Gestational Diabetes Self-Care Behavior: An Empowerment Educational Intervention Based on BASNEF Model

This study targeted evaluating the effect of BASNEF model-based educational intervention on gestational diabetes self-care behavior (GD-SCB) among pregnant women.

A randomized clinical controlled trial

EL-Shatby hospital, Alexandria, Egypt

A convenient sample of pregnant women beyond 20 gestational weeks and diagnosed with GD will be included in the study. Women complaining of other chronic diseases or pregnancy-induced complications and missing more than two educational intervention sessions will be omitted from the study.

The BASNEF model-based empowerment educational intervention will be carried out in four sequential phases. Needs assessment: A pre-test will be carried out to assess the participants' knowledge, PB, attitude, SN, BI, EF, and GD-SCB. The needs assessment phase's objectives will address the participants' educational needs and collect basic data for subsequent comparison. Planning: Based on the needs assessment results, an educational intervention using the BASNEF model will be designed in view of the current literature. The intervention will be composed of five sessions. Implementation: The educational session will be conducted for 3 to 4 women at each time. At the beginning of each session, a summary of the previous content will be done. Numerous printed materials will be used to stimulate knowledge retention and make concepts reinforcement to support desired changes. The participants will be accessed through phones to arrange for the sessions. Evaluation: Two months after intervention, the post-test will be done to evaluate the women's knowledge, PB, attitude, SN, BI, EF, and GD-SCB. If the women cannot attend the antenatal clinic, a telephone interview will be conducted to complete the post-test.

gestational diabetes self-care

A convenience sample of 220 pregnant women will be incorporated to compensate for the expected participants' loss. They will randomly assigned to either intervention or control group using the randomization block technique, which will be performed according to five sequential steps. First, a numbers’ list will be prepared in advance, from 1 to 220. Second, these numbers will be written on small pieces of paper and rolled to hide the numbers, then mixed in a ball. Third, a random division of the 220 paper pieces into 22 blocks will be performed, where each one contains ten pieces of paper. Fourth, five papers will be randomly picked from each block to be assigned to the intervention group, and the remaining five papers will be assigned to the control group. Fifth, in front of each number in the previously prepared list, the researchers will write the word "intervention" or " control" according to the randomization block technique results. The prepared list will be kept in a closed envelope to be considered at the time of data collection. A total of 110 participants will be assigned to each group.