Women's views on postpartum testing for type 2 diabetes after gestational diabetes: Six month follow-up to the DIAMIND randomised controlled trial
Women's views on postpartum testing for type 2 diabetes after gestational diabetes: Six month follow-up to the DIAMIND randomised controlled trial
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DOI：
10.1016/j.pcd.2015.07.003
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发表时间：
2016-04-01
影响因子：
2.9
通讯作者：
Crowther, C. A.
中科院分区：
文献类型：
--
作者：
Van Ryswyk, E. M.;Middleton, P. F.;Crowther, C. A.
背景资料：这项研究评估了参加DIAMIND产后短信提醒随机试验的女性对她们首选的产后提醒系统类型以及完成产后糖尿病检测的障碍和促进因素的看法，该试验旨在检测妊娠期糖尿病（GDM）后的2型糖尿病。方法：在婴儿出生后6个月，通过邮寄或电子邮件向参加DIAMIND试验的近期GDM女性（n = 276）发送书面问卷。208名妇女（75%）返回了研究问卷。首选的产后提醒类型是：短信（67%），电子邮件（17%），邮政（12%）和语音电话（1%）。尚未完成OGTT的妇女表示，她们计划将来进行OGTT（61%）。产后OGTT完成的常见障碍包括：没有足够的时间（73%），儿童保育不足（30%）和需要关注婴儿的健康（30%）。最常见的促进者有一个较短的测试（33%）。结论：提高儿童保育质量和访问以及更多的研究到一个更短，更方便的测试程序2型糖尿病筛查是必要的。产后糖尿病筛查的提醒系统应尽可能采用电子方式。(C)2015年欧洲糖尿病初级保健。由爱思唯尔有限公司出版。保留所有权利。
Background: This study assessed the views of the women who participated in the DIAMIND randomised trial of postpartum SMS reminders to test for type 2 diabetes after gestational diabetes (GDM) on their preferred type of postpartum reminder system and barriers and facilitators to completion of postpartum diabetes testing.Method: A written questionnaire was sent to women with recent GDM who participated in the DIAMIND trial (n = 276) via post or email at six months after the birth of their baby.Results: 208 women (75%) returned the study questionnaires. Preferred postpartum reminder types were: SMS (67%), email (17%), postal (12%) and voice call (1%). Women who had not yet completed an OGTT indicated that they planned to undertake one in the future (61%). Common barriers to postpartum OGTT completion included: not having enough time (73%), inadequate childcare (30%), and a need to focus on the health of the baby (30%). The most common facilitator was having a shorter test (33%).Conclusions: Improved childcare quality and access as well as more research into a shorter, more convenient test procedure for type 2 diabetes screening are needed. Reminder systems for postpartum diabetes screening should be electronic where possible. (C) 2015 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.