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Ko and Lee: Effects of a Coaching Program on Comprehensive Lifestyle Modification for Women with Gestational Diabetes Mellitus
Original Article

Journal of Korean Academy of Nursing 2014; 44(6): 672-681.

Published online: 31 December 2014

DOI: https://doi.org/10.4040/jkan.2014.44.6.672

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

Jung Mi Ko1, Jong Kyung Lee2

1Department of Nursing, Cheongju University, Cheongju, Korea.

2Department of Nursing, Dankook University, Cheonan, Korea.

Address reprint requests to: Lee, Jong Kyung. Department of Nursing, Dankook University, 119 Dandae-ro, Cheonan 330-714, Korea. Tel: +82-41-550-3883, Fax: +82-41-550-3888, kyunglee@dankook.ac.kr

Received 28 July 2014       Revised 12 August 2014       Accepted 19 October 2014

© 2014 Korean Society of Nursing Science

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

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 HbA1C 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 HbA1C, 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

Figures and Tables

Figure 1
Research design.
jkan-44-672-g001
Table 1
Homogeneity Test of General Characteristics between the Experimental and Control Groups (N=68)
jkan-44-672-i001

*Fisher's exact test; Exp.=Experimental group; Cont.=Control group.

Table 2
Homogeneity Test of Dependent Variables between the Experimental and Control Groups (N=68)
jkan-44-672-i002

Exp.=Experimental group; Cont.=Control group; FBS=Fasting blood sugar; HbA1C=Glycosylated hemoglobin.

Table 3
Differences in Dependent Variables between Experimental and Control Groups (N=68)
jkan-44-672-i003

*F value of ANCOVA with pre-test value as covariate; Exp.=Experimental group; Cont.=Control group; FBS=Fasting blood sugar; HbA1C=Glycosylated hemoglobin.

Notes

This manuscript is a revision of the first author's master's thesis from Dankook University.

References

1. The Korean Diabetes Association. Diabetes fact sheet in Korea 2013 [Internet]. Seoul: Author;2013. cited 2013 October 12. Available from: www.diabetes.or.kr/temp/diabetes_factsheet_2013111.pdf.
2. Reece EA. The fetal and maternal consequences of gestational diabetes mellitus. J Matern Fetal Neonatal Med. 2010; 23(3):199–203. http://dx.doi.org/10.3109/14767050903550659.
3. Jang HC. Diagnosis of gestational diabetes mellitus. Clin Diabetes. 2006; 7(4):296–301.
4. Park JE. Effective education strategies for women with gestational diabetes mellitus. J Korean Diabetes. 2012; 13(3):148–151. http://dx.doi.org/10.4093/jkd.2012.13.3.148.
5. Choi ES, Oh JA, Hur MH, Lee IS, Choi SY. The knowledge and learning needs about gestational diabetes in pregnant women. J Korean Acad Womens Health Nurs. 2000; 6(1):96–108.
6. Katon JG, Russo J, Gavin AR, Melville JL, Katon WJ. Diabetes and depression in pregnancy: Is there an association? J Womens Health (Larchmt). 2011; 20(7):983–989. http://dx.doi.org/10.1089/jwh.2010.2662.
7. McKellar JD, Humphreys K, Piette JD. Depression increases diabetes symptoms by complicating patients' self-care adherence. Diabetes Educ. 2004; 30(3):485–492.
8. 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.
9. Hayes E, Kalmakis KA. From the sidelines: Coaching as a nurse practitioner strategy for improving health outcomes. J Am Acad Nurse Pract. 2007; 19(11):555–562. http://dx.doi.org/10.1111/j.1745-7599.2007.00264.x.
10. Whittemore R, Melkus GD, Sullivan A, Grey M. A nurse-coaching intervention for women with type 2 diabetes. Diabetes Educ. 2004; 30(5):795–804.
11. Navicharern R, Aungsuroch Y, Thanasilp S. Effects of multifaceted nurse-coaching intervention on diabetic complications and satisfaction of persons with type 2 diabetes. J Med Assoc Thai. 2009; 92(8):1102–1112.
12. Olsen JM, Nesbitt BJ. Health coaching to improve healthy lifestyle behaviors: An integrative review. Am J Health Promot. 2010; 25(1):e1–e12. http://dx.doi.org/10.4278/ajhp.090313-LIT-101.
13. Jeon HO, Kim O. The effects of an internet based coaching program for obesity management in hypertensive patients. Korean J Adult Nurs. 2011; 23(2):146–159.
14. 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.
15. Armstrong C, Wolever RQ, Manning L, Elam R 3rd, Moore M, Frates EP, et al. Group health coaching: Strengths, challenges, and next steps. Glob Adv Health Med. 2013; 2(3):95–102. http://dx.doi.org/10.7453/gahmj.2013.019.
16. Kim S, Kim HS, Cheong HY. Effects of a coaching-based childbirth program on anxiety and childbirth self-efficacy among primigravida women. Korean J Women Health Nurs. 2011; 17(4):369–377. http://dx.doi.org/10.4069/kjwhn.2011.17.4.369.
17. 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. J Nurs Acad Soc. 1996; 26(2):413–427.
18. Bae JI. Construction of a postpartum depression model [dissertation]. Seoul: Ewha Womans University;1996.
19. Korea Association of Diabetes Nurse Educator. Gestational diabetes [Internet]. Seoul: Author;2013. cited 2013 September 8. Available from: http://kadne.cafe24.com/bbs/board.php?bo_table=sub3_13&wr_id=8.
20. Park JY. A study for developing an effective group coaching process. J Korean Coaching Res. 2010; 3(1):41–64.
21. 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. J Korean Acad Soc Nurs Educ. 2008; 14(1):12–19.
22. Paek KS. The effect of a diabetic education program on self-care behavior and glucose metabolism in type 2 diabetic patients. J Korean Community Nurs. 2001; 12(2):390–396.
23. 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. Diabetes Educ. 2010; 36(4):629–639. http://dx.doi.org/10.1177/0145721710371523.
24. 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.
25. Radder JK, van Roosmalen J. HbA1c in healthy, pregnant women. Neth J Med. 2005; 63(7):256–259.
26. 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 Nurs Res (Korean Soc Nurs Sci). 2007; 1(2):106–115. http://dx.doi.org/10.1016/s1976-1317(08)60013-4.
27. 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. J Korean Acad Nurs. 2013; 43(1):69–80. http://dx.doi.org/10.4040/jkan.2013.43.1.69.
28. 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 Technol Ther. 2007; 9(3):297–306. http://dx.doi.org/10.1089/dia.2006.0034.
29. 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. Ann Fam Med. 2013; 11(2):137–144. http://dx.doi.org/10.1370/afm.1443.
30. Katon J, Williams MA, Reiber G, Miller E. Antepartum A1C, maternal diabetes outcomes, and selected offspring outcomes: An epidemiological review. Paediatr Perinat Epidemiol. 2011; 25(3):265–276. http://dx.doi.org/10.1111/j.1365-3016.2011.01195.x.
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