Mothers' Perspectives on a Mother/Infant Dyad Postpartum Primary Care Program Following Gestational Diabetes Mellitus: A Qualitative Pilot Study.

Autor:	Brown JA; Division of Epidemiology, The Ohio State University College of Public Health, Columbus, Ohio.; Division of General Internal Medicine, The Ohio State University College of Medicine, Columbus, Ohio., Leonard M; Ohio Colleges of Medicine Government Resource Center, Columbus, Ohio., Clinton T; Department of Obstetrics and Gynecology, Henry Ford Health System, Detroit, Michigan., Bower JK; Division of Epidemiology, The Ohio State University College of Public Health, Columbus, Ohio., Gillespie SL; The Martha S. Pitzer Center for Women, Children and Youth, The Ohio State College of Nursing, Columbus, Ohio., Fareed N; CATALYST, Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Columbus, Ohio.; Department of Biomedical Informatics, College of Medicine, The Ohio State University, Columbus, Ohio., Thomas N; Division of General Internal Medicine, The Ohio State University College of Medicine, Columbus, Ohio., Prater L; Division of General Internal Medicine, The Ohio State University College of Medicine, Columbus, Ohio.; Harborview Injury Prevention and Research Center, Harborview Medical Center, University of Washington, Seattle, Washington.; Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, Washington., Lorenz A; Ohio Colleges of Medicine Government Resource Center, Columbus, Ohio., May S; Ohio Colleges of Medicine Government Resource Center, Columbus, Ohio., Voisin C; Division of General Internal Medicine, The Ohio State University College of Medicine, Columbus, Ohio., Thung S; Division of General Obstetrics and Gynecology, The Ohio State University College of Medicine, Columbus, Ohio., Oza-Frank R; Bureau of Maternal, Child and Family Health, Ohio Department of Health, Columbus, Ohio., Bose Brill S; Division of General Internal Medicine, The Ohio State University College of Medicine, Columbus, Ohio.
Jazyk:	angličtina
Zdroj:	The science of diabetes self-management and care [Sci Diabetes Self Manag Care] 2022 Aug; Vol. 48 (4), pp. 247-257. Date of Electronic Publication: 2022 Jun 04.
DOI:	10.1177/26350106221100539
Abstrakt:	Purpose: The purpose of this study is to characterize mothers' experiences within a mother/infant dyad postpartum primary care program (Dyad) following gestational diabetes mellitus (GDM) to inform improvements in the delivery of care. Methods: A qualitative pilot study of women (n = 10) enrolled in a mother/infant Dyad program was conducted in a primary care practice at a large, urban academic medical center. Respondents were asked a series of open-ended questions about their experience with GDM, the Dyad program, and health behaviors. Interviews were audio-recorded, transcribed verbatim, and analyzed using ground theory with NVivo 12 Plus software. Results: Three key themes emerged: (1) Dyad program experience, (2) implementation of health behavior changes, and (3) acknowledgment of future GDM and type 2 diabetes mellitus (T2DM) health risks. Respondents felt that the program conveniently served mother and infant health care needs in a single appointment. Respondents also valued support from primary care providers when implementing health behavior changes. The Dyad program provided an opportunity for respondents to understand their current and future risk for developing GDM and T2DM. Conclusions: Postpartum women enrolled in the Dyad program received highly personalized primary care services. The results of our study will help integrate patient-centered strategies into models for GDM care to maintain patient engagement in postpartum clinical services.
Databáze:	MEDLINE
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