ArticlePloS one2019
Experiences of lifestyle change among women with gestational diabetes mellitus (GDM): A behavioural diagnosis using the COM-B model in a low-income setting.
Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 3 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.
- Women's perspectives to improve prenatal care for gestational diabetes: A systematic review and meta-aggregation of qualitative studies.Acta obstetricia et gynecologica Scandinavica · 2025Pooled it
- 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.Diabetic medicine : a journal of the British Diabetic Association · 2022Pooled it
- Barriers to screening, diagnosis and management of hyperglycaemia in pregnancy in Africa: a systematic review.International health · 2022Pooled it
- Yoga Program for Type 2 Diabetes Prevention (YOGA-DP) Among High-Risk People: Qualitative Study to Explore Reasons for Non-participation in a Feasibility Randomized Controlled Trial in India.Frontiers in public health · 2021Trial
- "I gave birth, and then I disappeared"-women's experience of primary care follow-up and lifestyle prevention after gestational diabetes.International journal of qualitative studies on health and well-being · 2026Article
- Article
- Physical Activity Assessment-Self-Reported Versus Pedometer-Measured, and Associations with Health Markers Among University Students in South Africa.International journal of environmental research and public health · 2025Article
- Understanding gestational diabetes mellitus: a qualitative study of awareness and prevention strategies among pregnant women at risk in Jimma town, Ethiopia.BMC pregnancy and childbirth · 2025Article
- Gestational Diabetes Mellitus: Efficacy of Non-Pharmacological Interventions for Management and Prevention.Healthcare (Basel, Switzerland) · 2025Review
- Exploring Desired Features of Mobile Health Apps for Patients With Diabetes to Enhance Engagement and Self-Management: Qualitative Study.JMIR diabetes · 2025Article
- Beyond one size fits all: Probing patient choices in gestational diabetes management, from screening to postpartum.Chronic diseases and translational medicine · 2025Review
- Resource constraints, patient emotions, and therapy: experiences of healthcare providers in the screening and management of gestational diabetes mellitus in northern Ghana.BMC health services research · 2025Article
- Using COM-B model in identifying factors influencing exercise adherence in pregnant women with gestational diabetes mellitus in China: a qualitative study.Frontiers in public health · 2025Article
- Factors Influencing Adherence to Dietary Interventions Among Patients with Gestational Diabetes Mellitus in China: A Qualitative Study Based on the COM-B Model.Journal of multidisciplinary healthcare · 2025Article
- Understanding the Experiences of Women with Gestational Diabetes in Singapore: A Qualitative Study.International journal of women's health · 2025Article
- The effect of diabetes education on maternal and neonatal outcomes in pregnant women diagnosed with gestational diabetes.BMC pregnancy and childbirth · 2024Article
- Self-management interventions for gestational diabetes in Africa: a scoping review.BMC pregnancy and childbirth · 2024Article
- Co-designing an intervention using the COM-B model to change an eating behaviour in people living with achalasia.Frontiers in medicine · 2024Article
- Uptake of COVID-19 vaccine among high-risk urban populations in Southern Thailand using the COM-B model.PloS one · 2024Article
- Is There a Relationship between Adverse Pregnancy Outcomes and Future Development of Atherosclerosis?Biomedicines · 2023Review
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLifestyle change can reduce the risk of developing type 2 diabetes among women with prior gestational diabetes mellitus (GDM). While understanding women's lived experiences and views around GDM is critical to the development of behaviour change interventions to reduce this risk, few studies have addressed this issue in low- and middle- income countries. The aim of the study was to explore women's lived experiences of GDM and the feasibility of sustained lifestyle modification after GDM in a low-income setting.
methodsThis was a descriptive qualitative study on the lived experiences of women with prior GDM, who received antenatal care at a public sector tertiary hospital in Cape Town, South Africa. Nine focus groups and five in-depth interviews were conducted with a total of thirty-five women. Data were analysed using content analysis and the COM-B (Capabilities, Opportunities, Motivations and Behaviour) model to identify factors influencing lifestyle change during and beyond the GDM pregnancy.
resultsThe results suggest that the COM-B model's concepts of capability (knowledge and skills for behaviour change), opportunity (resources for dietary change and physical activity) and motivation (perception of future diabetes risk) are relevant to lifestyle change among GDM women in South Africa. The results will contribute to the design of a postpartum health system intervention for women with recent GDM.
conclusionOur findings highlight the need for health services to improve counselling and education for women with GDM in South Africa. Support from family and health professionals is essential for women to achieve lifestyle change. The experience of GDM imposed a significant psychological burden on women, which affected motivation for lifestyle change. To achieve long-term lifestyle change, behaviour interventions for women with prior GDM need to address their capability, opportunity and motivation for lifestyle change during and beyond pregnancy.
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