Development of Guidelines for Promote Health Literacy for Pregnant at Risk of Gestational Diabetes at Praajarnban Tanakaro Hospital.

Abstract

This study adopted a mixed-methods research design, comprising a cross-sectional survey and a quasi-experimental approach utilizing a one-group pretest-posttest design. The primary objective was to develop a structured guideline for promoting health literacy among pregnant women at risk of gestational diabetes mellitus (GDM) at Phra Ajarn Baen Thanakaro Hospital. The research was conducted in four systematic phases between October 2024 and April 2025. The sample consisted of 30 pregnant women with elevated blood glucose levels receiving antenatal care at the hospital. The data collection instruments included a five-point Likert scale questionnaire and an open-ended questionnaire. Data were analyzed using descriptive statistics and paired t-tests to compare pre- and post-intervention health literacy scores. The results demonstrated that, before the intervention, health literacy was predominantly at moderate (50.0%) and low (20.0%) levels. Post-intervention analysis revealed a statistically significant improvement in health literacy scores (p < 0.0001). Participants also reported a high levels of satisfaction with the guidelines (mean score = 4.44, SD = 0.57), particularly appreciating the comprehensiveness of the content and the personal guidance provided by healthcare professionals.The developed guideline presents a contextually relevant and scalable approach to health promotion among at-risk pregnant populations. Its implementation holds the potential to mitigate the incidence of gestational complications, thereby fostering improved maternal and neonatal health outcomes across healthcare settings.