Feasibility of a Lifestyle Intervention Program for Prevention of Diabetes Among Women With Prior Gestational Diabetes Mellitus (LIVING Study) in South Asia: A Formative Research Study

作者：Abha Tewari, Devarsetty Praveen, Pavitra Madhira, Josyula K. Lakshmi, Rohina Joshi, Suresh Babu Kokku, Vandana Garg, Ishita Rawal, Kanika Chopra, Nantu Chakma, Sabrina Ahmed, Arunasalam Pathmeswaran, Pavithra Godamunne, Anthikad S. Lata, Rakesh Kumar Sahay, Tulsi Patel, Yashdeep Gupta, Nikhil Tandon, Aliya Naheed, Anushka A Patel, Deksha Kapoor · 发表于：Frontiers in Global Women s Health · 年份：2020 · DOI：10.3389/fgwh.2020.587607 · 被引用次数：18 · 研究领域：Diabetes Management and Education、Gestational Diabetes Research and Management、Obesity and Health Practices

Aim: To refine and contextually adapt a postpartum lifestyle intervention for prevention of type 2 diabetes mellitus (T2DM) in women with prior gestational diabetes mellitus (GDM) in Bangladesh, India, and Sri Lanka. Materials and Methods: In-depth interviews (IDIs) and focus group discussions (FGDs) were conducted with women with current diagnosis of GDM, and health care professionals involved in their management, to understand relevant local contextual factors for intervention optimization and implementation. This paper describes facilitators and barriers as well as feedback from participants on how to improve the proposed intervention. These factors were grouped and interpreted along the axes of the three main determinants of behavior–capability, opportunity, and motivation. IDIs and FGDs were digitally recorded, transcribed, and translated. Data-driven inductive thematic analysis was undertaken to identify and analyze patterns and themes. Results: Two interrelated themes emerged from the IDIs and FGDs: (i) The lifestyle intervention was acceptable and considered to have the potential to improve the existing model of care for women with GDM; and (ii) Certain barriers such as reduced priority of self-care, and adverse societal influences postpartum need to be addressed for the improvement of GDM care. Based on the feedback, the intervention was optimized by including messages for family members in the content of the intervention, providing options for both text and voice me...