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http://dx.doi.org/10.4040/jkan.2014.44.6.672

Effects of a Coaching Program on Comprehensive Lifestyle Modification for Women with Gestational Diabetes Mellitus  

Ko, Jung Mi (Department of Nursing, Cheongju University)
Lee, Jong Kyung (Department of Nursing, Dankook University)
Publication Information
Journal of Korean Academy of Nursing / v.44, no.6, 2014 , pp. 672-681 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate the effects of using a Coaching Program on Comprehensive Lifestyle Modification with pregnant women who have gestational diabetes. Methods: The research design for this study was a non-equivalent control group quasi-experimental study. Pregnant women with gestational diabetes were recruited from D women's hospital located in Gyeonggi Province from April to October, 2013. Participants in this study were 34 for the control group and 34 for the experimental group. The experimental group participated in the Coaching Program on Comprehensive Lifestyle Modification. The program consisted of education, small group coaching and telephone coaching over 4weeks. Statistical analysis was performed using the SPSS 21.0 program. Results: There were significant improvements in self-care behavior, and decreases in depression, fasting blood sugar and $HbA_1C$ in the experimental group compared to the control group. However, no significant differences were found between the two groups for knowledge of gestational diabetes mellitus. Conclusion: The Coaching Program on Comprehensive Lifestyle Modification used in this study was found to be effective in improving self-care behavior and reducing depression, fasting blood sugar and $HbA_1C$, and is recommended for use in clinical practice as an effective nursing intervention for pregnant women with gestational diabetes.
Keywords
Gestational diabetes; Lifestyle; Self-care; Depression; Blood glucose;
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Times Cited By KSCI : 3  (Citation Analysis)
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1 Whittemore R, Melkus GD, Sullivan A, Grey M. A nurse-coaching intervention for women with type 2 diabetes. The Diabetes Educator. 2004;30(5):795-804.   DOI
2 Navicharern R, Aungsuroch Y, Thanasilp S. Effects of multifaceted nurse-coaching intervention on diabetic complications and satisfaction of persons with type 2 diabetes. Journal of the Medical Association of Thailand. 2009;92(8):1102-1112.
3 Olsen JM, Nesbitt BJ. Health coaching to improve healthy lifestyle behaviors: An integrative review. American Journal of Health Promotion. 2010;25(1):e1-e12. http://dx.doi.org/10.4278/ajhp.090313-LIT-101
4 Hwang JY. The effects of group coaching program on self-esteem, subjective-wellbeing, depression for middle-aged housewives [master's thesis]. Seoul: Kwangwoon University; 2012.
5 Armstrong C, Wolever RQ, Manning L, Elam R, 3rd, Moore M, Frates EP, et al. Group health coaching: Strengths, challenges, and next steps. Global Advances in Health and Medicine. 2013;2(3):95-102. http://dx.doi.org/10.7453/gahmj.2013.019   DOI
6 Kim S, Kim HS, Cheong HY. Effects of a coaching-based childbirth program on anxiety and childbirth self-efficacy among primigravida women. Korean Journal of Women Health Nursing. 2011;17(4):369-377. http://dx.doi.org/10.4069/kjwhn.2011.17.4.369   DOI
7 Gu MO. The effect of a self regulation education program for the promotion and maintenance of self care behavior in the chronically ill patients: For diabetic patients. The Journal of Nurses Academic Society. 1996;26(2):413-427.
8 Bae JI. Construction of a postpartum depression model [dissertation]. Seoul: Ewha Womans University; 1996.
9 Korea Association of Diabetes Nurse Educator. Gestational diabetes [Internet]. Seoul: Korea Association of Diabetes Nurse Educator; 2013 [cited 2013 September 8]. Available from: http://kadne.cafe24.com/bbs/board.php?bo_table=sub3_13&wr_id=8.
10 Park JY. A study for developing an effective group coaching process. Journal of Korean Coaching Research. 2010;3(1):41-64.
11 Lee YR, Kang MA, Kim PG. The effects of an admission-education program on knowledge, self-efficacy, self-care and glucose control in type 2 diabetes patients. Journal of Korean Academic Society of Nursing Education. 2008;14(1):12-19.   DOI   ScienceOn
12 Wolever RQ, Dreusicke M, Fikkan J, Hawkins TV, Yeung S, Wakefield J, et al. Integrative health coaching for patients with type 2 diabetes: A randomized clinical trial. The Diabetes Educator. 2010;36(4):629-639. http://dx.doi.org/10.1177/0145721710371523   DOI   ScienceOn
13 Polonsky WH, Earles J, Smith S, Pease DJ, Macmillan M, Christensen R, et al. Integrating medical management with diabetes self-management training: A randomized control trial of the diabetes outpatient intensive treatment program. Diabetes Care. 2003;26(11):3048-3053.   DOI   ScienceOn
14 Radder JK, van Roosmalen J. HbA1c in healthy, pregnant women. The Netherlands Journal of Medicine. 2005;63(7):256-259.
15 Katon J, Williams MA, Reiber G, Miller E. Antepartum A1C, maternal diabetes outcomes, and selected offspring outcomes: An epidemiological review. Paediatric and Perinatal Epidemiology. 2011;25(3):265-276. http://dx.doi.org/10.1111/j.1365-3016.2011.01195.x   DOI
16 Kim H, Kim S. Effects of an integrated self-management program on self-management, glycemic control, and maternal identity in women with gestational diabetes mellitus. Journal of Korean Academy of Nursing. 2013;43(1):69-80. http://dx.doi.org/10.4040/jkan.2013.43.1.69   DOI   ScienceOn
17 Homko CJ, Santamore WP, Whiteman V, Bower M, Berger P, Geifman-Holtzman O, et al. Use of an internet-based telemedicine system to manage underserved women with gestational diabetes mellitus. Diabetes Technology & Therapeutics. 2007;9(3):297-306. http://dx.doi.org/10.1089/dia.2006.0034   DOI
18 Thom DH, Ghorob A, Hessler D, De Vore D, Chen E, Bodenheimer TA. Impact of peer health coaching on glycemic control in low-income patients with diabetes: A randomized controlled trial. Annals of Family Medicine. 2013;11(2):137-144. http://dx.doi.org/10.1370/afm.1443   DOI
19 Reece EA. The fetal and maternal consequences of gestational diabetes mellitus. The Journal of Maternal-Fetal & Neonatal Medicine. 2010;23(3):199-203. http://dx.doi.org/10.3109/14767050903550659   DOI
20 The Korean Diabetes Association. Diabetes fact sheet in Korea 2013 [Internet]. Seoul: The Korean Diabetes Association; 2013 [cited 2013 October 12]. Available from: www.diabetes.or.kr/temp/diabetes_factsheet_2013111.pdf.
21 Jang HC. Diagnosis of gestational diabetes mellitus. The Journal of Korean Diabetes. 2006;7(4):296-301.
22 Park JE. Effective education strategies for women with gestational diabetes mellitus. The Journal of Korean Diabetes. 2012;13(3):148-151. http://dx.doi.org/10.4093/jkd.2012.13.3.148   DOI
23 Katon JG, Russo J, Gavin AR, Melville JL, Katon WJ. Diabetes and depression in pregnancy: Is there an association? Journal of Women's Health. 2011;20(7):983-989. http://dx.doi.org/10.1089/jwh.2010.2662   DOI
24 McKellar JD, Humphreys K, Piette JD. Depression increases diabetes symptoms by complicating patients' self-care adherence. The Diabetes Educator. 2004;30(3):485-492.   DOI
25 Whitmore J. Coaching for performance: GROWing human potential and purpose: The principles and practice of coaching and leadership. 4th ed. London, UK: Nicholas Brealey Publishing; 2009.
26 Hayes E, Kalmakis KA. From the sidelines: Coaching as a nurse practitioner strategy for improving health outcomes. Journal of the American Academy of Nurse Practitioners. 2007;19(11):555-562. http://dx.doi.org/10.1111/j.1745-7599.2007.00264.x   DOI   ScienceOn
27 Paek KS. The effect of a diabetic education program on self-care behavior and glucose metabolism in type 2 diabetic patients. Journal of Korean Community Nursing. 2001;12(2):390-396.
28 Yoo JS, Lee SJ, Lee HC, Kim MJ. The effect of a comprehensive lifestyle modification program on glycemic control and body composition in patients with type 2 diabetes. Asian Nursing Research. 2007;1(2):106-115. http://dx.doi.org/10.1016/s1976-1317(08)60013-4   DOI
29 Choi ES, Oh JA, Hur MH, Lee IS, Choi SY. The knowledge and learning needs about gestational diabetes in pregnant women. Journal of Korean Academy of Women's Health Nursing. 2000;6(1):96-108.
30 Jeon HO, Kim O. The effects of an internet based coaching program for obesity management in hypertensive patients. Korean Journal of Adult Nursing. 2011;23(2):146-159.