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)

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 amo...

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Main Authors: Siew Mooi Ching, Kimberley Goldsmith, Nicola Guess, Iliatha Papachristou Nadal, Helen Murphy, Barakatun Nisak Mohd Yusof, Irmi Zarina Ismail, Hanifatiyah Ali, Angus Forbes, Nur Hafizah Mahamad Sobri, Faezah Hassan, Nurul Iftida Basri, Mazatulfazura Sf Salim, Choiriyatul Azmiyaty
Format: Article
Language:English
Published: BMJ Publishing Group 2021-08-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/11/8/e044878.full
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author Siew Mooi Ching
Kimberley Goldsmith
Nicola Guess
Iliatha Papachristou Nadal
Helen Murphy
Barakatun Nisak Mohd Yusof
Irmi Zarina Ismail
Hanifatiyah Ali
Angus Forbes
Nur Hafizah Mahamad Sobri
Faezah Hassan
Nurul Iftida Basri
Mazatulfazura Sf Salim
Choiriyatul Azmiyaty
author_facet Siew Mooi Ching
Kimberley Goldsmith
Nicola Guess
Iliatha Papachristou Nadal
Helen Murphy
Barakatun Nisak Mohd Yusof
Irmi Zarina Ismail
Hanifatiyah Ali
Angus Forbes
Nur Hafizah Mahamad Sobri
Faezah Hassan
Nurul Iftida Basri
Mazatulfazura Sf Salim
Choiriyatul Azmiyaty
author_sort Siew Mooi Ching
collection DOAJ
description 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.
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spelling doaj-art-42a0c4c1764e493c8cad3ecaf2c36e6a2025-08-20T02:30:39ZengBMJ Publishing GroupBMJ Open2044-60552021-08-0111810.1136/bmjopen-2020-044878Protocol 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)Siew Mooi Ching0Kimberley Goldsmith1Nicola Guess2Iliatha Papachristou Nadal3Helen Murphy4Barakatun Nisak Mohd Yusof5Irmi Zarina Ismail6Hanifatiyah Ali7Angus Forbes8Nur Hafizah Mahamad Sobri9Faezah Hassan10Nurul Iftida Basri11Mazatulfazura Sf Salim12Choiriyatul Azmiyaty13Family Medicine, Universiti Putra Malaysia Fakulti Perubatan dan Sains Kesihatan, Serdang, MalaysiaDepartment of Biostatistics and Health Informatics, Institute of Psychiatry, Psychology & Neuroscience, King`s College London, London, UKResearch Center for Optimal Health, University of Westminster, London, UKFaculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UKWomen and Childrens Health, Faculty of Life Sciences and Medicine, Kings College London, London, UKNutrition and Dietetics, University Putra Malaysia, Serdang, MalaysiaFamily Medicine, Universiti Putra Malaysia Fakulti Perubatan dan Sains Kesihatan, Serdang, MalaysiaFamily Medicine, Universiti Putra Malaysia Fakulti Perubatan dan Sains Kesihatan, Serdang, MalaysiaNursing, Midwifery & Palliative Care, King`s College London, London, UKFamily Medicine, Universiti Putra Malaysia Fakulti Perubatan dan Sains Kesihatan, Serdang, MalaysiaFamily Medicine, Universiti Putra Malaysia Fakulti Perubatan dan Sains Kesihatan, Serdang, MalaysiaObstetrics & Gynaecology Department, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang, MalaysiaRehabilitation, Universiti Putra Malaysia, Serdang, MalaysiaFamily Medicine, Universiti Putra Malaysia Fakulti Perubatan dan Sains Kesihatan, Serdang, MalaysiaIntroduction 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.https://bmjopen.bmj.com/content/11/8/e044878.full
spellingShingle Siew Mooi Ching
Kimberley Goldsmith
Nicola Guess
Iliatha Papachristou Nadal
Helen Murphy
Barakatun Nisak Mohd Yusof
Irmi Zarina Ismail
Hanifatiyah Ali
Angus Forbes
Nur Hafizah Mahamad Sobri
Faezah Hassan
Nurul Iftida Basri
Mazatulfazura Sf Salim
Choiriyatul Azmiyaty
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)
BMJ Open
title 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)
title_full 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)
title_fullStr 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)
title_full_unstemmed 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)
title_short 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)
title_sort 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
url https://bmjopen.bmj.com/content/11/8/e044878.full
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