Barriers to and enablers of type 2 diabetes screening among Indian and Chinese women with prior gestational diabetes: A qualitative study applying the Theoretical Domains Framework
Ten women participated: 6 Chinese born, 4 Indian born, nine of whom had previously screened for T2D. Nine influential TDF domains were identified, suggesting messaging content needs to address: Motivation (fear of T2D, encourage role modelling beliefs), Opportunity (encourage social support taking cultural and family norms into account), Capability (increase awareness of T2D risk, optimise prompts/reminders) CONCLUSIONS: Use of the COM-B and TDF suggests nine modifiable barriers to, and enablers of, postpartum T2D screening among Indian and Chinese-born women in Australia with prior GDM, mostly consistent with those of general Australian GDM populations. Culture-specific needs, such as including family in knowledge and support, and providing specific information regarding genetic- versus behaviour related risks can be accounted for within an inclusive messaging intervention addressing topics applicable to all women.
Authors
- Siew Lim (ORCID: https://orcid.org/0000-0002-5333-6451)
- Jacqueline Boyle (ORCID: https://orcid.org/0000-0002-3616-1637)
- Jane Speight (ORCID: https://orcid.org/0000-0002-1204-6896)
- Sharleen O’Reilly (ORCID: https://orcid.org/0000-0003-3547-6634)
- Helena Jane Teede (ORCID: https://orcid.org/0000-0001-7609-577X)
- Christel Hendrieckx (ORCID: https://orcid.org/0000-0002-0075-828X)
- Adriana C. H. Neven (ORCID: https://orcid.org/0000-0003-3480-4245)
- Amelia Williams (ORCID: https://orcid.org/0000-0001-6019-4925)
- Amelia J. Lake (ORCID: https://orcid.org/0000-0003-1068-2722)
- James Dunbar (ORCID: https://orcid.org/0000-0003-0866-4365)
- Melinda Morrison (ORCID: https://orcid.org/0000-0003-2133-1557)
- Sharon Licqurish (ORCID: https://orcid.org/0000-0003-4619-8975)
Institutions
- University College Dublin (IE)
- Deakin University (AU)
- Diabetes Australia (AU)
- Monash Health (AU)
- Monash University (AU)
Publication Details
- Journal
- Midwifery
- Published
- 2025-03-11
- DOI
- https://doi.org/10.1016/j.midw.2025.104370
- Citations
- 1
- Primary Topic
- Gestational Diabetes Research and Management
- Type
- article
- Field-Weighted Citation Impact
- 2.06
Funders
- Deakin University
- Department of Health and Aged Care, Australian Government
- Diabetes Victoria
- National Health and Medical Research Council