Strategies to optimize participation in diabetes prevention programs following gestational diabetes: a focus group study

Autor: Sabrina Pillay, Réjeanne Gougeon, Kaberi Dasgupta, Aaron Leong, Mirella De Civita, Sara Meltzer, Agnieszka Majdan, V. Tony Chetty, Simon L. Bacon, Deborah Da Costa, Stephen Stotland, Natasha Garfield
Rok vydání: 2013
Předmět:
Research design
Health Knowledge
Attitudes
Practice
Non-Clinical Medicine
lcsh:Medicine
Overweight
0302 clinical medicine
Endocrinology
Pregnancy
030212 general & internal medicine
lcsh:Science
Health Systems Strengthening
Qualitative Research
Multidisciplinary
Attendance
Obstetrics and Gynecology
Focus Groups
Qualitative Studies
Gestational diabetes
Medicine
Female
Health Services Research
Public Health
medicine.symptom
Behavioral and Social Aspects of Health
Research Article
Adult
medicine.medical_specialty
Clinical Research Design
030209 endocrinology & metabolism
03 medical and health sciences
Social support
medicine
Cardiovascular Diseases in Women
Humans
Reproductive Endocrinology
Social media
Obesity
Sports and Exercise Medicine
Nutrition
Diabetic Endocrinology
Internet
Health Care Policy
business.industry
lcsh:R
Social Support
Feeding Behavior
medicine.disease
Focus group
Diet
Diabetes
Gestational
Diabetes Mellitus
Type 2
Family medicine
Physical therapy
Women's Health
lcsh:Q
Preventive Medicine
Postpartum Care
business
Qualitative research
Zdroj: PLoS ONE
PLoS ONE, Vol 8, Iss 7, p e67878 (2013)
ISSN: 1932-6203
Popis: Objective We performed a qualitative study among women within 5 years of Gestational Diabetes (GDM) diagnosis. Our aim was to identify the key elements that would enhance participation in a type 2 diabetes (DM2) prevention program. Research Design and Methods Potential participants received up to three invitation letters from their GDM physician. Four focus groups were held. Discussants were invited to comment on potential facilitators/barriers to participation and were probed on attitudes towards meal replacement and Internet/social media tools. Recurring themes were identified through qualitative content analysis of discussion transcripts. Results Among the 1,201 contacted and 79 eligible/interested, 29 women attended a focus group discussion. More than half of discussants were overweight/obese, and less than half were physically active. For DM2 prevention, a strong need for social support to achieve changes in dietary and physical activity habits was expressed. In this regard, face-to-face interactions with peers and professionals were preferred, with adjunctive roles for Internet/social media. Further, direct participation of partners/spouses in a DM2 prevention program was viewed as important to enhance support for behavioural change at home. Discussants highlighted work and child-related responsibilities as potential barriers to participation, and emphasized the importance of childcare support to allow attendance. Meal replacements were viewed with little interest, with concerns that their use would provide a poor example of eating behaviour to children. Conclusions Among women within 5 years of a GDM diagnosis who participated in a focus group discussion, participation in a DM2 prevention program would be enhanced by face-to-face interactions with professionals and peers, provision of childcare support, and inclusion of spouses/partners.
Databáze: OpenAIRE
Externí odkaz: