Mother-daughter dyadic approach for starting preconception counseling at puberty in girls with diabetes
Identifieur interne : 002027 ( Main/Exploration ); précédent : 002026; suivant : 002028Mother-daughter dyadic approach for starting preconception counseling at puberty in girls with diabetes
Auteurs : Denise Charron-Prochownik [États-Unis] ; Andrea Rodgers Fischl [États-Unis] ; Jessica Choi [États-Unis] ; Patricia L. Schmitt [États-Unis] ; Neil H. White [États-Unis] ; Dorothy Becker [États-Unis] ; Julie Downs [États-Unis] ; Margaret Hannan [États-Unis] ; Jennifer Thurheimer [États-Unis] ; Susan M. Sereika [États-Unis]Source :
- Research journal of women's health [ 2054-9865 ] ; 2014.
Abstract
Preconception counseling (PC) significantly and inexpensively reduces risks of reproductive-health complications for women with diabetes. Our validated technology-based preconception counseling intervention,
This feasibility study explored mother's and daughter's awareness and knowledge of diabetes and pregnancy, and preconception counseling; and compared mother-daughter responses using dyadic analyses.
A mixed-method design was conducted with 10 mothers of daughters with T1D. Mothers were given
The major theme from one-on-one interviews was, “I know nothing about diabetes/pregnancy risks and PC”. Mother's and daughter's perceptions of having limited knowledge were confirmed by low knowledge scores. Mothers perceived giving higher levels of support compared to their daughter's perceptions of receiving support.
Mothers can play a vital role in initiating discussions regarding reproductive-health with their daughters and reinforcing preconception counseling. Mother-daughter team approach for starting preconception counseling at puberty in girls with diabetes is feasible. Mother-daughter dyadic analyses can be important to explore possible mediating and moderating roles of mother-daughter communication and support about reproductive health on the relationship between
Url:
PubMed: 25664183
PubMed Central: 4316737
Affiliations:
- États-Unis
- Missouri (État), Pennsylvanie
- Pittsburgh, Saint-Louis (Missouri)
- Université Carnegie-Mellon, Université Washington de Saint-Louis, Université de Pittsburgh
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Schmitt</name><affiliation wicri:level="4"><nlm:aff id="A1">Department of Health Promotion & Development, University of Pittsburgh, School of Nursing, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Promotion & Development, University of Pittsburgh, School of Nursing</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="White, Neil H" sort="White, Neil H" uniqKey="White N" first="Neil H." last="White">Neil H. White</name><affiliation wicri:level="4"><nlm:aff id="A2">Department of Pediatrics, Washington University in St. Louis, and St. Louis Children's Hospital, St. Louis, Missouri, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pediatrics, Washington University in St. Louis, and St. Louis Children's Hospital, St. Louis, Missouri</wicri:regionArea><placeName><region type="state">Missouri (État)</region><settlement type="city">Saint-Louis (Missouri)</settlement></placeName><orgName type="university">Université Washington de Saint-Louis</orgName></affiliation></author><author><name sortKey="Becker, Dorothy" sort="Becker, Dorothy" uniqKey="Becker D" first="Dorothy" last="Becker">Dorothy Becker</name><affiliation wicri:level="4"><nlm:aff id="A3">Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Pediatrics, Children's Hospital of Pittsburgh of UPMC, University of Pittsburgh</wicri:regionArea><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author><author><name sortKey="Downs, Julie" sort="Downs, Julie" uniqKey="Downs J" first="Julie" last="Downs">Julie Downs</name><affiliation wicri:level="4"><nlm:aff id="A4">Center for Risk Perception and Communication, Carnegie Mellon University, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Risk Perception and Communication, Carnegie Mellon University</wicri:regionArea><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><orgName type="university">Université Carnegie-Mellon</orgName></affiliation></author><author><name sortKey="Hannan, Margaret" sort="Hannan, Margaret" uniqKey="Hannan M" first="Margaret" last="Hannan">Margaret Hannan</name><affiliation wicri:level="4"><nlm:aff id="A1">Department of Health Promotion & Development, University of Pittsburgh, School of Nursing, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Promotion & Development, University of Pittsburgh, School of Nursing</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Thurheimer, Jennifer" sort="Thurheimer, Jennifer" uniqKey="Thurheimer J" first="Jennifer" last="Thurheimer">Jennifer Thurheimer</name><affiliation wicri:level="4"><nlm:aff id="A1">Department of Health Promotion & Development, University of Pittsburgh, School of Nursing, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Health Promotion & Development, University of Pittsburgh, School of Nursing</wicri:regionArea><orgName type="university">Université de Pittsburgh</orgName><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName></affiliation></author><author><name sortKey="Sereika, Susan M" sort="Sereika, Susan M" uniqKey="Sereika S" first="Susan M." last="Sereika">Susan M. Sereika</name><affiliation wicri:level="4"><nlm:aff id="A5">Center for Research and Evaluation, School of Nursing, University of Pittsburgh, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>Center for Research and Evaluation, School of Nursing, University of Pittsburgh</wicri:regionArea><placeName><settlement type="city">Pittsburgh</settlement><region type="state">Pennsylvanie</region></placeName><orgName type="university">Université de Pittsburgh</orgName></affiliation></author></analytic><series><title level="j">Research journal of women's health</title><idno type="eISSN">2054-9865</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="S1"><title>Background</title><p id="P1">Preconception counseling (PC) significantly and inexpensively reduces risks of reproductive-health complications for women with diabetes. Our validated technology-based preconception counseling intervention, <italic>READY-Girls</italic>, is tailored for female teens with type 1 (T1D) and type 2 (T2D) diabetes and targets decision-making regarding effective family planning and seeking PC. Our teen-focused research was instrumental in changing the American Diabetes Association's Practice Recommendations to specify that preconception counseling should “Start at puberty…”. This directive requires support from well-informed mothers of teens. Our goal is to provide both teen girls and their mothers with preconception counseling knowledge, and provide mothers with sex-communication training. Evaluation should focus on mother-daughter dyads.</p></sec><sec id="S2"><title>Purpose</title><p id="P2">This feasibility study explored mother's and daughter's awareness and knowledge of diabetes and pregnancy, and preconception counseling; and compared mother-daughter responses using dyadic analyses.</p></sec><sec id="S3"><title>Methods</title><p id="P3">A mixed-method design was conducted with 10 mothers of daughters with T1D. Mothers were given <italic>READY-Girls</italic> intervention and completed knowledge and support questionnaires. Their responses were compared to those of their daughter's who were participating in a large randomized, control intervention trial with <italic>READY-Girls</italic>.</p></sec><sec id="S4"><title>Results</title><p id="P4">The major theme from one-on-one interviews was, “I know nothing about diabetes/pregnancy risks and PC”. Mother's and daughter's perceptions of having limited knowledge were confirmed by low knowledge scores. Mothers perceived giving higher levels of support compared to their daughter's perceptions of receiving support.</p></sec><sec id="S5"><title>Conclusion</title><p id="P5">Mothers can play a vital role in initiating discussions regarding reproductive-health with their daughters and reinforcing preconception counseling. Mother-daughter team approach for starting preconception counseling at puberty in girls with diabetes is feasible. Mother-daughter dyadic analyses can be important to explore possible mediating and moderating roles of mother-daughter communication and support about reproductive health on the relationship between <italic>READY-Girls</italic> intervention and sustainable outcomes.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Charron Prochownik, D" uniqKey="Charron Prochownik D">D Charron-Prochownik</name></author><author><name sortKey="Downs, J" uniqKey="Downs J">J Downs</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Burns, Ac" uniqKey="Burns A">AC Burns</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Barnes, H" uniqKey="Barnes H">H Barnes</name></author><author><name sortKey="Olson, D" uniqKey="Olson D">D Olson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Charron Prochownik, 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Cook</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hannan, M" uniqKey="Hannan M">M Hannan</name></author><author><name sortKey="Happ, Mb" uniqKey="Happ M">MB Happ</name></author><author><name sortKey="Charron Prochownik, D" uniqKey="Charron Prochownik D">D Charron-Prochownik</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Missouri (État)</li><li>Pennsylvanie</li></region><settlement><li>Pittsburgh</li><li>Saint-Louis (Missouri)</li></settlement><orgName><li>Université Carnegie-Mellon</li><li>Université Washington de Saint-Louis</li><li>Université de Pittsburgh</li></orgName></list><tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Charron Prochownik, Denise" sort="Charron Prochownik, Denise" uniqKey="Charron Prochownik D" first="Denise" last="Charron-Prochownik">Denise Charron-Prochownik</name></region><name sortKey="Becker, Dorothy" sort="Becker, Dorothy" uniqKey="Becker D" first="Dorothy" last="Becker">Dorothy Becker</name><name sortKey="Choi, Jessica" sort="Choi, Jessica" uniqKey="Choi J" first="Jessica" last="Choi">Jessica Choi</name><name sortKey="Downs, Julie" sort="Downs, Julie" uniqKey="Downs J" first="Julie" last="Downs">Julie Downs</name><name sortKey="Fischl, Andrea Rodgers" sort="Fischl, Andrea Rodgers" uniqKey="Fischl A" first="Andrea Rodgers" last="Fischl">Andrea Rodgers Fischl</name><name sortKey="Hannan, Margaret" sort="Hannan, Margaret" uniqKey="Hannan M" first="Margaret" last="Hannan">Margaret Hannan</name><name sortKey="Schmitt, Patricia L" sort="Schmitt, Patricia L" uniqKey="Schmitt P" first="Patricia L." last="Schmitt">Patricia L. Schmitt</name><name sortKey="Sereika, Susan M" sort="Sereika, Susan M" uniqKey="Sereika S" first="Susan M." last="Sereika">Susan M. Sereika</name><name sortKey="Thurheimer, Jennifer" sort="Thurheimer, Jennifer" uniqKey="Thurheimer J" first="Jennifer" last="Thurheimer">Jennifer Thurheimer</name><name sortKey="White, Neil H" sort="White, Neil H" uniqKey="White N" first="Neil H." last="White">Neil H. White</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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}}
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| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a PittsburghV1
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