Feasibility of a Lifestyle Intervention Program for Prevention of Diabetes Among Women With Prior Gestational Diabetes Mellitus (LIVING Study) in South Asia: A Formative Research Study.

Autor:	Tewari A; George Institute for Global Health, New Delhi, India., Praveen D; George Institute for Global Health, New Delhi, India.; University of New South Wales, Sydney, NSW, Australia.; Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India., Madhira P; George Institute for Global Health, New Delhi, India., Josyula LK; George Institute for Global Health, New Delhi, India.; University of New South Wales, Sydney, NSW, Australia.; Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, India., Joshi R; George Institute for Global Health, New Delhi, India.; The George Institute for Global Health, University of New South Wales, Newtown, NSW, Australia., Kokku SB; George Institute for Global Health, New Delhi, India., Garg V; Manav Rachna International Institute of Research and Studies (MRIIRS), Faridabad, India., Rawal I; Centre for Chronic Disease Control, New Delhi, India., Chopra K; All India Institute of Medical Sciences, New Delhi, India., Chakma N; International Center for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh., Ahmed S; International Center for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh.; Shiga University of Medical Science, Otsu, Japan., Pathmeswaran A; Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka., Godamunne P; Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka., Lata AS; Sitaram Bhartia Institute of Science and Research, New Delhi, India., Sahay R; Department of Endocrinology, Osmania Medical College, Hyderabad, India., Patel T; University of Delhi, New Delhi, India., Gupta Y; All India Institute of Medical Sciences, New Delhi, India., Tandon N; All India Institute of Medical Sciences, New Delhi, India., Naheed A; International Center for Diarrhoeal Disease Research Bangladesh (icddr,b), Dhaka, Bangladesh., Patel A; The George Institute for Global Health, University of New South Wales, Newtown, NSW, Australia., Kapoor D; All India Institute of Medical Sciences, New Delhi, India.
Jazyk:	angličtina
Zdroj:	Frontiers in global women's health [Front Glob Womens Health] 2020 Nov 27; Vol. 1, pp. 587607. Date of Electronic Publication: 2020 Nov 27 (Print Publication: 2020).
DOI:	10.3389/fgwh.2020.587607
Abstrakt:	Aim: To refine and contextually adapt a postpartum lifestyle intervention for prevention of type 2 diabetes mellitus (T2DM) in women with prior gestational diabetes mellitus (GDM) in Bangladesh, India, and Sri Lanka. Materials and Methods: In-depth interviews (IDIs) and focus group discussions (FGDs) were conducted with women with current diagnosis of GDM, and health care professionals involved in their management, to understand relevant local contextual factors for intervention optimization and implementation. This paper describes facilitators and barriers as well as feedback from participants on how to improve the proposed intervention. These factors were grouped and interpreted along the axes of the three main determinants of behavior-capability, opportunity, and motivation. IDIs and FGDs were digitally recorded, transcribed, and translated. Data-driven inductive thematic analysis was undertaken to identify and analyze patterns and themes. Results: Two interrelated themes emerged from the IDIs and FGDs: (i) The lifestyle intervention was acceptable and considered to have the potential to improve the existing model of care for women with GDM; and (ii) Certain barriers such as reduced priority of self-care, and adverse societal influences postpartum need to be addressed for the improvement of GDM care. Based on the feedback, the intervention was optimized by including messages for family members in the content of the intervention, providing options for both text and voice messages as reminders, and finalizing the format of the intervention session delivery. Conclusion: This study highlights the importance of contextual factors in influencing postpartum care and support for women diagnosed with GDM in three South Asian countries. It indicates that although provision of postpartum care is complex, a group lifestyle intervention program is highly acceptable to women with GDM, as well as to health care professionals, at urban hospitals. Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. (Copyright © 2020 Tewari, Praveen, Madhira, Josyula, Joshi, Kokku, Garg, Rawal, Chopra, Chakma, Ahmed, Pathmeswaran, Godamunne, Lata, Sahay, Patel, Gupta, Tandon, Naheed, Patel and Kapoor.)
Databáze:	MEDLINE
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