Protocol for a qualitative study exploring the perception of need, importance and acceptability of a digital diabetes prevention intervention for women with gestational diabetes mellitus during and after pregnancy in Malaysia (Explore-MYGODDESS).
Protocol for a qualitative study exploring the perception of need, importance and acceptability of a digital diabetes prevention intervention for women with gestational diabetes mellitus during and after pregnancy in Malaysia (Explore-MYGODDESS).
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DOI：
10.1136/bmjopen-2020-044878
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发表时间：
2021-08-26
期刊：
影响因子：
2.9
通讯作者：
MYGODDESS Project Team
中科院分区：
文献类型：
--
作者：
Sobri NHM;Ismail IZ;Hassan F;Papachristou Nadal I;Forbes A;Ching SM;Ali H;Goldsmith K;Murphy H;Guess N;Mohd Yusof BN;Basri NI;Salim MS;Azmiyaty C;Mohd Sa'id II;Chew BH;Ismail K;MYGODDESS Project Team
患有妊娠期糖尿病(GDM)的女性患2型糖尿病的风险增加，为了降低这种风险，女性必须采取健康的行为改变。尽管之前的研究已经探索了在妊娠期糖尿病妇女中发起行为改变的挑战和促进者，但来自马来西亚妇女的数据有限。因此，这项研究将探讨影响妇女及其保健提供者接受健康行为改变和使用数字技术支持妊娠期糖尿病妇女健康行为改变的因素。这项研究将根据能力、机会、动机以及行为和行为改变轮技术进行建模，并使用Dotti框架分别确定初步移动应用的需求、解决方案和测试。在第一阶段(设计和开发)，将与大约60名患有妊娠期糖尿病的 妇女和40名HCP(医生、营养师和护士)进行5-8人的焦点小组讨论。然后，从FGD合成的数据将与专家委员会的内容结合起来，为移动应用程序的开发提供信息。在第二阶段(早期迭代测试)，移动应用程序的预览版将在团队成员和应用程序开发人员中进行阿尔法测试，并使用半结构化访谈在30名患有妊娠期糖尿病或有妊娠期糖尿病病史的 女性和15名HCP中进行Beta测试。这一结果将使我们能够使用移动应用程序优化干预措施，作为糖尿病预防干预措施，然后将在随机对照试验中进行评估。该项目已获得马来西亚研究伦理委员会的批准。将获得所有参与者的知情同意。成果将在当地和国际会议上介绍，并提交同行评议的期刊上发表。
Women who develop gestational diabetes mellitus (GDM) have an increased risk of developing type 2 diabetes, and to reduce this risk the women have to adopt healthy behaviour changes. Although previous studies have explored the challenges and facilitators to initiate behaviour change among women with GDM, there is limited data from Malaysian women. Thus, this study will explore the factors affecting the uptake of healthy behaviour changes and the use of digital technology among women and their healthcare providers (HCPs) to support healthy behaviour changes in women with GDM. The study will be modelled according to the Capability, Opportunity, Motivation and Behaviour and Behaviour Change Wheel techniques, and use the DoTTI framework to identify needs, solutions and testing of a preliminary mobile app, respectively. In phase 1 (design and development), a focus group discussion (FGDs) of 5–8 individuals will be conducted with an estimated 60 women with GDM and 40 HCPs (doctors, dietitians and nurses). Synthesised data from the FGDs will then be combined with content from an expert committee to inform the development of the mobile app. In phase 2 (testing of early iterations), a preview of the mobile app will undergo alpha testing among the team members and the app developers, and beta testing among 30 women with GDM or with a history of GDM, and 15 HCPs using semi-structured interviews. The outcome will enable us to optimise an intervention using the mobile app as a diabetes prevention intervention which will then be evaluated in a randomised controlled trial. The project has been approved by the Malaysia Research Ethics Committee. Informed consent will be obtained from all participants. Outcomes will be presented at both local and international conferences and submitted for publications in peer-reviewed journals.
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影响因子：
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