Diabetes Self-Care : Pregnant Women

To prospectively identify factors promoting self-management that is healthy of and type 2 diabetes mellitus among underserved pregnant women.​

29 in-depth, semi-structured interviews were performed over the course of pregnancy for ten women with diabetes. Interviews on factors diabetes that is promoting used cognitive load theory to frame questions. Qualitative analysis of longitudinal interview data applied grounded theory techniques to generate themes.

Half this cohort of minority, low-income, public women that are aid-supported type 2 diabetes. Four themes, comprised of both internal motivators that are self-driven external sources of support, were identified. These themes were: 

(1) disease familiarity and diabetes self-efficacy; 

(2) external motivation (for health of fetus and responsibilities to older children); 

(3) supportive social and physical environment; 

(4) self-regulatory behavior, including goal responsiveness and goal-setting that is long-term.

Low-income women used multiple internal and resources that are external promote health during a pregnancy complicated by diabetes. Successful behavior achievement and modification of diabetes care goals require leveraging these resources.

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