Beyond the individual: Socio‐ecological factors impacting activity after gestational diabetes mellitus.
Aim: The risk of Type 2 Diabetes is 10 times higher after a pregnancy with Gestational Diabetes. Physical activity can independently reduce this risk, yet engagement with physical activity remains low after Gestational Diabetes. Therefore, the present study aimed to explore the barriers and facilita...
| Publicado en: | Diabetic Medicine Vol. 41; no. 6; pp. 1 - 14 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2024
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=177192083&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 177192083 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07423071 F07 jtl: Diabetic Medicine issn: 07423071 maglogo: Y pubinfo: dt: Jun2024 vid: 41 iid: 6 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 177192083 175133624 177192083 177192083 10.1111/dme.15286 177192083 ppf: 1 ppct: 13 formats: tig: atl: Beyond the individual: Socio‐ecological factors impacting activity after gestational diabetes mellitus. aug: au: Ioannou, Elysa Humphreys, Helen Homer, Catherine Purvis, Alison affil: Sport and Physical Activity Research Centre, Sheffield Hallam University, Sheffield, UK sug: subj: Diabetes Mellitus, Gestational United Kingdom Social Factors Exercise Diabetes Mellitus, Type 2 Prevention and Control Human Female United Kingdom Academic Medical Centers Semi-Structured Interview Thematic Analysis Adult Data Analysis Software Audiorecording Health Beliefs Maternal Role Employment Status Child Care Environment Communities Professional-Patient Relations Family Support Interpersonal Relations Intention Weight Loss Motherhood Childbirth Adaptation, Psychological Motivation Cost of Living Models, Theoretical Funding Source Adult: 19-44 years Female ab: Aim: The risk of Type 2 Diabetes is 10 times higher after a pregnancy with Gestational Diabetes. Physical activity can independently reduce this risk, yet engagement with physical activity remains low after Gestational Diabetes. Therefore, the present study aimed to explore the barriers and facilitators to the uptake of physical activity after Gestational Diabetes in the United Kingdom, using a socio‐ecological approach. Methods: The paper was written following the Standards for Reporting Qualitative Research. Patient and Public Involvement contributed to the study's conceptualisation and design. Participants were recruited through an audit of Gestational Diabetes cases at a local Teaching Hospital in 2020. Twelve participants took part in semi‐structured one‐to‐one interviews. Reflexive thematic analysis was used to generate themes in iterative rounds of refinement. The final themes were then organised using the socio‐ecological model. Results: Participants were all over 31 years old, predominantly self‐identified as White British and were all in employment but were evenly spread across UK‐based deprivation deciles. Ten themes were generated and organised according to the four levels of the socio‐ecological model: intrapersonal (beliefs about activity, recovering from birth), social (health care professionals, family and partner, role as a mother), organisational (access and cost, environment, childcare and work) and community (connecting women with recent Gestational Diabetes). Conclusions: Many of the amenable barriers and facilitators to physical activity were beyond the intrapersonal level, based on higher levels of the socio‐ecological model (social, organisational and community). Multi‐level interventions are needed to effectively address all barriers. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|