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有既往妊娠期糖尿病妊娠史的女性在生活方式干预期间接受同伴咨询和社会支持的经历。

Women's experience with peer counselling and social support during a lifestyle intervention among women with a previous gestational diabetes pregnancy.

作者信息

Ingstrup Meghan S, Wozniak Lisa A, Mathe Nonsi, Butalia Sonia, Davenport Margie H, Johnson Jeffrey A, Johnson Steven T

机构信息

School of Public Health, University of Alberta, Edmonton, Alberta, Canada.

Departments of Medicine and Community Health Sciences, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.

出版信息

Health Psychol Behav Med. 2019 May 9;7(1):147-159. doi: 10.1080/21642850.2019.1612750.

Abstract

PURPOSE

Women who are diagnosed with gestational diabetes mellitus have an increased risk of developing type 2 diabetes, but most receive little guidance regarding disease prevention. This study examined the role and usefulness of social support, including peer counselling in facilitating behaviour change as a part of a healthy eating and physical activity intervention among women with a previous gestational diabetes mellitus pregnancy.

METHODS

We used a qualitative descriptive approach to investigate participants' experiences with the social support they received during the intervention. We used purposeful sampling and invited women and peer counsellors to participate in semi-structured interviews. Data were analyzed using content analysis.

RESULTS

We interviewed nine women and two peer counsellors. Participants received emotional, appraisal, and informational types of social support from the peer counsellor and exercise specialist that they reported as useful. Additionally, participants' received informal emotional and instrumental support from family, friends, and colleagues that they found useful in supporting behaviour change.

CONCLUSIONS

Different types of social support are important to encourage behaviour change. These findings provide insight into the types of social support women with previous gestational diabetes mellitus find useful, in addition to practical ways that social support can be incorporated into future interventions.

摘要

目的

被诊断为妊娠期糖尿病的女性患2型糖尿病的风险增加,但大多数人在疾病预防方面几乎没有得到指导。本研究探讨了社会支持的作用和有效性,包括同伴咨询在促进行为改变方面的作用,这是先前有妊娠期糖尿病妊娠史的女性健康饮食和体育活动干预的一部分。

方法

我们采用定性描述性方法来调查参与者在干预期间接受社会支持的经历。我们采用目的抽样法,邀请女性和同伴咨询师参与半结构化访谈。使用内容分析法对数据进行分析。

结果

我们采访了9名女性和2名同伴咨询师。参与者从同伴咨询师和运动专家那里获得了情感支持、评价支持和信息支持,他们认为这些支持很有用。此外,参与者还从家人、朋友和同事那里获得了非正式的情感支持和工具性支持,他们发现这些支持对支持行为改变很有帮助。

结论

不同类型的社会支持对于鼓励行为改变很重要。这些发现不仅深入了解了先前有妊娠期糖尿病妊娠史的女性认为有用的社会支持类型,还揭示了将社会支持纳入未来干预措施的实际方法。

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本文引用的文献

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Obstet Gynecol. 2012 Jan;119(1):171-6. doi: 10.1097/AOG.0b013e3182393208.

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