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

BMC Public Health

Research

Jette Kolding Kristensen¹  Jane Hyldgaard Nielsen²  Kirsten Fonager³  Charlotte Overgaard⁴ 

[1] Centre for General Practice, Aalborg University, Aalborg, Denmark;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;Research Center for Health and Applied Technology, University College of Northern Denmark, Aalborg, Denmark;DECIPH’er, Cardiff School of Social Sciences, Cardiff University, Cardiff, Wales;Department of Social Medicine, Aalborg University Hospital, Aalborg, Denmark;Department of Clinical Medicine, Aalborg University, Aalborg, Denmark;Public Health and Epidemiology Group, Department of Health Science and Technology, Aalborg University, Aalborg, Denmark;Unit of Health Promotion, Department of Public Health, University of Southern Denmark, Esbjerg, Denmark;

关键词: Gestational diabetes mellitus;    Type 2 diabetes;    Follow-up screening;    Reminder;    Health prevention;    Health research;   

DOI  :  10.1186/s12889-023-15060-9

 received in 2022-06-01, accepted in 2023-01-16,  发布年份 2023

来源: Springer

【 摘 要 】

AimTo 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.MethodsA 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).ResultsA 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.ConclusionElectronic 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 registrationISRCTN registry (22/04/2022, ISRCTN23558707).

【 授权许可】

CC BY   
© The Author(s) 2023

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