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The Underutilization of National Diabetes Prevention Program Among Women With a History of Gestational Diabetes Mellitus: An In-Depth Focus Group Analysis
Introduction: Gestational diabetes mellitus significantly increases the risk of developing Type 2 diabetes mellitus in women. However, the National Diabetes Prevention Program, effective in reducing Type 2 diabetes mellitus incidence, is underutilized among women with a history of gestational diabetes mellitus. This study aims to explore the factors contributing to this underutilization and propose strategies to increase National Diabetes Prevention Program's usage.
Methods: A qualitative study with narrative methodology was employed, involving focus group discussions with 18 women aged between 29 and 43 years, who had a history of gestational diabetes mellitus. Participants were recruited from a gestational diabetes mellitus registry through University of California, San Diego's online platform. The discussions were aimed at understanding their awareness of Type 2 diabetes mellitus risk after gestational diabetes mellitus and their knowledge about the National Diabetes Prevention Program.
Results: Thematic analysis of the discussions revealed 4 key themes: (1) challenges in navigating health information after gestational diabetes mellitus; (2) perceived facilitators for National Diabetes Prevention Program participation, including peer support, personalized guidance, and virtual options; (3) perceived barriers, such as time constraints, childcare responsibilities, and financial considerations; and (4) insights into patient perspectives on gestational diabetes mellitus care. Despite awareness of their increased Type 2 diabetes mellitus risk, there was a notable gap in knowledge about the National Diabetes Prevention Program among participants. Conclusions: The study highlights the critical need for improved communication regarding postgestational diabetes mellitus risk of type 2 diabetes and the National Diabetes Prevention Program. Addressing communication gaps, offering personalized support, and accommod ating the unique challenges faced by women with a history of gestational diabetes mellitus can enhance National Diabetes Prevention Program participation. The significance of a patient-centric approach in diabetes prevention is underscored, emphasizing that such an approach could significantly impact Type 2 diabetes mellitus prevention in this high-risk population. © 2024 The Authors
Authors : Narayanan P.; Kothapalli S.R.; Strohl H.B.; Hill L.L.
Source : Elsevier B.V.
Article Information
| Year | 2025 |
| Type | Article |
| DOI | 10.1016/j.focus.2024.100279 |
| ISSN | 27730654 |
| Volume | 4 |
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