Barriers and facilitating factors in the prevention of diabetes type II and gestational diabetes in vulnerable groups: protocol for a scoping review

Breuing, Jessica; Pieper, Dawid; Neuhaus, Annika Lena; Heß, Simone; Lütkemeier, Lena; Haas, Fabiola; Spiller, Mark; Gräf, Christine

doi:10.1186/s13643-018-0919-y

Cited by 6 publications

(5 citation statements)

References 12 publications

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“…Prior studies have reported similar results; for instance, Craig et al [ 20 ] affirmed that a diagnosis of GDM has far-reaching implications that affect a wide range of women. The present biological approach utilized in the management of GDM is excessively fetal-centric and fails to recognize crucial psychological variables that contribute to women’s overall welfare and experience of pregnancy, according to Muhawva et al [ 21 ].…”

Section: Resultsmentioning

confidence: 99%

Self-management and self-efficacy of women with gestational diabetes mellitus: a systematic review

Karavasileiadou

Almegewly

Alanazi

et al. 2022

Global Health Action

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Background Gestational diabetes mellitus (GDM) is a temporary form of diabetes induced by pregnancy and is potentially harmful to both the mother and fetus The impact of GDM diagnosis on pregnant women needs to be taken into account. This is related to the capacity for self-management of GDM, for which quality evidence is still lacking. Objective to identify several aspects of self-management and self- efficacy for women with GDM. Method Electronic databases were searched for studies related to the self-management, self-efficacy, and glycemic control of women with GDM, from January 2012 to January 2021. The extraction of study features was based on study location, reported research aims, study design, methodology, and the analytical approach, using Endnote Version X7.7.1. The Critical Appraisal Skills Program Qualitative Checklist (CASP) was used to assess quality, as recommended by the Cochrane Qualitative Research Methods Group. Results Ten out of 70 studies were identified as meeting the established criteria and including a diverse population. The synthesis revealed seven major themes: preliminary psychological impact, communicating the diagnosis, knowledge of GDM, self-efficacy and self-management of GDM, risk perception, the burden of GDM, and gaining control. The benefits of a diagnosis were behavioral and were mostly crystalized if a particular level of self-management and self-efficacy was reached and women were able to have specific control over their diet and body weight. On the other hand, women reported that the diagnosis increased their responsibility, as they had to take extra precautions regarding their dietary regimen. Conclusion Self-management and self-efficacy for GDM management are possible, despite the psychological hurdles that most women confront. There is still potential for improvement in terms of developing a healthy lifestyle that not only manages GDM for the best pregnancy result, but also prevents diabetes after pregnancy.

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Section: Resultsmentioning

confidence: 99%

Self-management and self-efficacy of women with gestational diabetes mellitus: a systematic review

Karavasileiadou

Almegewly

Alanazi

et al. 2022

Global Health Action

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“…This project was commissioned by the Federal Center for Health Education in Germany as part of the national education and communication strategy on diabetes mellitus. The project consists of two scoping reviews, one aimed to identify barriers and facilitating factors [ 12 ] and the other aimed to identify communication strategies for diabetes prevention in vulnerable groups. This report focuses on communication strategies.…”

Section: Methodsmentioning

confidence: 99%

Communication strategies in the prevention of type 2 diabetes and gestational diabetes in vulnerable groups: a scoping review

et al. 2021

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Background The global prevalence of diabetes is nearly 9%, with an upward trend in type 2 diabetes mellitus (T2DM) and gestational diabetes (GDM). Although evidence shows that vulnerable groups are affected disproportionally, these groups are difficult to reach in terms of preventive measures. Currently, there is no gold standard regarding communication strategies and/or public awareness campaigns. Methods We conducted a scoping review in September 2019. Two reviewers independently screened the results of the electronic literature search in several databases, including Medline, EMBASE, and PsycINFO. Extracted data were charted, categorized, and summarized. Results All of the included articles (n=24) targeted T2DM; none targeted GDM. We identified the following five different vulnerable groups within the identified studies: migrants (n=9), ethnic groups such as African Americans (n=8), people with low socioeconomic status (n=3), older people (n=1), and people in need of care (n=1). Three categories of communication strategies were identified as follows: adapted diabetes prevention programs (n=21), community health workers (n=5), and technical approaches (n=9). Conclusion We found different approaches for preventive interventions for T2DM. Some of these approaches were already adapted to known barriers. Communication strategies should be adapted to barriers and facilitating factors to increase participation and motivation.

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“…It is important to bear in mind that most of the studies from developed countries focused on the psychosocial risk factors associated with GDM in vulnerable groups, immigrant populations or specific ethnic groups, which could be related to the fact that these types of groups present characteristics such as obesity, low level of education and financial difficulties that act as risk factors for developing GDM [118] (Table 2).…”

Section: Itemmentioning

confidence: 99%

Psychosocial Risk Factors Associated with Gestational Diabetes Mellitus a Scoping Review

Maury-Mena¹

2022

JQHE

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Introduction: The prevalence of gestational diabetes mellitus (GDM) has increased worldwide and, of course, adverse outcomes for the health of the mother, fetus and neonate, and the resulting healthcare costs have increased. The World Health Organization affirms that healthy lifestyle habits that go with physical, mental, and psychosocial health and range from preconception to postpartum are essential to achieve successful pregnancies. Objective: Conducting a scoping review of the psychosocial risk factors associated with GDM. Materials and Methods: The databases consulted were PubMed / Medline and Cochrane. Studies on psychosocial risk factors in pregnant women older than 18 years, with a diagnosis of GDM, from 2010 to 2020, in English and Spanish, published in peer-reviewed journals, were selected. A standardized data extraction form was developed. Results: 1188 articles on this topic were found, 93 of which were selected according to the inclusion criteria. The findings yielded several main issues such as conflicts with cultural practices, social stigma, influence of ethnicity / race, low educational level, sleep quality, physical limitations, problems with breastfeeding, concern for the health of the mother and baby, low perception of risk of GDM and DM2 in the future, stress, anxiety and depression, limited knowledge about GDM, lack of partner / family / social support, low levels of self-care and self-efficacy in glycemic control, lack of support from health professionals and difficulties with changes in lifestyle. Discussion and Conclusion: All the identified psychosocial risk factors must be taken into account either by adapting existing prevention and promotion programs or by developing new programs. Interventions should not end with pregnancy and the psychological impact and risk of developing T2D after delivery should be considered, as well as multiethnic populations and the most demographically and socioeconomically vulnerable groups. In addition, they should be included in the Clinical Practice Guidelines and in prevention, promotion and intervention programs for the health and quality of life of women with GDM.

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Barriers and facilitating factors in the prevention of diabetes type II and gestational diabetes in vulnerable groups: protocol for a scoping review

Cited by 6 publications

References 12 publications

Self-management and self-efficacy of women with gestational diabetes mellitus: a systematic review

Self-management and self-efficacy of women with gestational diabetes mellitus: a systematic review

Communication strategies in the prevention of type 2 diabetes and gestational diabetes in vulnerable groups: a scoping review

Psychosocial Risk Factors Associated with Gestational Diabetes Mellitus a Scoping Review

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