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Follow-up after gestational diabetes: a qualitative study of perspectives from general practices
BACKGROUND: Women whose pregnancies are complicated by gestational diabetes mellitus (GDM) are approximately eight times more likely to develop type 2 diabetes mellitus (T2DM). Although regular participation in follow-up screening increases the chance of early detection of diabetes, participation ra...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Royal College of General Practitioners
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9680740/ https://www.ncbi.nlm.nih.gov/pubmed/35443978 http://dx.doi.org/10.3399/BJGPO.2021.0241 |
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author | Nielsen, Jane Hyldgaard Fonager, Kirsten Kristensen, Jette Kolding Overgaard, Charlotte |
author_facet | Nielsen, Jane Hyldgaard Fonager, Kirsten Kristensen, Jette Kolding Overgaard, Charlotte |
author_sort | Nielsen, Jane Hyldgaard |
collection | PubMed |
description | BACKGROUND: Women whose pregnancies are complicated by gestational diabetes mellitus (GDM) are approximately eight times more likely to develop type 2 diabetes mellitus (T2DM). Although regular participation in follow-up screening increases the chance of early detection of diabetes, participation rates are often suboptimal. A better understanding of general practice as a key contextual setting for screening could help inform the development and adoption of, for example, electronic reminder interventions to support women’s participation. AIM: To explore the perspectives of GPs and relevant staff members engaged in early detection of diabetes after gestational diabetes in order to identify barriers to and facilitators of follow-up screening. DESIGN & SETTING: A qualitative interview study undertaken in general practices in the North Denmark Region. METHOD: Based on a purposive sample strategy, 18 semi-structured interviews of 12 GPs and six staff members, who were either nurses or midwives, were analysed using a reflexive thematic analytical approach. RESULTS: The following three main themes were formulated: (1) challenges of addressing women’s risk; (2) prioritisation of early detection of diabetes; and (3) system influence on clinical procedures. CONCLUSION: Follow-up screening was facilitated by knowledge of guidelines. Professional collaboration and adaptation support were found to lead to successful implementation of guidelines in general practice. Supporting GPs and their staff’s reflection and discussion of ways to engage in communication and decisionmaking processes with women is, however, important; it was found to create an important barrier to follow-up screening. Overall, the findings can help inform the future development of interventions to increase uptake. |
format | Online Article Text |
id | pubmed-9680740 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Royal College of General Practitioners |
record_format | MEDLINE/PubMed |
spelling | pubmed-96807402022-11-23 Follow-up after gestational diabetes: a qualitative study of perspectives from general practices Nielsen, Jane Hyldgaard Fonager, Kirsten Kristensen, Jette Kolding Overgaard, Charlotte BJGP Open Research BACKGROUND: Women whose pregnancies are complicated by gestational diabetes mellitus (GDM) are approximately eight times more likely to develop type 2 diabetes mellitus (T2DM). Although regular participation in follow-up screening increases the chance of early detection of diabetes, participation rates are often suboptimal. A better understanding of general practice as a key contextual setting for screening could help inform the development and adoption of, for example, electronic reminder interventions to support women’s participation. AIM: To explore the perspectives of GPs and relevant staff members engaged in early detection of diabetes after gestational diabetes in order to identify barriers to and facilitators of follow-up screening. DESIGN & SETTING: A qualitative interview study undertaken in general practices in the North Denmark Region. METHOD: Based on a purposive sample strategy, 18 semi-structured interviews of 12 GPs and six staff members, who were either nurses or midwives, were analysed using a reflexive thematic analytical approach. RESULTS: The following three main themes were formulated: (1) challenges of addressing women’s risk; (2) prioritisation of early detection of diabetes; and (3) system influence on clinical procedures. CONCLUSION: Follow-up screening was facilitated by knowledge of guidelines. Professional collaboration and adaptation support were found to lead to successful implementation of guidelines in general practice. Supporting GPs and their staff’s reflection and discussion of ways to engage in communication and decisionmaking processes with women is, however, important; it was found to create an important barrier to follow-up screening. Overall, the findings can help inform the future development of interventions to increase uptake. Royal College of General Practitioners 2022-07-27 /pmc/articles/PMC9680740/ /pubmed/35443978 http://dx.doi.org/10.3399/BJGPO.2021.0241 Text en Copyright © 2022, The Authors https://creativecommons.org/licenses/by/4.0/This article is Open Access: CC BY license (https://creativecommons.org/licenses/by/4.0/) |
spellingShingle | Research Nielsen, Jane Hyldgaard Fonager, Kirsten Kristensen, Jette Kolding Overgaard, Charlotte Follow-up after gestational diabetes: a qualitative study of perspectives from general practices |
title | Follow-up after gestational diabetes: a qualitative study of perspectives from general practices |
title_full | Follow-up after gestational diabetes: a qualitative study of perspectives from general practices |
title_fullStr | Follow-up after gestational diabetes: a qualitative study of perspectives from general practices |
title_full_unstemmed | Follow-up after gestational diabetes: a qualitative study of perspectives from general practices |
title_short | Follow-up after gestational diabetes: a qualitative study of perspectives from general practices |
title_sort | follow-up after gestational diabetes: a qualitative study of perspectives from general practices |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9680740/ https://www.ncbi.nlm.nih.gov/pubmed/35443978 http://dx.doi.org/10.3399/BJGPO.2021.0241 |
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