Study protocol for a mixed methods exploratory investigation of aftercare services for gestational diabetes in women to develop a new patient-centred model in Germany: the GestDiNa_basic study. Issue 8 (2nd August 2021)

• Record Type: Journal Article
• Authors: Greiner, Gregory Gordon; Viehmann, Anja; Linnenkamp, Ute; Wilm, Stefan; Leve, Verena; Neuenschwander, Manuela; Kuss, Oliver; Fehm, Tanja; Ensenauer, Regina; Schumacher, Liesa; Lange, Ute; Müller-Bößmann, Dorit; Lappe, Veronika; Ihle, Peter; Adamczewski, Heinke; Kaltheuner, Matthias; Tamayo, Miguel; Gräfe, Viola; Westerhoff, Benjamin; Wallerich-Herf, Nadine; Schellhammer, Stefanie; Kerres, Thomas; Schmitz-Losem, Imke; Cramer, Stefan; Rupprecht, Christoph J; Klüppelholz, Birgit; Meyer, Frank; Koch-Schulte, Simone; Jüngling, Ute; Icks, Andrea
• Other Names: author non-byline.; Leucht Verena author non-byline.; Warth Jacqueline Verena author non-byline.; Meier-Stiegen Franziska author non-byline.; Bizjak Gabriele author non-byline.; Borgmeier Felix author non-byline.; Öner-Sieben Soner author non-byline.; Weber Dietmar author non-byline.; Behling Manuela author non-byline.; Gierse Martina author non-byline.; Merker Kerstin author non-byline.; Klein Judith author non-byline.; Graf Christian author non-byline.; Abele Thomas author non-byline.; Schneider Martin author non-byline.; Saam Joachim author non-byline.; Wobbe-Robinski Stefanie author non-byline.; Dortmann Olga author non-byline.; Hollmann Tim author non-byline.
• Is Part Of: BMJ open. Volume 11:Issue 8(2021)
• Publication Date: 2021-08-02
• Subjects: diabetes in pregnancy -- protocols & guidelines -- quality in health care -- primary care; Medicine -- Research -- Periodicals; 610.72
• DOI: 10.1136/bmjopen-2020-046048
• Languages: English
• ISSNs: 2044-6055

Abstract

Abstract : Introduction: Women with gestational diabetes mellitus (GDM) have a higher risk of developing type 2 diabetes mellitus compared with women who never had GDM. Consequently, the question of structured aftercare for GDM has emerged. In all probability, many women do not receive care according to the guidelines. In particular, the process and interaction between obstetrical, diabetic, gynaecological, paediatric and general practitioner care lacks clear definitions. Thus, our first goal is to analyse the current aftercare situation for women with GDM in Germany, for example, the participation rate in aftercare diabetes screening, as well as reasons and attitudes stated by healthcare providers to offer these services and by patients to participate (or not). Second, we want to develop an appropriate, effective and patient-centred care model. Methods and analysis: This is a population-based mixed methods study using both quantitative and qualitative research approaches. In various working packages, we evaluate data of the GestDiab register, of the Association of Statutory Health Insurance Physicians of North Rhine and the participating insurance companies (AOK Rheinland/Hamburg, BARMER, DAK Gesundheit, IKK classic, pronova BKK). In addition, quantitative (postal surveys) and qualitative (interviews) surveys will be conducted with randomly selected healthcare providers (diabetologists, gynaecologists, paediatricians and midwives) and affected women, to be subsequently analysed. All results will then be jointly examined and evaluated. Ethics and dissemination: The study was approved by the ethics committee of the Faculty of Medicine, Heinrich-Heine-University Düsseldorf (Ethics Committee No.: 2019-738). Participants of the postal surveys and interviews will be informed in detail about the study and the use of data as well as the underlying data protection regulations before voluntarily participating. The study results will be disseminated through peer-reviewed journals, conferences and public information. Trial registration number: DRKS00020283.