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Barriers to Gestational Diabetes Management and Preferred Interventions for Women With Gestational Diabetes in Singapore: Mixed Methods Study.
| Content Provider | Europe PMC |
|---|---|
| Author | Hewage, Sumali Audimulam, Jananie Sullivan, Emily Chi, Claudia Yew, Tong Wei Yoong, Joanne |
| Editor | Eysenbach, Gunther |
| Copyright Year | 2020 |
| Abstract | BackgroundGestational diabetes mellitus (GDM) is associated with risks for both the mother and child. The escalated prevalence of GDM because of obesity and changes in screening criteria demands for greater health care needs than before.ObjectiveThis study aimed to understand the perception of patients and health care providers of the barriers to GDM management and preferred interventions to manage GDM in an Asian setting.MethodsThis mixed methods study used a convergent parallel design. Survey data were collected from 216 women with GDM, and semistructured interviews were conducted with 15 women and with 8 health care providers treating patients with GDM. Participants were recruited from 2 specialized GDM clinics at the National University Hospital, Singapore.ResultsThe patients were predominantly Chinese (102/214, 47.6%), employed (201/272, 73.9%), with higher education (150/216, 69.4%) and prenatal attendance at a private clinic (138/214, 64.2%), already on diet control (210/214, 98.1%), and receiving support and information from the GDM clinic (194/215, 90.2%) and web-based sources (131/215, 60.9%). In particular, working women reported barriers to GDM management, including the lack of reminders for blood glucose monitoring, diet control, and insufficient time for exercise. Most women preferred getting such support directly from health care providers, whether at the GDM clinic (174/215, 80.9%) or elsewhere (116/215, 53.9%). Smartphone apps were the preferred means of additional intervention. Desirable intervention features identified by patients included more information on GDM, diet and exercise options, reminders for blood glucose testing, a platform to record blood glucose readings and illustrate or understand trends, and a means to communicate with care providers.ConclusionsA GDM-focused smartphone app that is able to integrate testing, education, and communication may be a feasible and acceptable intervention to provide support to women with GDM, particularly for working women. |
| Journal | JMIR Formative Research |
| Volume Number | 4 |
| PubMed Central reference number | PMC7367517 |
| Issue Number | 6 |
| PubMed reference number | 32602845 |
| e-ISSN | 2561326X |
| DOI | 10.2196/14486 |
| Language | English |
| Publisher | JMIR Publications |
| Publisher Date | 2020-06-30 |
| Publisher Place | Toronto, Canada |
| Access Restriction | Open |
| Rights License | This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Formative Research, is properly cited. The complete bibliographic information, a link to the original publication on http://formative.jmir.org, as well as this copyright and license information must be included. ©Sumali Hewage, Jananie Audimulam, Emily Sullivan, Claudia Chi, Tong Wei Yew, Joanne Yoong. Originally published in JMIR Formative Research (http://formative.jmir.org), 30.06.2020. |
| Subject Keyword | gestational diabetes pregnancy telemedicine self-management patient-centered care mobile phone |
| Content Type | Text |
| Resource Type | Article |
| Subject | Health Informatics Medicine |
