Exploring the role of health beliefs and pregnancy related experience of women with recent gestational diabetes, in maintaining healthy lifestyles after childbirth: Focus group experience from a large general practice surgery in Newham, East London. Hibbert T., Collard A., & Vijayaraghavan S. 2017.
abstract   bibtex   
Introduction: Gestational diabetes (GDM), a well recognised risk factor for subsequent Type 2 diabetes, is increasing in places with large multi-ethnic populations like East London. Aims: 1. Recruit women who have been through recent GDM pregnancy from one general practice GDM register to a focus group. 2. Understand their challenges and perceptions postpartum. Method: Twenty-seven postal invitations were sent (one in five women selected randomly from the GDM register) followed up by a telephone call to every third woman until there were ten confirmed attendees. A text message reminder was sent the day before the focus group which was facilitated by an independent researcher at a local leisure centre. Results: Two initial responses following postal invitations with a further eight after the telephone call, with 100% attendance on the day. Focus group feedback: * There was good knowledge of diabetes risk following GDM. * An acknowledgement that it was difficult to sustain intensive lifestyle changes after delivery, but gradual improvement was possible. * Many viewed hospital consultants as "scare mongering" and felt specialist nurses conveyed messages better. * All agreed they had received intensive antenatal care but postnatal follow-up was patchy; better support immediately postpartum, preferably locally e.g. GP surgery would help them maintain antenatal changes. Conclusions: Women with previous GDM prefer sustained lifestyle support continued immediately postpartum, through more bespoke programmes, delivered locally, addressing the needs of new mothers. Participation is improved by personal invitation and telephone reminders. This is useful when delivering postpartum diabetes prevention programmes.
@misc{hibbert_t._exploring_2017,
	title = {Exploring the role of health beliefs and pregnancy related experience of women with recent gestational diabetes, in maintaining healthy lifestyles after childbirth: {Focus} group experience from a large general practice surgery in {Newham}, {East} {London}},
	abstract = {Introduction: Gestational diabetes (GDM), a well recognised risk factor for subsequent Type 2 diabetes, is increasing in places with large multi-ethnic populations like East London. Aims: 1. Recruit women who have been through recent GDM pregnancy from one general practice GDM register to a focus group. 2. Understand their challenges and perceptions postpartum. Method: Twenty-seven postal invitations were sent (one in five women selected randomly from the GDM register) followed up by a telephone call to every third woman until there were ten confirmed attendees. A text message reminder was sent the day before the focus group which was facilitated by an independent researcher at a local leisure centre. Results: Two initial responses following postal invitations with a further eight after the telephone call, with 100\% attendance on the day. Focus group feedback: * There was good knowledge of diabetes risk following GDM. * An acknowledgement that it was difficult to sustain intensive lifestyle changes after delivery, but gradual improvement was possible. * Many viewed hospital consultants as "scare mongering" and felt specialist nurses conveyed messages better. * All agreed they had received intensive antenatal care but postnatal follow-up was patchy; better support immediately postpartum, preferably locally e.g. GP surgery would help them maintain antenatal changes. Conclusions: Women with previous GDM prefer sustained lifestyle support continued immediately postpartum, through more bespoke programmes, delivered locally, addressing the needs of new mothers. Participation is improved by personal invitation and telephone reminders. This is useful when delivering postpartum diabetes prevention programmes.},
	journal = {Diabetic Medicine},
	author = {{Hibbert T.} and {Collard A.} and {Vijayaraghavan S.}},
	year = {2017},
	keywords = {*England, *childbirth, *general practice, *health belief, *healthy lifestyle, *pregnancy diabetes mellitus, clinical article, consultation, doctor patient relation, female, follow up, human, lifestyle modification, mother, nurse, perception, prenatal care, prevention, scientist, surgery, telephone}
}

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