title: Person-centered Web support to women with type 1 diabetes in pregnancy and early motherhood--the development process.
abstract: BACKGROUND
  Pregnancy and early motherhood are extraordinarily demanding periods for women with type 1 diabetes, who therefore need optimal support. This article describes the process of developing person-centered Web-based support for women with type 1 diabetes during the period of pregnancy through early motherhood. Important aspects of person-centeredness are a broader scope of medicine, viewing the patient as a person, shared decision-making to accomplish a therapeutic alliance, and the role of documentation.
  
  
  METHODS
  A participatory design was used in the development process to capture the target group's knowledge, experiences, and needs, and a systematic process map for Web-based support was used to describe the process.
  
  
  RESULTS
  Content and layout in the Web support were developed collaboratively by project managers, advisory and scientific reference groups, technical producers, and representatives for the target group. Based on needs assessment and evidence synthesis, three main components of complementary Web-based support were identified: (1) specific information about pregnancy, childbirth, and early motherhood in relation to type 1 diabetes; (2) a self-care diary, including a device for documenting and evaluating blood glucose levels, insulin doses, food intake, physical activities, and overall well-being; and (3) a forum for communication between women with type 1 diabetes in the childbearing period.
  
  
  CONCLUSIONS
  Using a perspective of person-centered care, a participatory design and the process map were fruitful for developing person-centered Web support for self-care and self-learning. The developed Web support product will be evaluated in a randomized controlled trial and further developed based on this result.
authors.affiliation: Institute of Health and Care Science, Sahlgrenska Academy, Gothenburg, Sweden. marie.berg@gu.se
authors.forename: Marie
authors.initials: M
authors.lastname: Berg
authors.forename: Annsofie
authors.initials: A
authors.lastname: Adolfsson
authors.forename: Agneta
authors.initials: A
authors.lastname: Ranerup
authors.forename: Carina
authors.initials: C
authors.lastname: Sparud-Lundin
mesh_terms: D000328:Adult; D003142:Communication; D003256:Community Participation / Q000706:statistics & numerical data*; D003922:Diabetes Mellitus, Type 1 / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D019317:Evidence-Based Medicine; D005260:Female; D006266:Health Education; D006801:Humans; D007231:Infant, Newborn; D033181:Information Dissemination / Q000379:methods; D020407:Internet / Q000706:statistics & numerical data*; D020380:Needs Assessment; D018802:Patient-Centered Care; D011247:Pregnancy; D011254:Pregnancy in Diabetics / Q000453:epidemiology*; D016730:Program Development; D012648:Self Care; D012944:Social Support; D013548:Sweden / Q000453:epidemiology; D017216:Telemedicine; D016387:Women's Health