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
Aims 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....
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| Veröffentlicht in: | Diabetic medicine 2022-11, Vol.39 (11), p.e14945-n/a |
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| creator | Neven, Adriana C. H. Lake, Amelia J. Williams, Amelia O'Reilly, Sharleen L. Hendrieckx, Christel Morrison, Melinda Dunbar, James A. Speight, Jane Teede, Helena Boyle, Jacqueline A. |
| description | Aims
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. |
| doi_str_mv | 10.1111/dme.14945 |
| format | Article |
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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.</description><identifier>ISSN: 0742-3071</identifier><identifier>EISSN: 1464-5491</identifier><identifier>DOI: 10.1111/dme.14945</identifier><identifier>PMID: 36004677</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>behaviour change ; Culture ; Diabetes ; Diabetes mellitus (non-insulin dependent) ; diabetes mellitus, type 2 ; Diabetes Mellitus, Type 2 - epidemiology ; Diabetes Mellitus, Type 2 - prevention & control ; diabetes, gestational ; Diabetes, Gestational - epidemiology ; Disease prevention ; Female ; Gestational diabetes ; Health Behavior ; Health care ; Humans ; interventions ; lifestyle behaviours ; Motivation ; novelty statement ; Postpartum ; Postpartum Period ; Pregnancy ; Qualitative Research ; review ; screening ; Social interactions ; Systematic Review ; Systematic Reviews ; Womens health</subject><ispartof>Diabetic medicine, 2022-11, Vol.39 (11), p.e14945-n/a</ispartof><rights>2022 The Authors. published by John Wiley & Sons Ltd on behalf of Diabetes UK.</rights><rights>2022 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK.</rights><rights>2022. This article is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4435-4dd0cc6830dabe0bff654f3fb910745bc2bf46adbe01da2f5d4ddf7dc73a2d273</citedby><cites>FETCH-LOGICAL-c4435-4dd0cc6830dabe0bff654f3fb910745bc2bf46adbe01da2f5d4ddf7dc73a2d273</cites><orcidid>0000-0002-3616-1637 ; 0000-0003-3480-4245 ; 0000-0002-0075-828X ; 0000-0003-2133-1557 ; 0000-0001-7609-577X ; 0000-0001-6019-4925 ; 0000-0002-1204-6896 ; 0000-0003-3547-6634 ; 0000-0003-1068-2722 ; 0000-0003-0866-4365</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fdme.14945$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fdme.14945$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36004677$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Neven, Adriana C. H.</creatorcontrib><creatorcontrib>Lake, Amelia J.</creatorcontrib><creatorcontrib>Williams, Amelia</creatorcontrib><creatorcontrib>O'Reilly, Sharleen L.</creatorcontrib><creatorcontrib>Hendrieckx, Christel</creatorcontrib><creatorcontrib>Morrison, Melinda</creatorcontrib><creatorcontrib>Dunbar, James A.</creatorcontrib><creatorcontrib>Speight, Jane</creatorcontrib><creatorcontrib>Teede, Helena</creatorcontrib><creatorcontrib>Boyle, Jacqueline A.</creatorcontrib><creatorcontrib>ME-MaGDA Study Group</creatorcontrib><creatorcontrib>the ME‐MaGDA Study Group</creatorcontrib><title>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</title><title>Diabetic medicine</title><addtitle>Diabet Med</addtitle><description>Aims
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.</description><subject>behaviour change</subject><subject>Culture</subject><subject>Diabetes</subject><subject>Diabetes mellitus (non-insulin dependent)</subject><subject>diabetes mellitus, type 2</subject><subject>Diabetes Mellitus, Type 2 - epidemiology</subject><subject>Diabetes Mellitus, Type 2 - prevention & control</subject><subject>diabetes, gestational</subject><subject>Diabetes, Gestational - epidemiology</subject><subject>Disease prevention</subject><subject>Female</subject><subject>Gestational diabetes</subject><subject>Health Behavior</subject><subject>Health care</subject><subject>Humans</subject><subject>interventions</subject><subject>lifestyle behaviours</subject><subject>Motivation</subject><subject>novelty statement</subject><subject>Postpartum</subject><subject>Postpartum Period</subject><subject>Pregnancy</subject><subject>Qualitative Research</subject><subject>review</subject><subject>screening</subject><subject>Social interactions</subject><subject>Systematic Review</subject><subject>Systematic Reviews</subject><subject>Womens health</subject><issn>0742-3071</issn><issn>1464-5491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>WIN</sourceid><sourceid>EIF</sourceid><recordid>eNp1ks9u1DAQxiMEokvhwAsgS1zgsK2dOPGGQ6VSyh-piAucLcee7LqN7dR2drVvy6Mw6ZYKkLBkWdb85pvP4ymKl4yeMFynxsEJ4y2vHxULxhu-rHnLHhcLKni5rKhgR8WzlK4pZWVbtU-Lo6qhlDdCLIqf71WMFmIiORDlDQGvumG-h56MIeVRxTw5sgE15A3pYKO2NkwYVy74NdkFB570MThi7BbzgOhpyFNUA-mUvlnHMHmTyM5i9hhtiGQNKatsg0fEWNVBhvSOnJO0TxkcRjSJsLWwu_NzO6nBzvwWkPB5A8li8XEc9hbr433eIQLmzYLBKesTOlIOdiHePC-e9GpI8OL-PC5-fLz8fvF5efXt05eL86ul5ryql9wYqnWzqqhBR7Tr-6bmfdV3LcMu1p0uu543ymCMGVX2tcGMXhgtKlWaUlTHxdlBd5w6B0aDz9gDiU92Ku5lUFb-HfF2I9dhK9tV2fBVhQJv7gViuJ2wR9LZpGEYlIcwJVkK2ggmWM0Rff0Peo1fgv2cqZJT0YiGIvX2QOkYUorQP5hhVM5zI3Fu5N3cIPvqT_cP5O9BQeD0AOzsAPv_K8kPXy8Pkr8AF-7Wpw</recordid><startdate>202211</startdate><enddate>202211</enddate><creator>Neven, Adriana C. H.</creator><creator>Lake, Amelia J.</creator><creator>Williams, Amelia</creator><creator>O'Reilly, Sharleen L.</creator><creator>Hendrieckx, Christel</creator><creator>Morrison, Melinda</creator><creator>Dunbar, James A.</creator><creator>Speight, Jane</creator><creator>Teede, Helena</creator><creator>Boyle, Jacqueline A.</creator><general>Wiley Subscription Services, Inc</general><general>John Wiley and Sons Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>8FD</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>P64</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-3616-1637</orcidid><orcidid>https://orcid.org/0000-0003-3480-4245</orcidid><orcidid>https://orcid.org/0000-0002-0075-828X</orcidid><orcidid>https://orcid.org/0000-0003-2133-1557</orcidid><orcidid>https://orcid.org/0000-0001-7609-577X</orcidid><orcidid>https://orcid.org/0000-0001-6019-4925</orcidid><orcidid>https://orcid.org/0000-0002-1204-6896</orcidid><orcidid>https://orcid.org/0000-0003-3547-6634</orcidid><orcidid>https://orcid.org/0000-0003-1068-2722</orcidid><orcidid>https://orcid.org/0000-0003-0866-4365</orcidid></search><sort><creationdate>202211</creationdate><title>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</title><author>Neven, Adriana C. H. ; Lake, Amelia J. ; Williams, Amelia ; O'Reilly, Sharleen L. ; Hendrieckx, Christel ; Morrison, Melinda ; Dunbar, James A. ; Speight, Jane ; Teede, Helena ; Boyle, Jacqueline A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4435-4dd0cc6830dabe0bff654f3fb910745bc2bf46adbe01da2f5d4ddf7dc73a2d273</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>behaviour change</topic><topic>Culture</topic><topic>Diabetes</topic><topic>Diabetes mellitus (non-insulin dependent)</topic><topic>diabetes mellitus, type 2</topic><topic>Diabetes Mellitus, Type 2 - epidemiology</topic><topic>Diabetes Mellitus, Type 2 - prevention & control</topic><topic>diabetes, gestational</topic><topic>Diabetes, Gestational - epidemiology</topic><topic>Disease prevention</topic><topic>Female</topic><topic>Gestational diabetes</topic><topic>Health Behavior</topic><topic>Health care</topic><topic>Humans</topic><topic>interventions</topic><topic>lifestyle behaviours</topic><topic>Motivation</topic><topic>novelty statement</topic><topic>Postpartum</topic><topic>Postpartum Period</topic><topic>Pregnancy</topic><topic>Qualitative Research</topic><topic>review</topic><topic>screening</topic><topic>Social interactions</topic><topic>Systematic Review</topic><topic>Systematic Reviews</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Neven, Adriana C. H.</creatorcontrib><creatorcontrib>Lake, Amelia J.</creatorcontrib><creatorcontrib>Williams, Amelia</creatorcontrib><creatorcontrib>O'Reilly, Sharleen L.</creatorcontrib><creatorcontrib>Hendrieckx, Christel</creatorcontrib><creatorcontrib>Morrison, Melinda</creatorcontrib><creatorcontrib>Dunbar, James A.</creatorcontrib><creatorcontrib>Speight, Jane</creatorcontrib><creatorcontrib>Teede, Helena</creatorcontrib><creatorcontrib>Boyle, Jacqueline A.</creatorcontrib><creatorcontrib>ME-MaGDA Study Group</creatorcontrib><creatorcontrib>the ME‐MaGDA Study Group</creatorcontrib><collection>Wiley-Blackwell Open Access Titles</collection><collection>Wiley Free Content</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Diabetic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Neven, Adriana C. H.</au><au>Lake, Amelia J.</au><au>Williams, Amelia</au><au>O'Reilly, Sharleen L.</au><au>Hendrieckx, Christel</au><au>Morrison, Melinda</au><au>Dunbar, James A.</au><au>Speight, Jane</au><au>Teede, Helena</au><au>Boyle, Jacqueline A.</au><aucorp>ME-MaGDA Study Group</aucorp><aucorp>the ME‐MaGDA Study Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>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</atitle><jtitle>Diabetic medicine</jtitle><addtitle>Diabet Med</addtitle><date>2022-11</date><risdate>2022</risdate><volume>39</volume><issue>11</issue><spage>e14945</spage><epage>n/a</epage><pages>e14945-n/a</pages><issn>0742-3071</issn><eissn>1464-5491</eissn><abstract>Aims
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.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>36004677</pmid><doi>10.1111/dme.14945</doi><tpages>20</tpages><orcidid>https://orcid.org/0000-0002-3616-1637</orcidid><orcidid>https://orcid.org/0000-0003-3480-4245</orcidid><orcidid>https://orcid.org/0000-0002-0075-828X</orcidid><orcidid>https://orcid.org/0000-0003-2133-1557</orcidid><orcidid>https://orcid.org/0000-0001-7609-577X</orcidid><orcidid>https://orcid.org/0000-0001-6019-4925</orcidid><orcidid>https://orcid.org/0000-0002-1204-6896</orcidid><orcidid>https://orcid.org/0000-0003-3547-6634</orcidid><orcidid>https://orcid.org/0000-0003-1068-2722</orcidid><orcidid>https://orcid.org/0000-0003-0866-4365</orcidid><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0742-3071 |
| ispartof | Diabetic medicine, 2022-11, Vol.39 (11), p.e14945-n/a |
| issn | 0742-3071 1464-5491 |
| language | eng |
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| source | MEDLINE; Wiley Online Library All Journals |
| subjects | behaviour change Culture Diabetes Diabetes mellitus (non-insulin dependent) diabetes mellitus, type 2 Diabetes Mellitus, Type 2 - epidemiology Diabetes Mellitus, Type 2 - prevention & control diabetes, gestational Diabetes, Gestational - epidemiology Disease prevention Female Gestational diabetes Health Behavior Health care Humans interventions lifestyle behaviours Motivation novelty statement Postpartum Postpartum Period Pregnancy Qualitative Research review screening Social interactions Systematic Review Systematic Reviews Womens health |
| title | 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 |
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