File(s) under permanent embargo
Barriers to and enablers of postpartum health behaviours among women from diverse cultural backgrounds with prior gestational diabetes: A systematic review and qualitative synthesis applying the theoretical domains framework
journal contribution
posted on 2023-02-07, 01:37 authored by ACH Neven, Amelia Lake, A Williams, Sharleen O'ReillySharleen O'Reilly, Christel HendrieckxChristel Hendrieckx, M Morrison, James DunbarJames Dunbar, Jane SpeightJane Speight, H Teede, JA BoyleAims: Racial and ethnic disparities exist in gestational diabetes prevalence and risk of subsequent type 2 diabetes mellitus (T2DM). Postpartum engagement in healthy behaviours is recommended for prevention and early detection of T2DM, yet uptake is low among women from diverse cultural backgrounds. Greater understanding of factors impacting postpartum health behaviours is needed. Applying the Theoretical Domains Framework (TDF) and Capability, Opportunity, Motivation-Behaviour (COM-B) model, our aim was to synthesise barriers to and enablers of postpartum health behaviours among women from diverse cultural backgrounds with prior GDM and identify relevant intervention components. Methods: Databases, reference lists and grey literature were searched from September 2017 to April 2021. Two reviewers screened articles independently against inclusion criteria and extracted data. Using an inductive–deductive model, themes were mapped to the TDF and COM-B model. Results: After screening 5148 citations and 139 full texts, we included 35 studies (N = 787 participants). The main ethnicities included Asian (43%), Indigenous (15%) and African (11%). Barriers and enablers focused on Capability (e.g. knowledge), Opportunity (e.g. competing demands, social support from family, friends and healthcare professionals, culturally appropriate education and resources) and Motivation (e.g. negative emotions, perceived consequences and necessity of health behaviours, social/cultural identity). Five relevant intervention functions are identified to link the barriers and enablers to evidence-based recommendations for communications to support behaviour change. Conclusions: We provide a conceptual model to inform recommendations regarding the development of messaging and interventions to support women from diverse cultural backgrounds in engaging in healthy behaviours to reduce risk of T2DM.
History
Journal
Diabetic MedicineVolume
39Article number
e14945Pagination
1-20Location
London, Eng.Publisher DOI
ISSN
0742-3071eISSN
1464-5491Language
EnglishPublication classification
C1 Refereed article in a scholarly journalIssue
11Publisher
WileyUsage metrics
Categories
Keywords
behaviour changeBELIEFSCAREdiabetesdiabetes mellitusEndocrinology & MetabolismEXPERIENCESgestationalGLUCOSE-TOLERANCEHISTORYinterventionsLife Sciences & Biomedicinelifestyle behavioursMELLITUSnovelty statementPHYSICAL-ACTIVITYPREVENTIONreviewRISKScience & TechnologyscreeningSOUTH ASIAN WOMENtype 2diabetes mellitus, type 2diabetes, gestationalCultureDiabetes Mellitus, Type 2Diabetes, GestationalFemaleHealth BehaviorHumansMotivationPostpartum PeriodPregnancyQualitative ResearchME-MaGDA Study GroupClinical ResearchDiabetesPrevention3.1 Primary prevention interventions to modify behaviours or promote wellbeing3 Prevention of disease and conditions, and promotion of well-beingMetabolic and endocrine3 Good Health and Well BeingPublic Health and Health Services not elsewhere classifiedClinical Sciences not elsewhere classifiedPsychology not elsewhere classified
Licence
Exports
RefWorks
BibTeX
Ref. manager
Endnote
DataCite
NLM
DC