Catherine Kilgour1, Fiona Elizabeth Bogossian2, Leonie Callaway3, Cindy Gallois4. 1. School of Medicine, University of Queensland, Level 9, Health Sciences Building, Herston, Brisbane Q 4029, Australia; School of Nursing, Midwifery and Social Work, University of Queensland, Brisbane, Australia. Electronic address: c.kilgour@uq.edu.au. 2. School of Nursing, Midwifery and Social Work, University of Queensland, Brisbane, Australia. Electronic address: f.Bogossian@uq.edu.au. 3. School of Medicine, University of Queensland, Level 9, Health Sciences Building, Herston, Brisbane Q 4029, Australia; Obstetric and Internal Medicine, Royal Brisbane and Women's Hospital, Herston, Australia. Electronic address: l.callaway@uq.edu.au. 4. School of Psychology, Faculty of Health and Behavioral Sciences, University of Queensland, Brisbane, Australia. Electronic address: c.Gallois@uq.edu.au.
Abstract
PROBLEM: Postnatal follow-up screening is recommended for all women diagnosed with gestational diabetes mellitus (GDM). However follow-up rates are poor and highly variable in Australia and internationally. The reasons that mothers are not completing recommended postnatal screening after GDM diagnosis are not well understood or studied. The quality of communication may be an important influence on the completion of postnatal GDM follow-up. AIM: To explore and assess women's communication experiences of postnatal GDM follow-up. METHODS: Theoretical, purposeful sampling was used to identify women diagnosed with GDM. Convergent interviews explored participants' communication experiences with GDM and postnatal follow-up. Transcripts were provided to and updated by participants. Data was analysed with Leximancer(®) (V4, 2011) automated content analysis software. SETTING AND PARTICIPANTS: This research was conducted at a major tertiary referral hospital in Queensland, Australia, between December 2012 and July 2013. Women participating in maternity shared care and diagnosed with GDM were interviewed (n=13). FINDINGS: Five themes, all concerned with obtaining information, were identified: diagnosis of GDM; seeking GDM information; accessing specialist services; need for postnatal GDM follow-up; and completing GDM follow-up. Results were interpreted using Communication Accommodation Theory (CAT) to explore whether and how the information needs of women were accommodated. Women's interpretations of communication events influenced their knowledge, perceptions and motivation to complete recommended postnatal follow-up. CONCLUSION: Accommodation of the communication and information needs of women with GDM may be an effective strategy for clinicians to encourage completion of recommended postnatal GDM follow-up.
PROBLEM: Postnatal follow-up screening is recommended for all women diagnosed with gestational diabetes mellitus (GDM). However follow-up rates are poor and highly variable in Australia and internationally. The reasons that mothers are not completing recommended postnatal screening after GDM diagnosis are not well understood or studied. The quality of communication may be an important influence on the completion of postnatal GDM follow-up. AIM: To explore and assess women's communication experiences of postnatal GDM follow-up. METHODS: Theoretical, purposeful sampling was used to identify women diagnosed with GDM. Convergent interviews explored participants' communication experiences with GDM and postnatal follow-up. Transcripts were provided to and updated by participants. Data was analysed with Leximancer(®) (V4, 2011) automated content analysis software. SETTING AND PARTICIPANTS: This research was conducted at a major tertiary referral hospital in Queensland, Australia, between December 2012 and July 2013. Women participating in maternity shared care and diagnosed with GDM were interviewed (n=13). FINDINGS: Five themes, all concerned with obtaining information, were identified: diagnosis of GDM; seeking GDM information; accessing specialist services; need for postnatal GDM follow-up; and completing GDM follow-up. Results were interpreted using Communication Accommodation Theory (CAT) to explore whether and how the information needs of women were accommodated. Women's interpretations of communication events influenced their knowledge, perceptions and motivation to complete recommended postnatal follow-up. CONCLUSION: Accommodation of the communication and information needs of women with GDM may be an effective strategy for clinicians to encourage completion of recommended postnatal GDM follow-up.
Authors: Patricia A Smith; Catherine Kilgour; Deann Rice; Leonie K Callaway; Elizabeth K Martin Journal: BMC Health Serv Res Date: 2022-10-19 Impact factor: 2.908
Authors: Helen Sanderson; Emma Loveman; Jill Colquitt; Pamela Royle; Norman Waugh; Bee Kang Tan Journal: J Clin Med Date: 2018-12-20 Impact factor: 4.241