Gestational diabetes education management interventions implemented across Arabic-speaking countries: A systematic scoping review

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-05-09 DOI:10.1016/j.midw.2025.104453

Abeer Salman Alzaben , Nahla Mohammed Bawazeer , Fatmah Almoayad , Nada Benajiba , Elizabeth Dodge , Basil H. Aboul-Enein

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引用次数: 0

Abstract

Background The prevalence of Gestational Diabetes Mellitus (GDM) in Arabic-speaking countries varies from 1.2 % (Jordan) to almost 40 % (Saudi Arabia). Untreated GDM increases the risk of poor maternal and neonatal health outcomes.

Objective This systematic scoping review aims to examine the current literature to determine the effectiveness of interventions designed to manage and prevent GDM across Arabic-speaking countries.

Design Systematic scoping review.

Methods Employing the PRISMA-ScR and the AND-EAL for study quality and bias assessment, a comprehensive review of the literature was conducted using 12 databases and search terms relevant to GDM interventions conducted across the League of Arab states. The search period includes intervention studies published up to and including August 31st, 2024.

Findings Eight studies met the inclusion criteria. Interventions conducted included those modeled on the Health Behavior Change model, Theory of Reasoned Action and the PRECEDE model, constructs of Social Cognitive Theory including self-efficacy, GDM self-management, lifestyle management and BASNEF model-based empowerment. The intervention studies had positive effect on GDM knowledge, self-efficacy, A1C levels, quality of life, maternal and neonatal outcomes.

Conclusion Prevention and management of GDM is important in addressing maternal and neonatal health outcomes. Interventions designed with a theoretical framework and those that are culturally tailored are more likely to elicit behavior change.

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在阿拉伯语国家实施的妊娠糖尿病教育管理干预：一项系统的范围审查

背景：妊娠期糖尿病（GDM）在阿拉伯语国家的患病率从1.2%（约旦）到近40%（沙特阿拉伯）不等。未经治疗的糖尿病会增加孕产妇和新生儿健康状况不佳的风险。本系统的范围综述旨在检查当前文献，以确定旨在管理和预防阿拉伯语国家GDM的干预措施的有效性。设计系统的范围审查。方法采用prism - scr和and - eal进行研究质量和偏倚评估，使用12个数据库和搜索词对阿拉伯国家联盟进行的GDM干预相关文献进行全面回顾。搜索期包括截止到2024年8月31日发表的干预研究。8项研究符合纳入标准。干预措施包括健康行为改变模型、理性行为理论和先行模型、自我效能感、GDM自我管理、生活方式管理和基于BASNEF模型的赋权等社会认知理论构建。干预研究对GDM知识、自我效能、A1C水平、生活质量、孕产妇和新生儿结局均有积极影响。结论GDM的预防和管理对改善孕产妇和新生儿健康结局具有重要意义。根据理论框架设计的干预措施和根据文化量身定制的干预措施更有可能引发行为改变。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.