‘Oh, I’ve got an appointment’: A qualitative interview study exploring how to support attendance at diabetes screening after gestational diabetes

Dennison, Rebecca A; Meek, Claire L; Usher‐Smith, Juliet A.; Fox, Rachel; Aiken, Catherine; Griffin, Simon J.

doi:10.1111/dme.14650

Cited by 8 publications

(10 citation statements)

References 28 publications

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“…Despite guidelines recommending that women who have been affected by GDM should be screened for glucose abnormalities during the postpartum period and beyond, uptake is typically low and a research team from Cambridge sought to explore the views of women with GDM about why. 2 They found that the current system is not easily compatible with family life, and suggest that greater flexibility in appointment location and times, including 'baby friendly' clinics, would be beneficial. Interestingly, the nature of the test itself was not found to be a barrier to attendance.…”

Section: Frailty Gestational Diabetes Shared Cancer Care and Positive Healthmentioning

confidence: 99%

Yonder: Frailty, gestational diabetes, shared cancer care, and Positive Health

Rashid¹

2021

Br J Gen Pract

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Section: Frailty Gestational Diabetes Shared Cancer Care and Positive Healthmentioning

confidence: 99%

Yonder: Frailty, gestational diabetes, shared cancer care, and Positive Health

Rashid¹

2021

Br J Gen Pract

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“…Our previous systematic review informed the interview guide and suggestion cards, which were adapted from 20 recommendations (Fig 1 and S1 Table) [17]. The first part of the interview focused on diet and physical activity while the second part focused on screening for T2DM (reported separately [23]); ten suggestion cards were used as prompts in each part. We conducted three pilot interviews and collected written feedback from our patient and public involvement group, composed of mothers with GDM.…”

Section: Interview Processmentioning

confidence: 99%

“…due to natural distractions or initiating a different train of thought). We then discussed how to facilitate attendance at diabetes screening after GDM in the second part of the interview [23]. Finally, demographic information (including age band, ethnic group, employment status and pregnancy history) and interview feedback were collected through a short questionnaire.…”

Section: Plos Onementioning

confidence: 99%

“Post-GDM support would be really good for mothers”: A qualitative interview study exploring how to support a healthy diet and physical activity after gestational diabetes

et al. 2022

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Background Women with a history of gestational diabetes mellitus (GDM) are at high risk of developing type 2 diabetes mellitus (T2DM). They are therefore recommended to follow a healthy diet and be physically active in order to reduce that risk. However, achieving and maintaining these behaviours in the postpartum period is challenging. This study sought to explore women’s views on suggested practical approaches to achieve and maintain a healthy diet and physical activity to reduce T2DM risk. Methods Semi-structured interviews with 20 participants in Cambridgeshire, UK were conducted at three to 48 months after GDM. The participants’ current diet and physical activity, intentions for any changes, and views on potential interventions to help manage T2DM risk through these behaviours were discussed. Framework analysis was used to analyse the transcripts. The interview schedule, suggested interventions, and thematic framework were based on a recent systematic review. Results Most of the participants wanted to eat more healthily and be more active. A third of the participants considered that postpartum support for these behaviours would be transformative, a third thought it would be beneficial, and a third did not want additional support. The majority agreed that more information about the impact of diet and physical activity on diabetes risk, support to exercise with others, and advice about eating healthily, exercising with a busy schedule, monitoring progress and sustaining changes would facilitate a healthy diet and physical activity. Four other suggested interventions received mixed responses. It would be acceptable for this support to be delivered throughout pregnancy and postpartum through a range of formats. Clinicians were seen to have important roles in giving or signposting to support. Conclusions Many women would appreciate more support to reduce their T2DM risk after GDM and believe that a variety of interventions to integrate changes into their daily lives would help them to sustain healthier lifestyles.

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“…15 Some women appreciate their GP reminding them about follow-up screening recommendations. 16 General reminder interventions have been found to increase participation in international studies, 13,[17][18][19] and a systematic review has indicated that reminder interventions were perceived as helpful by women. 15 However, only a single survey examined women's views on receiving a reminder.…”

Section: Introductionmentioning

confidence: 99%

A kind reminder—A qualitative process evaluation of women's perspectives on receiving a reminder of type 2 diabetes follow‐up screening after gestational diabetes

Nedergaard

Nielsen

Andersen

et al. 2022

Evaluation Clinical Practice

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Rationale, Aims and Objectives Women with previous gestational diabetes mellitus (GDM) are more than eight times more likely to develop type 2 diabetes (T2DM) compared to women without GDM. Annual follow‐up T2DM‐screening is recommended, but participation rates decrease rapidly after the first year. In the North Denmark Region, an electronic reminder has been tested with the aim of improving follow‐up care for women with prior GDM. The aim of this study was to explore women's perspectives on receiving an electronic reminder, and the role of reminders in both women's decision‐making and informed choice regarding participation in follow‐up screening. Methods A qualitative process evaluation informed by a critical realistic perspective. Data consisted of 20 semi‐structured interviews with women previously diagnosed with GDM who had received the reminder. Interviews were analyzed using reflexive thematic analysis. Results The reminder affected women's decision‐making and informed choices through a range of mechanisms. Its personalized design prompted feelings of co‐responsibility and care from the healthcare system, supported continuity in women's care pathways, and helped women bridge the gap between healthcare sectors. Women's perception of diabetes risk and the importance of follow‐up influenced their decision‐making. Participation in follow‐up screening was influenced by several contextual factors, as women's everyday life impeded their prioritizing follow‐up screening. Women who experienced being met by their general practitioner (GP) with acknowledgement rather than stigmatization and received supportive information tailored to their life situation were more motivated to participate in future follow‐up screenings. Conclusion The reminder indicated both concern and co‐responsibility for women's follow‐up care after GDM and was well received by the women. It supported participation in follow‐up screening through an emphasis on shared decision‐making and informed choice. Women's interaction with their GP played a significant role.

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‘Oh, I’ve got an appointment’: A qualitative interview study exploring how to support attendance at diabetes screening after gestational diabetes

Abstract: This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

Cited by 8 publications

References 28 publications

Yonder: Frailty, gestational diabetes, shared cancer care, and Positive Health

Yonder: Frailty, gestational diabetes, shared cancer care, and Positive Health

“Post-GDM support would be really good for mothers”: A qualitative interview study exploring how to support a healthy diet and physical activity after gestational diabetes

A kind reminder—A qualitative process evaluation of women's perspectives on receiving a reminder of type 2 diabetes follow‐up screening after gestational diabetes

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