Gestational diabetes: prospective interview‐study of the developing beliefs about health, illness and health care in migrant women

Hjelm, Katarina; Bard, Karin; Apelqvist, Jan

doi:10.1111/j.1365-2702.2012.04069.x

Cited by 31 publications

(84 citation statements)

References 35 publications

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“…We did not distinguish between time points but collated studies that collected data from 6 weeks to 10 years postpartum so we could not synthesize changes over time as reported by Hjelm et al [21]. We did not distinguish between time points but collated studies that collected data from 6 weeks to 10 years postpartum so we could not synthesize changes over time as reported by Hjelm et al [21].…”

Section: Strengths and Limitationsmentioning

confidence: 99%

“…Women in most studies were aware of the link between GDM and Type 2 diabetes but many did not recognize their personal risk [21,25,26,28,29,32,33,[36][37][38], thinking that they could go 'back to normal' [29] rather than make lifestyle changes. Women in most studies were aware of the link between GDM and Type 2 diabetes but many did not recognize their personal risk [21,25,26,28,29,32,33,[36][37][38], thinking that they could go 'back to normal' [29] rather than make lifestyle changes.…”

Section: Diabetes Risk Perception and Informationmentioning

confidence: 99%

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Women's views on lifestyle changes to reduce the risk of developing Type 2 diabetes after gestational diabetes: a systematic review, qualitative synthesis and recommendations for practice

et al. 2019

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Aims After gestational diabetes, many women exhibit behaviours that increase their risk of developing Type 2 diabetes. We aimed to systematically synthesize the literature that focuses on the views of women with a history of gestational diabetes on reducing their risk of developing diabetes postpartum through lifestyle and behaviour changes. Methods We identified qualitative studies that examined the views of women with a history of gestational diabetes towards healthy eating and physical activity, Type 2 diabetes risk management or their experience of a diabetes prevention programme, and conducted a thematic synthesis to develop descriptive and then analytical themes. We also evaluated the quality of each study and the confidence that we had in our findings. Results We included 21 articles after screening 23 160 citations and 129 full texts. We identified six themes of interacting influences on postpartum behaviour: role as mother and priorities; social support; demands of life; personal preferences and experiences; risk perception and information; and finances and resources (plus preferred format of interventions). These factors inhibited many women from addressing their own health, while they motivated others to persevere. We also developed 20 recommendations, most with high or moderate confidence, for effective promotion of healthy lifestyles in this population. Conclusions Many factors hinder healthy lifestyles after gestational diabetes, yet how women interpret them can motivate or prevent changes that reduce diabetes risk. As our recommendations emphasize, women's experiences and needs should be considered when designing strategies to promote healthier lifestyles in this population.

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Section: Strengths and Limitationsmentioning

confidence: 99%

Section: Diabetes Risk Perception and Informationmentioning

confidence: 99%

Women's views on lifestyle changes to reduce the risk of developing Type 2 diabetes after gestational diabetes: a systematic review, qualitative synthesis and recommendations for practice

et al. 2019

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“…Although several qualitative studies have examined how postpartum women interpret the impact of GDM on their future health, most of these studies were conducted outside of the United States [16][17][18][19][20]. Few studies have included African-American and Hispanic women [15].…”

mentioning

confidence: 95%

Perspectives on Prevention of Type 2 Diabetes After Gestational Diabetes: A Qualitative Study of Hispanic, African-American and White Women

Tang

Foster

Pumarino

et al. 2014

Matern Child Health J

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Women with gestational diabetes (GDM) have a fivefold higher risk of developing type 2 diabetes (T2DM). Furthermore, Hispanic and African-American women are disproportionately affected by GDM, but their views on prevention of T2DM after gestational diabetes are largely unknown. We conducted semi-structured interviews with 23 women (8 Hispanic, 8 African-American, 7 non-Hispanic White) from two academic clinics in Chicago, IL. Interview questions elicited perspectives on prevention of T2DM; the interview protocol was developed based on the Health Belief Model. Two investigators applied template analysis to identify emergent themes. Women conceptualized risk for T2DM based on family history, health behaviors, and personal history of GDM. A subgroup of women expressed uncertainty about how GDM influences risk for T2DM. Women who described a strong link between GDM and T2DM often viewed the diagnosis as a cue to action for behavior change. T2DM was widely viewed as a severe condition, and desire to avoid T2DM was an important motivator for behavior change. Children represented both a key motivator and critical barrier to behavior change. Women viewed preventive care as important to alert them to potential health concerns. Identified themes were congruent across racial/ethnic groups. Diagnosis with GDM presents a potent opportunity for engaging women in behavior change. To fully harness the potential influence of this diagnosis, healthcare providers should more clearly link the diagnosis of GDM with risk for future T2DM, leverage women's focus on their children to motivate behavior change, and provide support with behavior change during healthcare visits in the postpartum period and beyond.

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“…However, to our knowledge, this has never been tested regarding individuals with CD, so such a study would therefore be an interesting contribution to both researches in PBL as well as CD. Furthermore, there is a need for reducing the knowledge gap regarding knowledge about own management of residual symptoms among individuals with treated CD, as well as their beliefs concerning the underlying causes of these symptoms, which may guide a person's disease management behavior [15]. Therefore,…”

Section: Theoretical Frameworkmentioning

confidence: 99%

“…An individual's beliefs, which are based on the knowledge the person possesses [13], can affect a person's health status [14] and influence self-care measures [15]. Women suffering from CD consistently report more concerns than men related to the disorder and its management and have also stated a need to gain more knowledge [12,16].…”

Section: Camentioning

confidence: 99%

Perspectives on living with coeliac disease in remission : Daily life experiences, symptoms and well-being

Jacobsson¹

2015

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Gestational diabetes: prospective interview‐study of the developing beliefs about health, illness and health care in migrant women

Abstract: Pregnancy should be used as an opportunity to provide complete information about gestational diabetes mellitus and future health risks. This should continue after delivery and wishes for regular follow-ups should be met.

Cited by 31 publications

References 35 publications

Women's views on lifestyle changes to reduce the risk of developing Type 2 diabetes after gestational diabetes: a systematic review, qualitative synthesis and recommendations for practice

Women's views on lifestyle changes to reduce the risk of developing Type 2 diabetes after gestational diabetes: a systematic review, qualitative synthesis and recommendations for practice

Perspectives on Prevention of Type 2 Diabetes After Gestational Diabetes: A Qualitative Study of Hispanic, African-American and White Women

Perspectives on living with coeliac disease in remission : Daily life experiences, symptoms and well-being

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