'Oh, I've got an appointment': A qualitative interview study exploring how to support attendance at diabetes screening after gestational diabetes.
'Oh, I've got an appointment': A qualitative interview study exploring how to support attendance at diabetes screening after gestational diabetes.
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DOI：
10.1111/dme.14650
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发表时间：
2021-10
期刊：
影响因子：
--
通讯作者：
Griffin SJ
中科院分区：
文献类型：
--
作者：
Dennison RA;Meek CL;Usher-Smith JA;Fox RA;Aiken CE;Griffin SJ
探讨有妊娠期糖尿病（GDM）病史的妇女对GDM后糖尿病筛查的实际支持方法的看法，GDM后糖尿病筛查被推荐，但参与率很低。我们在英国剑桥郡对20名被诊断为GDM并产后3-48个月的参与者进行了半结构化访谈。访谈内容包括参与者是否接受了筛查以及为什么接受筛查，未来筛查的计划，以及他们对促进参与的潜在干预措施的看法（第一次产后测试和年度测试）。框架分析被用来分析成绩单。访谈时间表，建议的干预措施，和主题框架的基础上，最近的系统审查。16名参与者自怀孕以来接受了筛查，并解释说他们已经安排了预约，并希望确保他们没有糖尿病。未接受测试的参与者并不知道有人建议这样做。只有13人在面试开始时计划参加随后的考试。讨论了支持今后出席会议的八个主题。大多数参加者同意，改变安排考试的程序、提供考试地点的选择和合并预约将有助于参加考试。对儿童友好的诊所，更多的机会了解GDM和产后检测的作用，停止自我检测，并提高他们的家庭医生对他们怀孕的认识收到不一致的反馈。所用考试的性质似乎并不影响出勤率。参与者希望在GDM后进行糖尿病筛查。我们已经确定了可以相对简单地纳入常规实践以促进筛查出席的干预措施，例如预约地点或时间的灵活性以及发送测试邀请。
To explore the views of women with a history of gestational diabetes mellitus (GDM) on suggested practical approaches to support diabetes screening attendance after GDM, which is recommended but poorly attended. We conducted semi-structured interviews with 20 participants in Cambridgeshire, UK who had been diagnosed with GDM and were 3–48 months postpartum. Interviews covered whether participants had been screened and why, plans for future screening, and their views on potential interventions to facilitate attendance (at the first postpartum test and annual testing). Framework analysis was used to analyse the transcripts. The interview schedule, suggested interventions, and thematic framework were based on a recent systematic review. Sixteen participants had undergone screening since pregnancy, explaining that they had an appointment arranged and wanted reassurance that they did not have diabetes. The participants who had not been tested were not aware that it was recommended. Only 13 had planned to attend subsequent tests at the start of the interview. Eight themes to support future attendance were discussed. The majority of the participants agreed that changing the processes for arranging tests, offering choice in test location and combining appointments would facilitate attendance. Child-friendly clinics, more opportunities to understand GDM and the role of postpartum testing, stopping self-testing, and increasing their GP’s awareness of their pregnancy received inconsistent feedback. The nature of the test used did not appear to influence attendance. The participants wanted to be screened for diabetes after GDM. We have identified interventions that could be relatively simply incorporated into routine practice to facilitate screening attendance, such as flexibility in the appointment location or time and sending invitations for tests.
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