Barriers and facilitators of self-monitoring of blood glucose engagement among women with gestational diabetes mellitus in China: A mixed-methods study

Guo, Jia; Long, Qing; Li, Junrong; Wang, Xin; Li, Yixuan; Jiang, Shan; Sun, Mei; Wiley, James; Chen, Jyu‐Lin

doi:10.1016/j.midw.2020.102797

Cited by 12 publications

(11 citation statements)

References 26 publications

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“…Passive coping items include characteristics of negative coping, for instance, “escaping troubles by neglecting or avoidance,” whereas active coping items include healthy activities, such as talking to people, actively seeking advice or help, and engaging in healthy hobbies and exercise. In prior research, the internal consistency (Cronbach's α) of the scale was 0.90 26 . In this study, it was 0.92 for active coping and 0.83 for passive coping.…”

Section: Methodssupporting

confidence: 47%

“…In prior research, the internal consistency (Cronbach's α) of the scale was 0.90. 26 In this study, it was 0.92 for active coping and 0.83 for passive coping.…”

Section: Questionnaire (Scsq)mentioning

confidence: 55%

“…The exclusion criteria were as follows: (a) other serious health problems with limited physical activity; (b) severe psychiatric disorders; or (c) diabetes mellitus diagnosed before pregnancy. More detailed information about the procedures of the parent study has been reported elsewhere 26 . There were 328 women who were eligible for the study and 323 women enrolled (five women declined because of schedule conflict).…”

Section: Methodsmentioning

confidence: 99%

“…More detailed information about the procedures of the parent study has been reported elsewhere. 26 There were 328 women who were eligible for the study and 323 women enrolled (five women declined because of schedule conflict).…”

Section: Design Samples and Settingsmentioning

confidence: 99%

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Determinants of elevated depressive symptoms in Chinese women with gestational diabetes mellitus

Huang

Wischik

Whittemore

et al. 2021

Birth

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Background Pregnant women with gestational diabetes mellitus (GDM) have a higher risk of developing elevated depressive symptoms than women without GDM. The aim of this study was to investigate the sociodemographic (eg, location), clinical (eg, health care–seeking behaviors), and psychological (eg, active coping skills) factors associated with elevated depressive symptoms in Chinese women with GDM. Methods This was a secondary data analysis of a cross‐sectional study among Chinese women with GDM. Data (n = 323) were collected in 2018 from two hospitals in Hunan Province in China. The Center for Epidemiological Survey Depression Scale was used, with a criterion score ≥20 indicative of clinically elevated depressive symptoms. Descriptive, bivariate, and multiple logistic regression analyses were completed. Findings The women had a mean age of 32.71 (SD = 5.17), and the majority were married (84.2%), college‐educated (65.6%), and with Han ethnicity (89.8%). About 68% of women had elevated depressive symptoms. Women with higher active coping scores were less likely (OR = 0.19, 95% CI: 0.10‐0.38) to have elevated depressive symptoms. Women from one geographical location (Changde) who had more emergency room visits had higher odds (OR = 3.10, 95% CI: 1.88‐5.10) of elevated depressive symptoms. Discussion There was a high co‐occurrence of GDM and elevated depressive symptoms among pregnant women in our sample. Assessment for depressive symptoms in women with GDM is warranted. More research about increasing active coping skills may improve health outcomes in women with GDM.

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Section: Methodssupporting

confidence: 47%

“…In prior research, the internal consistency (Cronbach's α) of the scale was 0.90. 26 In this study, it was 0.92 for active coping and 0.83 for passive coping.…”

Section: Questionnaire (Scsq)mentioning

confidence: 55%

Section: Methodsmentioning

confidence: 99%

Section: Design Samples and Settingsmentioning

confidence: 99%

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Determinants of elevated depressive symptoms in Chinese women with gestational diabetes mellitus

Huang

Wischik

Whittemore

et al. 2021

Birth

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“…The additional concerns for their health as well as those of their unborn child may lead to further psychological distress. This could exacerbate underlying health fears associated with race and the impact that it has on their clinical care [71] .…”

Section: Discussionmentioning

confidence: 99%

A systematic review and meta-analysis of gestational diabetes mellitus and mental health among BAME populations

et al. 2021

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Background: Gestational diabetes mellitus (GDM) is a common complication of pregnancy and is associated with an increased risk of mental health (MH) disorders including antenatal and postnatal depression (PND), anxiety and post-traumatic-stress-disorder (PTSD). We hypothesized GDM and MH disorders will disproportionately affect individuals from Black, Asian and Minority Ethnic backgrounds. Methods: A systematic methodology was developed, and a protocol was published in PROSPERO (CRD42020210863) and a systematic review of publications between 1st January 1990 and 30th January 2021 was conducted. Multiple electronic databases were explored using keywords and MeSH terms. The finalised dataset was analysed using statistical methods such as random-effect models, subgroup analysis and sensitivity analysis. These were used to determine odds ratio (OR) and 95% confidence intervals (CI) to establish prevalence using variables of PND, anxiety, PTSD and stress to name a few. Findings: Sixty studies were finalised from the 20,040 data pool. Forty-six studies were included systematically with 14 used to meta-analyze GDM and MH outcomes. A second meta-analysis was conducted using 7 studies to determine GDM risk among Black, Asian and Minority Ethnic women with pre-existing MH disorders. The results indicate an increased risk with pooled adjusted OR for both reflected at 1.23, 95% CI of 1.00À1.50 and 1.29, 95% CI of 1.11À1.50 respectively. Interpretation: The available studies suggest a MH sequalae with GDM as well as a sequalae of GDM with MH among Black, Asian and Minority Ethnic populations. Our findings warrant further future exploration to better manage these patients.

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Self‐reported barriers in self‐management of women with gestational diabetes: A systematic review of qualitative studies

Xu,

Han,

Chen

et al. 2023

Nursing Open

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AimTo provide a systematic review of the qualitative literature on self‐reported barriers to self‐management in pregnant women with gestational diabetes mellitus (GDM).DesignSystematic review.MethodsThis systematic review followed the Joanna Briggs Institute meta‐aggregation approach and was evaluated using the Joanna Briggs Institute Critical Appraisal Checklist for Qualitative Research. Qualitative studies on the barriers to self‐management among GDM pregnancy survivors conducted until 17 May 2022, were searched.ResultsA total of 30 studies were included, of which seven were in Chinese and 23 were in English, and 10 findings resulted in three themes: (a) Knowledge and belief, (b) Skills and abilities and (c) Environment and social support. By summarizing the self‐reported barriers to self‐management in patients with GDM and recommends precise interventions for these barriers, thereby saving health resources and helping to increase their willingness and ability to engage in self‐management.

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Barriers and facilitators of self-monitoring of blood glucose engagement among women with gestational diabetes mellitus in China: A mixed-methods study

Cited by 12 publications

References 26 publications

Determinants of elevated depressive symptoms in Chinese women with gestational diabetes mellitus

Determinants of elevated depressive symptoms in Chinese women with gestational diabetes mellitus

A systematic review and meta-analysis of gestational diabetes mellitus and mental health among BAME populations

Self‐reported barriers in self‐management of women with gestational diabetes: A systematic review of qualitative studies

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