Development and Validation of Breastfeeding and Dietary Education Package for Women with Gestational Diabetes Mellitus

Overview

Journal J Educ Health Promot

Specialty Medical Education

Date 2023 Apr 28

PMID 37113437

Authors

Farhanah Ahmad Shuhaimi

Syahrul Bariah Abdul Hamid

Nurul Ainfarhanah Md Yazid

Affiliations

Soon will be listed here.

Abstract

Background: Recent findings show that a longer breastfeeding duration and proper dietary management could lower the risk of postnatal diabetes. An excellent and interactive education module on breastfeeding and diet may effectively improve breastfeeding practices and dietary knowledge among women with gestational diabetes mellitus (GDM). Therefore, this study delves into developing and validating the content of Breastfeeding and Dietary Education Package (BFDEP) for women with GDM.

Method: The development of the module involved three phases: need assessment, module development, and validation. Six experts deployed a content validity index (CVI) to evaluate three areas of the module, including objectives, structure or presentation, and relevance. Sixteen women with GDM were involved in the face validation process by assessing the "literacy presentation," "illustrations," "material is sufficiently specific," and "quality of information."

Results: Generally, I-CVI, S-CVI/Ave, and S-CVI/UA of the objectives, structure or presentation, and relevance revealed an excellent level of content validity. No alteration was needed for the domains of objective and relevance (S-CVI/Ave: 1.0, S-CVI/UA: 1.0). However, a minor revision was required in the structure or presentation domain (S-CVI/Ave: 0.98, S-CVI/UA: 0.90). The experts also thought that some module pages were wordy, and a change of font color was needed. The module was thus modified accordingly. For face validation, "literacy presentation" and "material is sufficiently specific" had a 99% positive response, while "illustrations" and "quality of information" had 100% positive feedback.

Conclusion: A BFDEP with excellent content validity was developed and can be implemented to improve breastfeeding practices and dietary knowledge among women with GDM.

References

Sangeetha-Shyam , Fatimah A, Rohana A, Norasyikin A, Karuthan C, Nik S . Lowering dietary glycaemic index through nutrition education among Malaysian women with a history of gestational diabetes mellitus. Malays J Nutr. 2014; 19(1):9-23. View

Teles L, Oliveira A, Campos F, Lima T, Costa C, Gomes L . [Development and validating an educational booklet for childbirth companions]. Rev Esc Enferm USP. 2015; 48(6):977-84. DOI: 10.1590/S0080-623420140000700003. View

Ma S, Hu S, Liang H, Xiao Y, Tan H . Metabolic effects of breastfeed in women with prior gestational diabetes mellitus: A systematic review and meta-analysis. Diabetes Metab Res Rev. 2018; 35(3):e3108. PMC: 6590118. DOI: 10.1002/dmrr.3108. View

Yasuhi I, Soda T, Yamashita H, Urakawa A, Izumi M, Kugishima Y . The effect of high-intensity breastfeeding on postpartum glucose tolerance in women with recent gestational diabetes. Int Breastfeed J. 2017; 12:32. PMC: 5513345. DOI: 10.1186/s13006-017-0123-z. View

Tahir N, Al-Sadat N . Does telephone lactation counselling improve breastfeeding practices? A randomised controlled trial. Int J Nurs Stud. 2012; 50(1):16-25. DOI: 10.1016/j.ijnurstu.2012.09.006. View

Kim H, Jung Y, Kang L, Park H, Hwang H, Park K . Association between Breastfeeding and Prevalence of Diabetes in Korean Parous Women: The Korea National Health and Nutrition Examination Survey, 2010-2014. Korean J Fam Med. 2018; 39(5):273-278. PMC: 6166119. DOI: 10.4082/kjfm.17.0023. View

Shub A, Miranda M, Georgiou H, McCarthy E, Lappas M . The effect of breastfeeding on postpartum glucose tolerance and lipid profiles in women with gestational diabetes mellitus. Int Breastfeed J. 2019; 14:46. PMC: 6829979. DOI: 10.1186/s13006-019-0238-5. View

Mohebbi B, Tol A, Sadeghi R, Mohtarami S, Shamshiri A . Self-management Intervention Program Based on the Health Belief Model (HBM) among Women with Gestational Diabetes Mellitus: A Quazi-Experimental Study. Arch Iran Med. 2019; 22(4):168-173. View

Wang Y, You H, Luo B . Exploring the breastfeeding knowledge level and its influencing factors of pregnant women with gestational diabetes mellitus. BMC Pregnancy Childbirth. 2020; 20(1):723. PMC: 7685611. DOI: 10.1186/s12884-020-03430-9. View

10.

Lynn M . Determination and quantification of content validity. Nurs Res. 1986; 35(6):382-5. View

11.

Sabouri M, Shakibazadeh E, Mohebbi B, Tol A, Yaseri M, Babaee S . Effectiveness of an educational intervention using theory of planned behavior on health care empowerment among married reproductive-age women: A randomized controlled trial. J Educ Health Promot. 2020; 9:293. PMC: 7709755. DOI: 10.4103/jehp.jehp_751_20. View

12.

Lau X, Wong Y, Wong J, Koh D, Sedek R, Jamil A . Development and Validation of a Physical Activity Educational Module for Overweight and Obese Adolescents: CERGAS Programme. Int J Environ Res Public Health. 2019; 16(9). PMC: 6539209. DOI: 10.3390/ijerph16091506. View

13.

You H, Lei A, Xiang J, Wang Y, Luo B, Hu J . Effects of breastfeeding education based on the self-efficacy theory on women with gestational diabetes mellitus: A CONSORT-compliant randomized controlled trial. Medicine (Baltimore). 2020; 99(16):e19643. PMC: 7220535. DOI: 10.1097/MD.0000000000019643. View

14.

Vandyousefi S, Goran M, Gunderson E, Khazaee E, Landry M, Ghaddar R . Association of breastfeeding and gestational diabetes mellitus with the prevalence of prediabetes and the metabolic syndrome in offspring of Hispanic mothers. Pediatr Obes. 2019; 14(7):e12515. PMC: 7470230. DOI: 10.1111/ijpo.12515. View

15.

Leite S, Afio A, Carvalho L, Silva J, de Almeida P, Pagliuca L . Construction and validation of an Educational Content Validation Instrument in Health. Rev Bras Enferm. 2018; 71(suppl 4):1635-1641. DOI: 10.1590/0034-7167-2017-0648. View

16.

Chiefari E, Arcidiacono B, Foti D, Brunetti A . Gestational diabetes mellitus: an updated overview. J Endocrinol Invest. 2017; 40(9):899-909. DOI: 10.1007/s40618-016-0607-5. View

17.

Rosuzeita F, Che Rabiaah M, Rohani I, Mohd Shukri O . The Effectiveness of Breastfeeding Intervention on Breastfeeding Exclusivity and Duration among Primiparous Mothers in Hospital Universiti Sains Malaysia. Malays J Med Sci. 2018; 25(1):53-66. PMC: 5862051. DOI: 10.21315/mjms2018.25.1.7. View

18.

Ghani R, Shyam S, Arshad F, A Wahab N, Chinna K, Safii N . The influence of fasting insulin level in post-gestational diabetes mellitus women receiving low-glycaemic-index diets. Nutr Diabetes. 2014; 4:e107. PMC: 3940829. DOI: 10.1038/nutd.2014.5. View

19.

Gunderson E, Hurston S, Dewey K, Faith M, Charvat-Aguilar N, Khoury V . The study of women, infant feeding and type 2 diabetes after GDM pregnancy and growth of their offspring (SWIFT Offspring study): prospective design, methodology and baseline characteristics. BMC Pregnancy Childbirth. 2015; 15:150. PMC: 4504097. DOI: 10.1186/s12884-015-0587-z. View