Strategies to Optimize Participation in Diabetes Prevention Programs following Gestational Diabetes: A Focus Group Study
Strategies to Optimize Participation in Diabetes Prevention Programs following Gestational Diabetes: A Focus Group Study
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DOI：
10.1371/journal.pone.0067878
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发表时间：
2013-07-04
期刊：
影响因子：
3.7
通讯作者：
Meltzer, Sara
中科院分区：
文献类型：
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作者：
Dasgupta, Kaberi;Da Costa, Deborah;Meltzer, Sara
目的：我们对诊断为妊娠期糖尿病（GDM）5年内的女性进行了定性研究。我们的目的是确定的关键要素，将提高参与2型糖尿病（DM 2）prevention program.Research设计和方法：潜在的参与者收到了三封邀请信，从他们的GDM医生。举行了四个重点小组会议。讨论者被邀请就参与的潜在促进者/障碍发表评论，并探讨了对代餐和互联网/社交媒体工具的态度。通过对讨论记录的定性内容分析确定了经常性主题。结果：在1 201名接触者和79名合格/感兴趣的人中，29名妇女参加了焦点小组讨论。超过一半的讨论者超重/肥胖，不到一半的人参加体育活动。对于DM 2的预防，强烈需要社会支持，以实现饮食和体育活动习惯的改变。在这方面，最好是与同行和专业人员进行面对面的互动，并利用互联网/社交媒体发挥积极作用。此外，合作伙伴/配偶直接参与DM 2预防计划被认为是重要的，以加强支持在家里的行为改变。与会者强调，工作和与儿童有关的责任是参与的潜在障碍，并强调必须提供托儿支助，以便儿童能够上学。代餐被视为兴趣不大，担心他们的使用将提供一个贫穷的例子，饮食behaviortochildren.Conclusions：在5年内的GDM诊断谁参加了焦点小组讨论的妇女，参与DM 2预防计划将提高面对面的互动与专业人士和同龄人，提供托儿服务的支持，并列入配偶/伴侣。
Objective: We performed a qualitative study among women within 5 years of Gestational Diabetes (GDM) diagnosis. Our aim was to identify the key elements that would enhance participation in a type 2 diabetes (DM2) prevention program.Research Design and Methods: Potential participants received up to three invitation letters from their GDM physician. Four focus groups were held. Discussants were invited to comment on potential facilitators/barriers to participation and were probed on attitudes towards meal replacement and Internet/social media tools. Recurring themes were identified through qualitative content analysis of discussion transcripts.Results: Among the 1,201 contacted and 79 eligible/interested, 29 women attended a focus group discussion. More than half of discussants were overweight/obese, and less than half were physically active. For DM2 prevention, a strong need for social support to achieve changes in dietary and physical activity habits was expressed. In this regard, face-to-face interactions with peers and professionals were preferred, with adjunctive roles for Internet/social media. Further, direct participation of partners/spouses in a DM2 prevention program was viewed as important to enhance support for behavioural change at home. Discussants highlighted work and child-related responsibilities as potential barriers to participation, and emphasized the importance of childcare support to allow attendance. Meal replacements were viewed with little interest, with concerns that their use would provide a poor example of eating behaviour to children.Conclusions: Among women within 5 years of a GDM diagnosis who participated in a focus group discussion, participation in a DM2 prevention program would be enhanced by face-to-face interactions with professionals and peers, provision of childcare support, and inclusion of spouses/partners.