A Qualitative Exploration of Participant Experiences in the Avoiding Diabetes After Pregnancy Trial in Moms (ADAPT-M)

IF 2.3 4区医学 Q3 ENDOCRINOLOGY & METABOLISM

Canadian Journal of Diabetes Pub Date : 2024-12-01 DOI:10.1016/j.jcjd.2024.08.006

Katelyn Sushko PhD , Shannon Weissman MD, MSc , Dominika Bhatia BSc, PhD , Paige Alliston RD, MHSc , Lorraine Lipscombe MD, MSc, FRCPC , Diana Sherifali RN, PhD

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引用次数: 0

Abstract

Objectives

Gestational diabetes mellitus (GDM), a temporary condition of pregnancy, identifies women at high risk of developing subsequent type 2 diabetes mellitus (T2D). Lifestyle interventions have been shown to reduce the risk of developing T2D after GDM. However, they often have low attendance and adherence rates. The Avoiding Diabetes After Pregnancy Trial in Moms (ADAPT-M) program is a 24-week, home-based postpartum program aimed at bridging the gap from prenatal care to T2D prevention for women with GDM. Our objective was to explore the experiences of participants who completed the ADAPT-M program, to elicit their perceived benefits and opportunities for improvement.

Methods

This was a qualitative descriptive study wherein we conducted semistructured interviews with 21 women with previous GDM who participated in the ADAPT-M program in Ontario, Canada. Transcripts were analyzed using NVivo software using a conventional content analysis approach.

Results

Two themes describing the experience of women who underwent the ADAPT-M lifestyle-based coaching program emerged: 1) the benefits of a supportive relationship between coaches and participants; and 2) a desire for more from the program, including peer support, more customization, and addressing emotional needs.

Conclusions

Our findings support the importance of fostering supportive health-care relationships in T2D prevention programs for postpartum women with a history of GDM. Enhanced customization, emotional support, and opportunities for peer support should be considered in the development of future programming to better meet the needs of participants.

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对 "避免妈妈怀孕后患糖尿病试验"（ADAPT-M）参与者经历的定性研究。

背景：妊娠期糖尿病（GDM）是一种暂时性的妊娠病症，可识别出随后罹患 2 型糖尿病（T2D）的高风险妇女。生活方式干预已被证明可降低妊娠糖尿病后患 T2D 的风险。然而，这些干预措施的参与率和坚持率往往很低。避免妊娠后糖尿病母亲试验（ADAPT-M）是一项为期 24 周的家庭产后计划，旨在弥补 GDM 妇女从产前保健到 T2D 预防之间的差距。我们的目的是探索完成 ADAPT-M 计划的参与者的经验，以了解她们所感受到的益处和改进机会：这是一项定性描述性研究，我们对 21 名曾患过 GDM 的妇女进行了半结构化访谈，她们参加了加拿大安大略省的 ADAPT-M 项目。访谈记录在 NVivo 中使用传统的内容分析方法进行分析：结果：有两个主题描述了参加 ADAPT-M 基于生活方式的辅导计划的妇女的经历：a) 辅导员与参与者之间的支持性关系带来的益处；b) 希望从该计划中获得更多，包括同伴支持、更多定制以及满足情感需求：我们的研究结果表明，在针对有 GDM 病史的产后妇女的 T2D 预防计划中，培养支持性医疗保健关系非常重要。在制定未来计划时，应考虑加强定制、情感支持和同伴支持机会，以更好地满足参与者的需求。

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

Canadian Journal of Diabetes ENDOCRINOLOGY & METABOLISM-

CiteScore

4.80

自引率

4.00%

发文量

130

审稿时长

54 days

期刊介绍： The Canadian Journal of Diabetes is Canada''s only diabetes-oriented, peer-reviewed, interdisciplinary journal for diabetes health-care professionals. Published bimonthly, the Canadian Journal of Diabetes contains original articles; reviews; case reports; shorter articles such as Perspectives in Practice, Practical Diabetes and Innovations in Diabetes Care; Diabetes Dilemmas and Letters to the Editor.