Priorities to improve woman-centred gestational diabetes mellitus care : A qualitative study to compare views between clinical and consumer end-users

Journal article


Wan, Ching Shan, Nankervis, Alison, Teede, Helena and Aroni, Rosalie. (2023). Priorities to improve woman-centred gestational diabetes mellitus care : A qualitative study to compare views between clinical and consumer end-users. Journal of Human Nutrition and Dietetics. 36(5), pp. 1636-1648. https://doi.org/10.1111/jhn.13191
AuthorsWan, Ching Shan, Nankervis, Alison, Teede, Helena and Aroni, Rosalie
Abstract

Background
Immigrants worldwide have a two-fold higher risk of gestational diabetes mellitus (GDM) than women of the host country. Providing culturally appropriate woman-centred GDM care to attenuate adverse maternal and neonatal health outcomes is a persistent challenge for health services. Underpinned by the Knowledge to Action Framework, understanding and comparing the views of patients from different ethnic backgrounds and healthcare professionals (HCPs) about current and optimal GDM care can highlight priority areas to improve woman-centred care. This qualitative study aimed to compare the views of ethnic Chinese and Australian-born Caucasian women and their HCPs, including endocrinologists, obstetricians, midwives, diabetes nurse educators and dietitians, about what constitutes optimal GDM care and how to improve woman-centred GDM care.

Methods
Purposive sampling was used to recruit 42 Chinese and 30 Caucasian women with GDM and 17 HCPs from two large Australian hospital maternity services to complete in-depth, semi-structured interviews. Patients’ and HCPs’ views were thematically analysed and compared.

Results
Four out of nine themes showed misalignments between patients’ and HCPs’ views on GDM care, reflecting priority areas to improve woman-centred care by (i) reaching agreement on the attitudes towards different treatment targets between HCPs; (ii) enhancing inter-professional communication; (iii) improving GDM care transition to postpartum care; and (iv) providing detailed dietary advice tailored to Chinese patients’ cultural diet.

Conclusions
Further research on reaching consensus on treatment targets, enhancing inter-professional communication, developing a perinatal care transition model from pregnancy to postpartum, and developing Chinese patient-oriented educational resources is required to improve woman-centred care.

Keywordsdiabetes; gestational; maternal health; qualitative research; transitional care
Year2023
JournalJournal of Human Nutrition and Dietetics
Journal citation36 (5), pp. 1636-1648
PublisherJohn Wiley & Sons Ltd
ISSN0952-3871
Digital Object Identifier (DOI)https://doi.org/10.1111/jhn.13191
PubMed ID37282816
Scopus EID2-s2.0-85161491299
Open accessPublished as ‘gold’ (paid) open access
Page range1636-1648
FunderResearch Training Program Scholarship (RTP), Australian Government
Monash University
Medical Research Future Fund (MRFF), Australian Government
National Health and Medical Research Council (NHMRC)
Publisher's version
License
File Access Level
Open
Output statusPublished
Publication dates
Online06 Jun 2023
Publication process dates
Accepted22 May 2023
Deposited03 Apr 2025
Additional information

© 2023 The Authors. Journal of Human Nutrition and Dietetics published by John Wiley & Sons Ltd on behalf of British Dietetic Association.

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License https://creativecommons.org/licenses/by-nc-nd/4.0), which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

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