Evidence mapPaperPMID 36004677Full record

SynthesisDiabetic medicine : a journal of the British Diabetic Association2022

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.

Adriana C H Neven, Amelia J Lake, Amelia Williams, Sharleen L O'Reilly, Christel Hendrieckx, Melinda Morrison, James A Dunbar, Jane Speight, Helena Teede, Jacqueline A Boyle and 1 more

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Diabetic medicine : a journal of the British Diabetic Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 2 countries.

Adriana C H NevenMonash Centre for Health Research and Implementation, Monash Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia.ORCID 0000-0003-3480-4245
Amelia J LakeSchool of Psychology, Deakin University, Geelong, Victoria, Australia.ORCID 0000-0003-1068-2722
Amelia WilliamsSchool of Psychology, Deakin University, Geelong, Victoria, Australia.ORCID 0000-0001-6019-4925
Sharleen L O'ReillyCentre for Physical Activity and Nutrition Research, Deakin University, Burwood, Victoria, Australia.ORCID 0000-0003-3547-6634
Christel HendrieckxSchool of Psychology, Deakin University, Geelong, Victoria, Australia.ORCID 0000-0002-0075-828X
Melinda MorrisonDiabetes New South Wales, Glebe, New South Wales, Australia.ORCID 0000-0003-2133-1557
James A DunbarDeakin Rural Health, School of Medicine, Deakin University, Warrnambool, Victoria, Australia.ORCID 0000-0003-0866-4365
Jane SpeightSchool of Psychology, Deakin University, Geelong, Victoria, Australia.ORCID 0000-0002-1204-6896
Helena TeedeMonash Centre for Health Research and Implementation, Monash Public Health and Preventive Medicine, Monash University, Clayton, Victoria, Australia.ORCID 0000-0001-7609-577X
Jacqueline A BoyleEastern Health Clinical School, Box Hill, Victoria, Australia.ORCID 0000-0002-3616-1637
ME-MaGDA Study Group
Deakin University · AUMonash University · AUDiabetes Australia · AUEastern Health · AUUniversity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsRacial 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.

methodsDatabases, 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.

resultsAfter 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.

conclusionsWe 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.

Indexed as

Diabetes, GestationalDiabetes Mellitus, Type 2CultureFemaleHealth BehaviorHumansMotivationPostpartum PeriodPregnancyQualitative Researchbehaviour changediabetes, gestationaldiabetes mellitus, type 2interventionslifestyle behavioursnovelty statementreviewscreening

Identifiers

PMID36004677
PMCPMC9826483
OpenAlexW4293034655

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.