Barriers and system improvements for physical activity promotion after gestational diabetes: A qualitative exploration of the views of healthcare professionals

IF 3.2 3区医学 Q2 ENDOCRINOLOGY & METABOLISM

Diabetic Medicine Pub Date : 2024-08-17 DOI:10.1111/dme.15426

Elysa Ioannou, Helen Humphreys, Catherine Homer, Alison Purvis

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引用次数: 0

Abstract

Aim

Physical activity is an important behaviour for managing the ten times increased risk of type 2 diabetes after gestational diabetes. Previous studies exploring physical activity promotion in healthcare focus on general practitioners but have not explored the gestational diabetes pathway. Therefore, this paper explores the barriers to and suggestions for, activity promotion along the gestational diabetes healthcare pathway.

Methods

The paper was written in accordance with the Standards for Reporting Qualitative Research. Patient and Public Involvement with women who had lived experiences of gestational diabetes informed purposeful sampling by identifying which healthcare professional roles should be targeted in participant recruitment. Participants were recruited through word-of-mouth, that is, email and connections with local healthcare service leads. Twelve participants took part in semi-structured one-to-one interviews, analysed using reflexive thematic analysis.

Results

Participants included a Public Health Midwife (n = 1), Diabetes Midwifes (n = 3), Diabetes Dietitian (n = 1), Diabetes Consultants (n = 2), Diabetes Specialist Nurse (n = 1), general practitioners (n = 2), Practice nurse (n = 1) and a Dietitian from the UK National Diabetes Prevention Program (n = 1). Six themes were generated: ‘management of gestational diabetes takes precedent’, ‘poor continuity of care’, ‘lack of capacity to promote PA’, ‘beliefs about the acceptability of PA promotion’, ‘resources to support conversations about PA’ and ‘adapting healthcare services for women post-gestational diabetes’.

Conclusions

During pregnancy messaging around physical activity is consistent, yet this is specific for managing gestational diabetes and is not followed through postnatally. Improvements in continuity of care are necessary, in addition to ensuring the availability and links with wider exercise and activity schemes.

Abstract Image

查看原文本刊更多论文

妊娠糖尿病后促进体育锻炼的障碍和系统改进：对医护人员观点的定性研究。

目的：体育锻炼是控制妊娠糖尿病后罹患 2 型糖尿病风险增加十倍的重要行为。以往探讨在医疗保健中推广体育锻炼的研究主要针对全科医生，但没有探讨妊娠糖尿病的治疗途径。因此，本文探讨了在妊娠糖尿病医疗保健过程中推广体育锻炼的障碍和建议：本文根据《定性研究报告标准》撰写。通过与有妊娠糖尿病生活经历的妇女进行患者和公众参与，确定在招募参与者时应针对哪些医疗保健专业角色，从而为有目的的取样提供依据。参与者是通过口口相传（即电子邮件和与当地医疗保健服务领导的联系）招募的。12 名参与者参加了半结构化的一对一访谈，并使用反思性主题分析法对访谈结果进行了分析：参与者包括公共卫生助产士（n = 1）、糖尿病助产士（n = 3）、糖尿病营养师（n = 1）、糖尿病顾问（n = 2）、糖尿病专科护士（n = 1）、全科医生（n = 2）、实习护士（n = 1）和英国国家糖尿病预防计划的营养师（n = 1）。共产生了六个主题：妊娠糖尿病的管理优先"、"护理的连续性差"、"缺乏促进体育锻炼的能力"、"对促进体育锻炼的可接受性的看法"、"支持体育锻炼对话的资源 "和 "为妊娠糖尿病后妇女调整医疗保健服务"：结论：在怀孕期间，有关体育锻炼的信息是一致的，但这只是针对妊娠糖尿病的管理，并没有在产后得到贯彻。除了确保提供更广泛的运动和活动计划并与之建立联系外，有必要改善护理的连续性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Diabetic Medicine 医学-内分泌学与代谢

CiteScore

7.20

自引率

5.70%

发文量

229

审稿时长

3-6 weeks

期刊介绍： Diabetic Medicine, the official journal of Diabetes UK, is published monthly simultaneously, in print and online editions. The journal publishes a range of key information on all clinical aspects of diabetes mellitus, ranging from human genetic studies through clinical physiology and trials to diabetes epidemiology. We do not publish original animal or cell culture studies unless they are part of a study of clinical diabetes involving humans. Categories of publication include research articles, reviews, editorials, commentaries, and correspondence. All material is peer-reviewed. We aim to disseminate knowledge about diabetes research with the goal of improving the management of people with diabetes. The journal therefore seeks to provide a forum for the exchange of ideas between clinicians and researchers worldwide. Topics covered are of importance to all healthcare professionals working with people with diabetes, whether in primary care or specialist services. Surplus generated from the sale of Diabetic Medicine is used by Diabetes UK to know diabetes better and fight diabetes more effectively on behalf of all people affected by and at risk of diabetes as well as their families and carers.”