Lived experience of gestational diabetes mellitus among immigrant South Asian women in Australia

Bandyopadhyay, Mridula; Small, Rhonda; Davey, Mary‐Ann; Oats, Jeremy; Forster, Della; Aylward, Amanda

doi:10.1111/j.1479-828x.2011.01322.x

Cited by 98 publications

(139 citation statements)

References 19 publications

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“…This study, in agreement with others [11,14,10,18], found that the overseas-bornwomen experienced additional barriers; lack of partner, family and social support resulting in isolation and stress, and diverse cultural preferences and expectations.…”

Section: Discussionsupporting

confidence: 79%

“…These studies reported barriers such as lack of assistance with childcare, mental distress, low partner and social support, resulting in poor compliance with the healthy lifestyle following childbirth [10,11,14].…”

Section: Introductionmentioning

confidence: 99%

“…The healthy diet and physical activity (referred to as a healthy-lifestyle) is recommended for the duration of pregnancy, after childbirth [9] and for the rest of their lives due to their increased T2D risk. Evidence shows that many women follow a healthy lifestyle during pregnancy, but fail to continue after childbirth [10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

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Barriers to a healthy lifestyle post gestational-diabetes: An Australian qualitative study

et al. 2017

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General rightsThis document is made available in accordance with publisher policies. Please cite only the published version using the reference above. Full terms of use are available: http://www.bristol.ac.uk/pure/about/ebr-terms 1 Barriers to a healthy lifestyle post gestational-diabetes: an Australian qualitative study. 2 AbstractBackground: Overseas-born-women from certain ethnicities are at high risk of type-2 diabetes and related metabolic disorders. This study explored the barriers and facilitators to long-term healthy lifestyle recommendations among Australian-born and overseas-born-women who attended health promotion sessions at a tertiary Australian Hospital for gestational diabetes 3-4 years previously.Method; Face-to-face semi-structured interviews were conducted. Data were analyzed to identify major themes and the differing experiences of both groups of women. Conclusion.A better understanding of the barriers to healthy lifestyle by women in their everyday lives will assist in the development of culturally appropriate health promotion guidelines and strategies. Constant un-fragmented postnatal engagement by the specialised diabetes clinics and primary health care services is crucial to sustain the healthy lifestyle in the long-term for women with previous gestational-diabetes.

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Section: Discussionsupporting

confidence: 79%

Section: Introductionmentioning

confidence: 99%

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Barriers to a healthy lifestyle post gestational-diabetes: An Australian qualitative study

et al. 2017

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“…However, it was reassuring that those prescribed insulin reported feeling better on the regime, Bandyopadhyay et al (2011) reported similar findings. This cycle of emotions identifies an area of education which needs to be strengthened.…”

Section: Interpretation Of Findingsmentioning

confidence: 81%

Exploring the needs, concerns and knowledge of women diagnosed with gestational diabetes: A qualitative study

et al. 2016

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General rights Copyright for the publications made accessible via the Queen's University Belfast Research Portal is retained by the author(s) and / or other copyright owners and it is a condition of accessing these publications that users recognise and abide by the legal requirements associated with these rights. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting galley proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. 3 An increased knowledge of the needs and concerns of women with GDM would provide the multidisciplinary diabetes care team and other health care professionals (HCP's), including midwives, with a better understanding on how to support, encourage and educate women to manage their condition more effectively. Long term this could potentially improve pregnancy outcome, helping to reduce the future risk of type 2 diabetes in this population and subsequently pressure on healthcare systems. The aim of this study is therefore to explore the concerns, needs and knowledge of women diagnosed with GDM. Research design and methodsThis qualitative study used focus group methodology, to encourage the generation of ideas and expression of shared experiences and common viewpoints within a group of peers. Eligible participants were identified by the Diabetes Care Team at three National HealthService (NHS) hospitals in the United Kingdom. Women were given an invitation letter at a routine clinic appointment, and those interested in participating completed a permission slip, which allowed the researcher to contact them, and invite them to attend a focus group.Women aged 18-45 years and currently pregnant with GDM, or with a history of GDM in a recent pregnancy (up to 12 months post-natal) were eligible to participate. Those unable to adequately understand verbal explanations in English or who had special communication needs were excluded.Eighty-one women expressed an interest in attending a focus group. Sessions were scheduled at various times and venues in an attempt to suit women and their working and family lives.From this number 38 were enrolled on the study. The remaining women who had expressed an interest in participating were either not able to make it to the scheduled focus group or were no longer contactable. Of the 38 enrolled, five were unwell or in hospital on the day, two delivered before the scheduled session and twelve did not attend the focus group. Focus group discussion topicsThe following topic areas were discussed with the women: 1) current knowledge of GDM; 2)anxiety following the diagnosis of GDM, and whether this changed overtime; 3) understanding and managing GDM and 4) the future impact of GDM. Descriptive qualitative analys...

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“…13 Both techniques are well-accepted methods of qualitative research and have been used in studies regarding numerous disease states, including diabetes mellitus. [15][16][17][18][19][20] Interpretative phenomenology is an assessment technique used to gather qualitative data, 12 while thematic analysis is a technique used to analyze data obtained through qualitative research. [21][22][23] In thematic analysis, the researcher identifies patterns and themes in a subject's life and/or behavior, 14 which, in this study, consisted of a retrospective detailed investigation of participants' reflective writing about their active-learning diabetes simulation experience.…”

Section: Evauation and Assessmentmentioning

confidence: 99%

Active-Learning Diabetes Simulation in an Advanced Pharmacy Practice Experience to Develop Patient Empathy

Whitley

2012

American Journal of Pharmaceutical Education

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Objective. To develop and integrate an active-learning diabetes simulation into an advanced pharmacy practice experience to improve pharmacy students' empathy toward patients with diabetes mellitus. Design. Students simulated the experience of having diabetes mellitus by conducting activities commonly prescribed to those with this disease state for 7 days, after which they submitted a standardized diabetes log and narrative reflection. Interpretive phenomenology design with thematic analysis was used to determine the impact of this experience on the students. Assessment. As shown in student reflections, 95% developed empathy, 97% found the experience beneficial, and 67% improved their ability to relate to and counsel patients. Most (95%) found difficulty adhering to the regimen. On average, students consumed 179 grams of carbohydrates per day and exercised 5 days or 215 minutes per week. Additionally, 69% decided to modify their personal habits to become healthier. Conclusions. Inclusion of the 7-day active-learning exercise greatly impacted student pharmacists' self-reported empathy toward and ability to relate to patients with diabetes mellitus. Completion of this experience may result in long-lasting personal behavior modifications.

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Lived experience of gestational diabetes mellitus among immigrant South Asian women in Australia

Abstract: South Asian women require culturally appropriate advice regarding strategies to reduce their risk of GDM as early as possible in pregnancy, ideally at the time pregnancy is confirmed.

Cited by 98 publications

References 19 publications

Barriers to a healthy lifestyle post gestational-diabetes: An Australian qualitative study

Barriers to a healthy lifestyle post gestational-diabetes: An Australian qualitative study

Exploring the needs, concerns and knowledge of women diagnosed with gestational diabetes: A qualitative study

Active-Learning Diabetes Simulation in an Advanced Pharmacy Practice Experience to Develop Patient Empathy

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