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Strategies to Optimize Participation in Diabetes Prevention Programs following Gestational Diabetes: A Focus Group Study

Title:

Strategies to Optimize Participation in Diabetes Prevention Programs following Gestational Diabetes: A Focus Group Study

Baradaran, Hamid Reza, Dasgupta, Kaberi, Da Costa, Deborah, Pillay, Sabrina, De Civita, Mirella, Gougeon, Réjeanne, Leong, Aaron, Bacon, Simon L., Stotland, Stephen, Chetty, V. Tony, Garfield, Natasha, Majdan, Agnieszka and Meltzer, Sara (2013) Strategies to Optimize Participation in Diabetes Prevention Programs following Gestational Diabetes: A Focus Group Study. PLoS ONE, 8 (7). e67878. ISSN 1932-6203

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Official URL: http://dx.doi.org/10.1371/journal.pone.0067878

Abstract

Objective: We performed a qualitative study among women within 5 years of Gestational Diabetes (GDM) diagnosis. Our
aim was to identify the key elements that would enhance participation in a type 2 diabetes (DM2) prevention program.
Research Design and Methods: Potential participants received up to three invitation letters from their GDM physician. Four focus groups were held. Discussants were invited to comment on potential facilitators/barriers to participation and were probed on attitudes towards meal replacement and Internet/social media tools. Recurring themes were identified through qualitative content analysis of discussion transcripts.
Results: Among the 1,201 contacted and 79 eligible/interested, 29 women attended a focus group discussion. More than half of discussants were overweight/obese, and less than half were physically active. For DM2 prevention, a strong need for
social support to achieve changes in dietary and physical activity habits was expressed. In this regard, face-to-face
interactions with peers and professionals were preferred, with adjunctive roles for Internet/social media. Further, direct participation of partners/spouses in a DM2 prevention program was viewed as important to enhance support for behavioural change at home. Discussants highlighted work and child-related responsibilities as potential barriers to participation, and emphasized the importance of childcare support to allow attendance. Meal replacements were viewed with little interest, with concerns that their use would provide a poor example of eating behaviour to children.
Conclusions: Among women within 5 years of a GDM diagnosis who participated in a focus group discussion, participation
in a DM2 prevention program would be enhanced by face-to-face interactions with professionals and peers, provision of childcare support, and inclusion of spouses/partners.

Divisions:Concordia University > Faculty of Arts and Science > Exercise Science
Item Type:Article
Refereed:Yes
Authors:Baradaran, Hamid Reza and Dasgupta, Kaberi and Da Costa, Deborah and Pillay, Sabrina and De Civita, Mirella and Gougeon, Réjeanne and Leong, Aaron and Bacon, Simon L. and Stotland, Stephen and Chetty, V. Tony and Garfield, Natasha and Majdan, Agnieszka and Meltzer, Sara
Journal or Publication:PLoS ONE
Date:4 July 2013
Digital Object Identifier (DOI):10.1371/journal.pone.0067878
ID Code:978063
Deposited By: DAVID MACAULAY
Deposited On:11 Dec 2013 17:34
Last Modified:18 Jan 2018 17:45
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