Reducing the risk of Type 2 diabetes after gestational diabetes: Exploring women's views on behaviour change interventions incorporating mobile technology.

Brian McMillan, Katherine Easton , Brigitte Delaney, Priya Madhuvrata , Reem Abdelgalil, Caroline Mitchell

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

Aims/Objectives
To explore how mobile technology could be incorporated into a primary care based behaviour change intervention aimed at reducing the risk of progression from Gestational Diabetes (GD) to Type 2 Diabetes Mellitus (T2DM).

Background:

Women diagnosed with GD are over seven times more likely to develop T2DM, yet annual rates of long term follow up in primary care are around 20%. We are missing a critical window of opportunity to reduce the risk of progression from GD to T2DM. Previous qualitative work has noted that women in the post-natal period require flexible, longer term approaches that accommodate their family and work commitments, and new information technologies may have potential to support this.

Methods:
Twenty women diagnosed with GD were identified from hospital records as part of their routine antenatal care and invited to take part in the project. The semi-structured interviews were audio recorded, transcribed and analysed using NVIVO.

Outcomes:
Four main themes emerged: 4 major themes: 1) Impact of GD diagnosis, 2) Diabetes knowledge, 3) Facilitators and barriers to reducing the risk of T2DM, and 4) Use of technology. A number of subthemes emerged: psychological, personal health, baby’s health, and practical consequences of GD diagnosis; knowledge of GD itself, knowledge of T2DM, and knowledge of the link between them; facilitators and barriers to diet, exercise, weight loss, breastfeeding, and health professional influence; use of technology and barriers and facilitators to use.

Relevance/Impact:
Postnatal primary care provision for women who have had gestational diabetes is unsatisfactory. This study highlights how mobile technology could compliment a primary care based intervention aimed at reducing risk of progression from GD to T2DM.

Discussion:
This study builds upon previous Patient and Public Involvement (PPI) work and will inform a future bid for funding for a primary care based health behaviour change intervention.

Original languageEnglish
Title of host publicationRoyal College of General Practitioners
Publication statusPublished - 2016
EventRoyal College of General Practitioners Annual Primary Care Conference - Harrogate, Harrogate, United Kingdom
Duration: 6 Oct 20168 Oct 2016

Conference

ConferenceRoyal College of General Practitioners Annual Primary Care Conference
Country/TerritoryUnited Kingdom
CityHarrogate
Period6/10/168/10/16

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