Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Core outcome set for diabetes after pregnancy prevention across the life span: international Delphi study

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

DOI

  1. Components of diabetes prevalence in Denmark 1996-2016 and future trends until 2030

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Prevalence, incidence and mortality of type 1 and type 2 diabetes in Denmark 1996-2016

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Proglucagon peptide secretion profiles in type 2 diabetes before and after bariatric surgery: 1-year prospective study

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Health literacy meets the life-course perspective: towards a conceptual framework

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Juleønske fra Dansk Selskab for Folkesundhed: Gå sammen om at bekæmpe ulighed i sundhed

    Publikation: Bidrag til tidsskriftBidrag til avis - Kronik

  3. Strategies to promote health behaviours in parents with small children – a systematic review and realist synthesis

    Publikation: KonferencebidragKonferenceabstrakt til konferenceForskning

Vis graf over relationer

INTRODUCTION: Mothers with gestational diabetes mellitus (GDM) are at high risk of future diabetes. An active area of research examines health behavior change strategies in women within 5 years of a GDM pregnancy to prevent diabetes after pregnancy. We aimed to develop a core outcome set (COS) to facilitate synthesis and comparison across trials.

RESEARCH DESIGN AND METHODS: Candidate outcomes were identified through systematic review and scored for importance (1-9) by healthcare professionals, researchers, and women with prior GDM through an international two-round electronic-Delphi survey. Outcomes retained required round two scores above prespecified thresholds (≥70% scoring 7-9) or expert panel endorsement when scores were indeterminate. The panel organized the COS by domain.

RESULTS: 115 stakeholders participated in the survey and 56 completed both rounds. SD of scores decreased by 0.24 (95%CI 0.21 to 0.27) by round 2, signaling convergence. The final COS includes 19 domains (50 outcomes): diabetes (n=3 outcomes), other related diseases (n=3), complications in subsequent pregnancy (n=2), offspring outcomes (n=3), adiposity (n=4), cardiometabolic measures (n=5), glycemia (n=3), physical activity (n=2), diet (n=4), breast feeding (n=2), behavior change theory (n=5), diabetes-related knowledge (n=2), health literacy (n=1), social support (n=1), sleep (n=1), quality of life (n=1), program delivery (n=4), health economic evaluation (n=2), and diabetes risk screening (n=2). The seven outcomes endorsed by ≥90% were diabetes development and GDM recurrence, attending the postpartum diabetes screening and completing oral glucose tolerance testing and/or other glycemia measures, weight and total energy intake, and health behaviors in general. Among the 15 at the 80%-90% endorsement level, approximately half were specific elements related to the top 7, while the remainder related to diabetes knowledge, personal risk perception, motivation for change, program element completion, and health service use and cost.

CONCLUSION: Researchers should collect and report outcomes from the breadth of domains in the COS.

OriginalsprogEngelsk
TidsskriftBMJ open diabetes research & care
Vol/bind8
Udgave nummer2
ISSN2052-4897
DOI
StatusUdgivet - nov. 2020

Bibliografisk note

© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

ID: 61251504