Supporting Your Pregnancy Programme: developing and piloting a digital-based self-management education tool to improve pregnancy outcomes in EOT2D

Background: Interventions to improve pregnancy outcomes in women with early-onset type 2 diabetes (EOT2D) are under-researched but urgently needed. Self-management programmes improve health outcomes in non-pregnant people with T2D.

Aim: Improve health outcomes in women with EOT2D who are pregnant or planning pregnancy by developing and piloting a novel self-management programme to address modifiable risk factors for suboptimal outcomes.

Methods: Work Package (WP) 1: Identify modifiable risk factors for suboptimal pregnancy outcomes in an observational study of 400 pregnant women with EOT2D.

WP2: With PPI participants, co-develop a hybrid-digital programme (Supporting Your Pregnancy) and associated tools for women with EOT2D in pregnancy.

Existing content from an evidence-based, digital T2D self-management programme (MyDESMOND) will be modified, peer support opportunities will be added, and new educational content written for this new population. WP3: Inform the design of a future pivotal trial by collecting required data and testing key design decisions.

Women with EOT2D (n=50) who are pregnant or planning pregnancy will be recruited to a parallel, open-label, randomised controlled pilot study of the intervention (Supporting Your Pregnancy) or control (standard care). PPI activities will include input into study documents/processes, recruitment, and dissemination.

Dissemination will include social media, face-to-face communication, and press releases.