A Comparative Study of Face-to-Face and Social Media-Based Education on Self-Efficacy and Health Literacy in Women with Gestational Diabetes

  • Marzieh Torshizi School of Nursing and Midwifery, Birjand University of Medical Sciences, Birjand, Iran
  • Azam Saeidikia Department of Nursing, Faculty of Nursing and Midwifery, Zahedan University of Medical Sciences, Zahedan, Iran
  • Seyyedeh Adeleh Rahmanian Shirvan School of Nursing, North Khorasan University of Medical Sciences, Bojnurd, Iran
  • Mohaddeseh Hosseinzadeh Department of Nursing, Ferdows Faculty of Medical Sciences, Birjand University of Medical Sciences, Birjand, Iran
Keywords: Gestational diabetes, Patient education, Social media, Self-efficacy, Health literacy

Abstract

Background: Gestational diabetes is one of the most common pregnancy-related disorders and is associated with adverseoutcomes for both mother and fetus. Enhancing health literacy and self-efficacy in these patients plays a key role in better diseasemanagement. This study aimed to compare the effects of face-to-face education and social media-based education on self-efficacy and health literacy among pregnant women with gestational diabetes.

Methods: This quasi-experimental study was conducted with the participation of 75 pregnant women diagnosed with gestationaldiabetes, who were randomly assigned to three groups: face-to-face education, virtual (social media-based) education, and control(25 participants in each group). The educational intervention lasted four weeks for the two intervention groups. Researchinstruments included self-efficacy and health literacy questionnaires, which were completed before and after the intervention.

Results: The mean scores of self-efficacy and health literacy significantly increased in both the face-to-face and social media-based education groups after the intervention (p < 0.05), whereas no significant change was observed in the control group. Posthoc analysis revealed that the mean changes in the intervention groups were significantly greater than those in the control group;however, no significant difference was found between the two intervention groups.

Conclusion: Both face-to-face and social media-based education are effective approaches to improving self-efficacy and healthliteracy in pregnant women with gestational diabetes. Given the widespread accessibility of technology, virtual education can beconsidered a complementary method to promote health indicators in this patient population.

Published
2026-06-28
Section
Articles