Lundin, C., Ranerup, A., & Berg, M. (2011). Internet use, needs and expectations of web-based information and communication in childbearing women with type 1 diabetes. BMC Med Inform Decis Mak, 11, 49. doi: 10.1186/1472-6947-11-49

ABSTRACTS VETENSKAPLIGA KONFERENSER (PEER REVIEWED)

Sparud-Lundin, C. Linden, K. Ranerup, A. Adolfsson, A.  Berg, M. A critical analysis of adherence to technological elements and study design -based on a web-based intervention for women with type 1 diabetes in pregnancy and early motherhood. Nordic Conference in Nursing Research. Methods and Network for the Future, 13-15 June, 2018, Oslo, Norway. (oral presentation).

Linden K, Adolfsson A-S, Sparud Lundin C, Berg M. A midwifery challenge – supporting well - being in early pregnant women with type 1 diabetes. 31st International Confederation of Midwives Triennal Congress, Toronto, Canada 18-22 June 2017, Abstract in proceeding ID: 3373.

Sparud Lundin, C. Berg, M., Jenholt Nolbris, M. et al. (2015). Use of participatory design in the development of person-centred web-based support for persons with long-term illness., 19th International Philosophy of Nursing Society (IPONS) Conference. Stockholm 24-26 Augusti,. s. 52.

Linden, K, Adolfsson, AS, Berg, M,. A woman-centered web-support program during pregnancy and early motherhood for women with type 1 diabetes. The International  Confederation of Midwives. ICM 30th Triennial Congress. 1-5 June 2014 Prague, Czech Republic.

Linden, K. ; Sparud Lundin, C. ; Adolfsson, A-S. et al. (2013). Ongoing Research: A Social and learning Community to Support Self-Management in Childbearing Women with Type 1 diabetes.. Medicine 2.0. 6th World Congress on Social Media, Mobile Apps, Internet/Web 2.0. London, 23-24 September 2013.

Sparud-Lundin, C., Berg, M., Koinberg, I., Jenholt-Nolbris, M., Skärsäter, I., Ranerup, A. Use of theories in web-based support as a health oriented service for persons with chronic illness. The 21st International Conference on Health Promoting Hospitals & Health Services. Body and Mind  22-24 May 2013,  Gothenburg, Sweden. (Poster presentation)

Linden, K., Berg, M., Adolfsson, A., Ranerup, A., Sparud-Lundin, C. (2013) Web-based support as a person-centered and health oriented service for women with type 1 diabetes during pregnancy and early motherhood. The 21st International Conference on Health Promoting Hospitals and Health Services. Gothenburg, Sweden, May 22-24, 2013 (Poster presentation)

Linden K., Sparud-Lundin C., Adolfsson A., Berg, M. Supporting healthy motherhood – web support to pregnant women and new mothers with type I diabetes. The Swedish Association of Midwives Scientific Conference 2013, Stockholm, Sweden October 23-24, 2013, page 34 (Oral presentation K Lindén)

Linden, K., Sparud-Lundin, C., Berg, M., Adolfsson, A. (2013) Study protocol for evaluating a web-support program with a control group for pregnant women and new mothers with type 1 diabetes mellitus. The 7th International DIP Symposium - Diabetes, Hypertension, Metabolic syndrome & Pregnancy. Florence, Italy, March 13-16, 2013 (posterpresentation with a poster walk presentation)

Josefsson, U., Berg, M., Hellström, AL., Koinberg, I., Jenholt Nolbris, M., Ranerup, A., Sparud-Lundin, C. & Skärsäter, I. (2012). Web-based support in long-term illness – a person-centred care approach, Scandinavian Conference on Health Informatics 2012, October 2–3, Linköping, Sweden. (MODIAB-Web one of four included cases) (Posterpresentation)

Sparud-Lundin C., Ranerup A., Berg M. (2011). Internet use, needs, and expectations of web-based information and communication in childbearing women with type 1 diabetes. Abstract no 554, Medicine 2.0 – Forth World Congress on Social Media and Web 2.0 in Health, Medicine and Biomedical research. Stanford 16-18 September 2011. (poster presentation).

POPULÄRVETENSKAPLIGA ARTIKLAR

Berg, M & Sparud-Lundin, C. (2013). Välbefinnande, sjukdomskontroll och amningserfarenheter hos nyblivna mammor med typ 1 diabetes. Diabetolognytt, in press.

Berg M, Sparud Lundin C. Livet som nybliven mamma med typ 1 diabetes. Diabetesbladet 2013;1:14-15.

DOKTORSAVHANDLING

Linden, K. Women with Type 1 Diabetes during Pregnancy and Postpartum Well-being and Diabetes Management, 2018. Dissertation

MAGISTERUPPSATSER

Candow, Anna. Gassander Jessica (January 2016). Förekomst och samband mellan amning, stöd och välbefinnande hos mödrar med typ 1 diabetes 2 mÃ¥nader efter förlossningen. Inst vÃ¥rdvetenskap och hälsa, Göteborgs universitet. 

Arbheden E, Marklund E. (2013) Faktabaserad information till par som drabbats av missfall. Examensarbete inom huvudomrÃ¥det omvÃ¥rdnad Master one year, 15 Högskolepoäng. Skövde, Sverige:  Högskolan Skövde.

Lindén, K. (2012). Webbaserad information till gravida kvinnor och nyblivna mödrar med typ 1 diabetes – en beskrivning av utvecklinsprocessen. Examensarbete Master RPH 30 högskolepoäng. Göteborg, Sverige: Göteborgs universitet.

Jansson, M. (2012) MODIAB WEB – Women's testing of prototype for web-support to  pregnant women and mother with type 1 diabetes-focus group interview. Examensarbete inom huvudomrÃ¥det omvÃ¥rdnad Master one year, 15 Högskolepoäng. Skövde, Sverige:  Högskolan Skövde.

MUNTLIGA PRESENTATIONER

Sparud-Lundin, A critical analysis of adherence to technological elements and study design – based on a web-based intervention for women with type 1 diabetes in pregnancy and early motherhood. Nordic Conference in Nursing Research. Methods and Network for the Future, 13-15 June, 2018, Oslo, Norway.

Linden Karolina (co-authors:, Adolfsson A-S, Sparud Lundin C, Berg M). A midwifery challenge – supporting well-being in early pregnant women with type 1 diabetes. 31st International Confederation of Midwives Triennal Congress, Toronto, Canada 18-22 June 2017

Sparud-Lundin, C. Stöd vid barnafödande. Diabetesforum, Stockholm 27-28 april 2017. (inbjuden föreläsare).

Sparud-Lundin, C. Becoming a Diabetes Mum. 5th International DiaMind Meeting, 7 April 2016, Ljubljana, Slovenien. (invited speaker and workshop).

Linden, K.; Sparud Lundin, C. ; Adolfsson, A-S. et al. (2013). Ongoing Research: A Social and learning Community to Support Self-Management in Childbearing Women with Type 1 diabetes.. Medicine 2.0. 6th World Congress on Social Media, Mobile Apps, Internet/Web 2.0. London, 23-24 September 2013.

Linden K., Sparud-Lundin C., Adolfsson A., Berg, M. Supporting healthy motherhood - web support to pregnant women and new mothers with type I diabetes. Reproductive Health; The Swedish Association of Midwives Scientific Conference 2013, Stockholm, Sweden October 23-24

Forskare

Vetenskaplig ledare

Marie Berg, Professor (och barnmorska), institutionen för vårdvetenskap och hälsa, Göteborgs universitet

Medlemmar i forskargruppen

Carina Sparud Lundin, lektor (och barnsjuksköterska), institutionen för vårdvetenskap och hälsa, Göteborgs universitet

Annsofie Adolfsson, lektor (och barnmorska), institutionen för ³óä±ô²õ´Ç±¹±ð³Ù±ð²Ô²õ°ì²¹±è och medicin, Örebro universitet

Agneta Ranerup, docent och lektor, institutionen för tillämpad informatik, Göteborgs universitet

Ulla-Britt Wennerholm, docent (och obstetriker), institutionen för kliniska vetenskaper, Göteborgs universitet

P-G Larsson, Professor (och obstetriker), institutionen för vård och natur, Högskolan i Skövde

Karolina Lindén, före detta doktorand (och barnmorska), institutionen för vårdvetenskap och hälsa, Göteborgs universitet