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妊娠糖尿病后糖尿病预防计划的实施组成部分:一个范围审查
Katelyn Sushko1, Megan Racey2, Paige Alliston2
1Women's College Research and Innovation Institute, Women's College Hospital, Toronto, ON, Canada. katelyn.sushko@wchospital.ca.
Current diabetes reports
|November 24, 2025
概括
妊娠糖尿病 (GDM) 后的糖尿病预防计划 (DPP) 显示了各种各样的组件和交付方法. 怀孕期间的早期招聘可以提高覆盖范围,而定制,灵活的计划可以提高参与度和可持续性.
科学领域:
- 产科和妇科 产科和妇科
- 内分泌学 在内分泌学.
- 公共卫生 公共卫生
背景情况:
- 孕期糖尿病 (GDM) 增加了2型糖尿病的风险.
- 有效的糖尿病预防计划 (DPP) 对于产后管理至关重要.
- 了解DPP组件和实施因素对于成功至关重要.
研究的目的:
- 为了合成GDM后的DPP的组件.
- 分析影响DPP实施的因素.
- 发现报告干预和实施结果的漏洞.
主要方法:
- 来自多个数据库 (MEDLINE,Embase,PsychINFO,Emcare) 的文献范围审查.
- 使用干预描述和复制模板 (TIDieR) 描述的干预组件.
- 研究结果使用覆盖范围,有效性,采用,实施和维护 (RE-AIM) 框架进行分析.
主要成果:
- 包括17项关于GDM后DPP的研究.
- 怀孕期间的招聘改善了覆盖范围和参与度.
- 使用面对面,虚拟或组合交付方法的课程,持续时间不同.
- 参与,特别是对于少数群体,需要改进;灵活性和定制是保持和可持续性的关键.
- 存在实施障碍,对组件和结果的报告变化.
结论:
- 在GDM之后的DPP需要优化参与策略,特别是针对少数群体.
- 灵活和量身定制的程序组件和交付提高了保留,影响和可持续性.
- 建议将RE-AIM等经过验证的框架整合到干预措施的开发,实施和评估中.
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