A consumer co-created infographic improves short-term knowledge about physical activity and self-efficacy to exercise in women with gestational diabetes mellitus: a randomised trial

Dr Anne Harrison1,2, Professor Nicholas Taylor2,3, Associate Professor Helena Frawley4, Professor Nora Shields2

1Mercy Public Hospitals Victoria, Melbourne, Australia, 2La Trobe University, Bundoora, Australia, 3Eastern Health, Box Hill, Australia, 4University of Melbourne, Melbourne, Australia

Aim: To engage with women with gestational diabetes mellitus to develop a consumer co-created infographic, to be provided in addition to usual gestational diabetes mellitus education, to determine if this improves knowledge about physical activity and self-efficacy to exercise in women diagnosed with gestational diabetes mellitus.

Design: Consumer collaboration to develop the infographic intervention and a randomised trial with concealed allocation and intention-to-treat analysis.

Method:  Prior to trial commencement, an infographic about physical activity for women with gestational diabetes was co-created in collaboration with 18 consumers and was the intervention for the trial. Participants for the trial were sixty-nine women diagnosed with gestational diabetes mellitus. In addition to gestational diabetes education, the experimental group received a paper copy of the consumer co-created infographic about physical activity during a gestational diabetes pregnancy. The control group received gestational diabetes education alone. Participants completed outcome measures at baseline and 1 week later. Knowledge of physical activity during pregnancy was assessed using a 19-item questionnaire modified to reflect current physical activity guidelines, with a total score from 0% (worst) to 100% (best). Self-efficacy was measured using the nine-item Self-Efficacy for Exercise Scale, with a total score from 0 (not confident) to 10 (very confident).

Results:  Provision of the consumer co-created infographic led to a clinically important between-group difference in knowledge (MD 12%, 95% CI 10 to 15) and self-efficacy (MD 2.5 units, 95% CI 1.9 to 3.0).

Conclusion: In women with gestational diabetes, short-term knowledge about physical activity and self-efficacy to exercise were improved when education was supplemented with a consumer co-created infographic that provided consumer-specific and relevant information about physical activity during a gestational diabetes mellitus pregnancy.

Key Message:

  • Collaboration with consumers to co-create an infographic about physical activity ensured that it provided clear, simple, specific and relevant information.

Biography:

Anne Harrison is a physiotherapist with over 30 year’s clinical experience including 20 years of health management experience. She is currently manager of physiotherapy services at Werribee Mercy Hospital in Melbourne. She has interests in women’s health and translating research into practice as well as health service planning. Anne’s present research is investigating physical activity participation for women diagnosed with GDM. Her qualifications include a Bachelor of Applied Science in Physiotherapy, a Master of Health Administration and a post-graduate Doctor of Physiotherapy.

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