Centre for Health Services Research, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia.
Office of the Chief Allied Health Practitioner, Metro North Health, Herston, QLD, Australia.
J Hum Nutr Diet. 2024 Oct;37(5):1231-1244. doi: 10.1111/jhn.13341. Epub 2024 Jun 18.
Gestational diabetes mellitus (GDM) is a common and costly condition of pregnancy. The Healthy Gut Diet for Preventing Gestational Diabetes study is a novel randomised controlled trial that aims to prevent GDM through a diet that modulates the gut microbiota for pregnant women with GDM risk factors. Despite increasing interest in co-designing interventions with consumers (lived experience experts), co-design methods and outcomes are often poorly reported. The present study aims to report on the co-design process used to develop The Healthy Gut Diet intervention.
Co-design occurred across three online workshops with consumer participants (women with a lived experience of GDM, n = 11), researchers (n = 6) and workshop co-facilitators (including a consumer co-facilitator, n = 2). The workshops explored women's preferences for the mode and length of education sessions, as well as the types of information and supportive resources women wanted to receive, and undertook a "behaviour diagnosis" to understand barriers and enablers to the target behaviours (eating for gut health). The final intervention is reported according to the Template for Intervention Description and Replication.
A co-designed dietary intervention (The Healthy Gut Diet), delivered via telehealth, with a suite of educational and supportive resources that integrates published behaviour change techniques, was developed. Generally, the co-design process was reported as a positive experience based on participant feedback and evidenced by no participant dropouts over the 3-month study period.
Co-design is recognised as a process that creates a partnership between lived experience experts and researchers who can engage and empower research recipients and improve health behaviours.
妊娠糖尿病（GDM）是一种常见且代价高昂的妊娠疾病。健康肠道饮食预防妊娠糖尿病研究是一项新颖的随机对照试验，旨在通过调节肠道微生物群来预防有 GDM 风险因素的孕妇发生 GDM。尽管人们对与消费者（有 GDM 经历的专家）共同设计干预措施的兴趣日益浓厚，但共同设计方法和结果往往报告得很差。本研究旨在报告用于开发健康肠道饮食干预措施的共同设计过程。
在三个在线研讨会上，消费者参与者（有 GDM 经历的女性，n=11）、研究人员（n=6）和研讨会共同主持人（包括一名消费者共同主持人，n=2）共同设计。这些研讨会探讨了女性对教育课程模式和时长的偏好，以及她们希望获得的信息类型和支持资源，并进行了“行为诊断”，以了解目标行为（肠道健康饮食）的障碍和促进因素。最终的干预措施根据干预描述和复制模板进行报告。
开发了一种共同设计的饮食干预措施（健康肠道饮食），通过远程医疗提供，还提供了一套教育和支持资源，这些资源整合了已发表的行为改变技术。总体而言，根据参与者的反馈，共同设计过程被报告为一种积极的体验，并且在 3 个月的研究期间没有参与者退出。
共同设计被认为是一种在有 GDM 经历的专家和研究人员之间建立伙伴关系的过程，他们可以使研究对象参与进来并赋予他们权力，并改善健康行为。
