Protocol for a qualitative study exploring the perception of need, importance and acceptability of a digital diabetes prevention intervention for women with gestational diabetes mellitus during and after pregnancy in Malaysia (Explore-MYGODDESS).

Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE

Original Publication: [London] : BMJ Publishing Group Ltd, 2011-

Diabetes Mellitus, Type 2* ; Diabetes, Gestational*/prevention & control ; Mobile Applications*; Female ; Humans ; Malaysia ; Perception ; Pregnancy ; Randomized Controlled Trials as Topic

Introduction: Women who develop gestational diabetes mellitus (GDM) have an increased risk of developing type 2 diabetes, and to reduce this risk the women have to adopt healthy behaviour changes. Although previous studies have explored the challenges and facilitators to initiate behaviour change among women with GDM, there is limited data from Malaysian women. Thus, this study will explore the factors affecting the uptake of healthy behaviour changes and the use of digital technology among women and their healthcare providers (HCPs) to support healthy behaviour changes in women with GDM.
Methods and Analysis: The study will be modelled according to the Capability, Opportunity, Motivation and Behaviour and Behaviour Change Wheel techniques, and use the DoTTI framework to identify needs, solutions and testing of a preliminary mobile app, respectively. In phase 1 (design and development), a focus group discussion (FGDs) of 5-8 individuals will be conducted with an estimated 60 women with GDM and 40 HCPs (doctors, dietitians and nurses). Synthesised data from the FGDs will then be combined with content from an expert committee to inform the development of the mobile app. In phase 2 (testing of early iterations), a preview of the mobile app will undergo alpha testing among the team members and the app developers, and beta testing among 30 women with GDM or with a history of GDM, and 15 HCPs using semi-structured interviews. The outcome will enable us to optimise an intervention using the mobile app as a diabetes prevention intervention which will then be evaluated in a randomised controlled trial.
Ethics and Dissemination: The project has been approved by the Malaysia Research Ethics Committee. Informed consent will be obtained from all participants. Outcomes will be presented at both local and international conferences and submitted for publications in peer-reviewed journals.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Matern Child Health J. 2014 Dec;18(10):2465-78. (PMID: 24748213)
N Engl J Med. 2008 May 8;358(19):1991-2002. (PMID: 18463375)
J Am Diet Assoc. 2006 Sep;106(9):1426-33. (PMID: 16963348)
Qual Health Res. 2014 Apr;24(4):575-85. (PMID: 24682021)
Diabetes Res Clin Pract. 2018 Apr;138:271-281. (PMID: 29496507)
Nurse Res. 2019 Sep 21;26(2):8-13. (PMID: 30215482)
Am J Med. 2009 Mar;122(3):207-214.e4. (PMID: 19272478)
Health Psychol. 2008 May;27(3):379-87. (PMID: 18624603)
BMC Pregnancy Childbirth. 2016 Sep 29;16(1):287. (PMID: 27679990)
J Med Internet Res. 2016 Nov 09;18(11):e290. (PMID: 27829574)
World J Diabetes. 2015 Jul 25;6(8):1065-72. (PMID: 26240703)
Implement Sci. 2011 Apr 23;6:42. (PMID: 21513547)
JMIR Mhealth Uhealth. 2015 Mar 11;3(1):e27. (PMID: 25760773)
Front Endocrinol (Lausanne). 2018 Oct 05;9:583. (PMID: 30344509)
JMIR Mhealth Uhealth. 2018 Mar 20;6(3):e71. (PMID: 29559428)
Am J Prev Med. 2013 Aug;45(2):228-36. (PMID: 23867031)
J Med Internet Res. 2014 Mar 14;16(3):e76. (PMID: 24641991)
BMC Pregnancy Childbirth. 2017 Jun 5;17(1):171. (PMID: 28583101)
Implement Sci. 2018 Oct 22;13(1):130. (PMID: 30348165)
Int J Med Inform. 2013 Aug;82(8):637-52. (PMID: 23792137)
Diabetes Care. 2021 Feb;44(2):313-315. (PMID: 33472965)
Am J Obstet Gynecol. 2018 Apr;218(4):453.e1-453.e7. (PMID: 29425836)
JMIR Form Res. 2019 Apr 19;3(2):e12679. (PMID: 31066684)
BMC Med Res Methodol. 2013 Sep 18;13:117. (PMID: 24047204)
Matern Child Health J. 2014 Sep;18(7):1683-90. (PMID: 24343308)
Diabetes Care. 2002 Oct;25(10):1862-8. (PMID: 12351492)
Indian J Endocrinol Metab. 2017 Mar-Apr;21(2):334-340. (PMID: 28459035)
JMIR Hum Factors. 2018 May 14;5(2):e10308. (PMID: 29759955)
J Diabetes Res. 2017;2017:2190812. (PMID: 29226155)
BMC Pregnancy Childbirth. 2018 Jan 11;18(1):25. (PMID: 29325518)
JMIR Diabetes. 2017 Oct 04;2(2):e25. (PMID: 30291088)
Am J Health Promot. 2018 Jul;32(6):1438-1446. (PMID: 29108443)
Nurse Res. 2011;18(2):52-62. (PMID: 21319484)
Can J Diabetes. 2014 Feb;38(1):26-31. (PMID: 24485210)
J Clin Endocrinol Metab. 2015 Apr;100(4):1646-53. (PMID: 25706240)
Clin Diabetes. 2018 Apr;36(2):160-167. (PMID: 29686455)
BMC Med Res Methodol. 2017 Aug 3;17(1):118. (PMID: 28774271)
J Diabetes Res. 2018 Feb 20;2018:6536974. (PMID: 29675432)
BMC Pregnancy Childbirth. 2014 Jan 22;14:41. (PMID: 24450389)
Health Informatics J. 2020 Sep;26(3):1983-1994. (PMID: 31912754)
Women Birth. 2014 Dec;27(4):292-7. (PMID: 25096174)
N Engl J Med. 2002 Feb 7;346(6):393-403. (PMID: 11832527)
JMIR Mhealth Uhealth. 2015 May 20;3(2):e41. (PMID: 25993907)
Lancet Diabetes Endocrinol. 2015 Nov;3(11):866-75. (PMID: 26377054)
Diabetes Care. 2021 Feb;44(2):456-463. (PMID: 33184151)

MR/T018240/1 United Kingdom MRC_ Medical Research Council

Keywords: diabetes in pregnancy; preventive medicine; qualitative research

Date Created: 20210827 Date Completed: 20210914 Latest Revision: 20210915

20240628

PMC8395347

10.1136/bmjopen-2020-044878

34446477