Interventions | Content/ details | Places (to be implemented) | Pros | Cons | Included |
---|---|---|---|---|---|
Workshops for HCPsa | Interpersonal techniques for communicating with other HCPs and patients (including CALDb women), and PPMc | Primary and secondary care services | Motivational, Enhancing skills and knowledge | Lack of flexibility in time, expensive | Yes |
DVD | ‘Risk of unplanned pregnancy, and effective contraception methods’, ‘local support team’, ‘blood glucose targets, hypos and ketoacidosis’, ‘diet, delivery’ and ‘post-birth’ | Primary and secondary care services including pharmacies | Easily accessible and convenient | High cost, not sustainable (can be lost/or scratched) | No |
Web-based education program | PPM information, links to pre-existing YouTube channels in multiple languages e.g. Arabic and Vietnamese | Websites and social media | Easily accessible and convenient, no limits in content | Passive | Yes |
Courses for patients and their partners | The importance of PPM (e.g. glycaemic control, smoking cessation and physical activity) and use of effective contraception | Primary and secondary care services, women’s health clinics | Motivational, they can ask questions | High cost, lack of flexibility in time | No |
Posters presentation /T.V screen advertisement | The importance of PPM with information about available local services (contact details for local HCPs) | Waiting rooms of primary and secondary care services, pharmacies, women’s health and fertility clinics | Easily visible, encourage an active response | Limited content | Yes |
Peer support/web chat | Sharing experiences about diabetes in pregnancy and services they have used | DCAPP social media | Easily accessible and convenient | Possibility of inaccuracy (Vulnerable to (cognitive) biases) | Yes |
Text message reminders | Links to the important websites, available resources (e.g. local pre-pregnancy clinics, social media) | Will be sent from the GP practices on regular bases (every six weeks) | Easily accessible and convenient | High cost | No |
Leaflets | Links to useful websites, potential risks of unplanned pregnancy and risk factors for potential complications | Primary and secondary care services, mail, pharmacies and women’s health clinics | Easy to access | High cost (if mailed), lack of interest (so common) | Yes |
Apps | ‘Risk of unplanned pregnancy, and effective contraception methods’, ‘local support team’, ‘blood glucose targets, hypos and ketoacidosis’, ‘diet, delivery’ and ‘post-birth’ | DCAPP website and social media, leaflets, and posters | Systematic approach, no cost to design (already existed) | Only available to smart-phone users | Yes |
Social media | Useful websites (e.g. NDSSd), updates/posts on the importance of PPM and contraception, and YouTube channel | Online (i.e. Facebook and Instagram) | High chance of being visited regularly | Only available to DCAPP social media followers | Yes |
Checklist software for general practitioners | Medication review, contraception advice, weight management strategies, importance of having optimal glycaemic control | GP surgeries | Systematic approach | High cost of design Needs to articulate with existing software | No |