title: Evaluation of a DVD for women with diabetes: impact on knowledge and attitudes to preconception care.
abstract: OBJECTIVE
  To determine if an educational DVD increases knowledge and changes attitudes of women with diabetes towards preconception care.
  
  
  METHODS
  Ninety-seven women with diabetes (Type 1, n = 89; Type 2, n = 8), aged 18-40 years, completed a pre-DVD and post-DVD intervention study by postal questionnaire. Beliefs and attitudes associated with preventing an unplanned pregnancy and seeking preconception care were assessed using a validated questionnaire; scales included benefits, barriers, personal attitudes and self-efficacy. Knowledge of pregnancy planning and pregnancy-related risks were assessed by a 22-item questionnaire.
  
  
  RESULTS
  After viewing the DVD there was significant positive change in women's perceived benefits of, and their personal attitudes to, receiving preconception care and using contraception: change in score post-DVD viewing 0.7 (95% confidence interval 0.3, 1.2), P = 0.003, and 0.8 (0.3, 1.2), P = 0.001, respectively. The DVD significantly improved self-efficacy, that is, self-confidence to use contraception for prevention of an unplanned pregnancy and to access preconception care [3.3 (1.9, 4.7), P < 0.001], and significantly reduced perceived barriers to preconception care [-0.7 (-1.2, -0.2), P = 0.01]. Knowledge of pregnancy planning and pregnancy-related risks increased significantly after viewing the DVD: mean increase was 37.6 ± 20.0%, P < 0.001, and 16.9 ± 21.2%, P < 0.001, respectively.
  
  
  CONCLUSIONS
  This study demonstrates the effectiveness of a DVD in increasing knowledge and enhancing attitudes of women with diabetes to preconception care. This DVD could be used as a prepregnancy counselling resource to prepare women with diabetes for pregnancy.
authors.affiliation: School of Nursing and Midwifery, Queen's University Belfast, UK. v.holmes@qub.ac.uk
authors.forename: V A
authors.initials: VA
authors.lastname: Holmes
authors.forename: M
authors.initials: M
authors.lastname: Spence
authors.forename: D R
authors.initials: DR
authors.lastname: McCance
authors.forename: C C
authors.initials: CC
authors.lastname: Patterson
authors.forename: R
authors.initials: R
authors.lastname: Harper
authors.forename: F A
authors.initials: FA
authors.lastname: Alderdice
mesh_terms: D000293:Adolescent; D000328:Adult; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology / Q000523:psychology*; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000523:psychology*; D005193:Family Planning Services / Q000379:methods*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017533:Marital Status; D009660:Northern Ireland / Q000453:epidemiology; D010353:Patient Education as Topic; D016742:Preconception Care / Q000379:methods*; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000453:epidemiology / Q000523:psychology*; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D013690:Television; D016387:Women's Health; D055815:Young Adult