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Barriers and Enablers Related to Self-care Behaviors and Blood Glucose Control Based on the COM-B Model of Behavior Change and Theoretical Domains Framework in Women with Gestational Diabetes
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Asie Ataei nakhaei   , Zohreh Rafezi , Ahmad Borjali , Mahdi Moeini , Mohammad Asgari |
| Allameh Tabataba’i University, Tehran, Iran , Rafezi.Zohreh@atu.ac.ir |
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Abstract: (576 Views) |
Introduction: Women with gestational diabetes face challenges with self-care and blood glucose control, leading to serious complications for both mother and fetus. The purpose of this research is to investigate the barriers and enablers of self-care behaviors and blood glucose control based on the COM-B model and the theoretical domains framework in women with gestational diabetes.
Materials and Methods: This qualitative, descriptive phenomenological study was conducted in 2023. Using a purposive sampling approach, nineteen eligible women with gestational diabetes mellitus (GDM) were interviewed until theoretical saturation was reached. Data were collected using semi-structured interviews and analyzed using the thematic analysis method.
Results: After analyzing and coding the data, the identified barriers and enablers were categorized into six encompassing themes: psychological competence (two organizing themes and three basic themes), physical competence (one organizing theme and one basic theme), social opportunity (one organizing theme and two basic themes), environmental opportunity (one organizing theme and three basic themes), reflective motivation (two organizing themes and two basic themes), and automatic motivation (one organizing theme and three basic themes). In total, six encompassing themes, fourteen organizing themes, and eight basic themes were extracted.
Conclusion: Identifying the barriers and enablers of self-care and glucose control in women with gestational diabetes, based on a comprehensive causal behavior analysis and the theoretical domains framework, can provide a basis for researchers and therapists to design effective treatment plans.
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| Keywords: Gestational diabetes, Self-care behaviors, Blood glucose control, COM-B model of behavior change, Theoretical domains framework. |
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Full-Text [PDF 982 kb]
(143 Downloads)
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Type of Study: Research |
Subject:
Special
Received: 2024/04/3 | Accepted: 2024/06/22 | Published: 2024/07/30
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