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Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Analysis of spontaneous, user-generated data about gestational diabetes on online forums: implications for diabetes prevention
Author(s): Eades, Claire E
Clarke, Kathleen M
Cameron, Dawn M
Coulson, Neil
Evans, Josie M M
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Keywords: Internal Medicine
Endocrinology, Diabetes and Metabolism
Issue Date: Dec-2020
Citation: Eades CE, Clarke KM, Cameron DM, Coulson N & Evans JMM (2020) Analysis of spontaneous, user-generated data about gestational diabetes on online forums: implications for diabetes prevention. Diabetic Medicine, 37 (12), pp. 2058-2066.
Abstract: Aims To explore the experiences and perceptions of gestational diabetes mellitus reported by women within online parental‐support forums and, specifically, to analyse what women say about a diagnosis of gestational diabetes, their future risk of type 2 diabetes, and lifestyle behaviour for management of gestational diabetes and prevention of type 2 diabetes. Methods The discussion boards of two parenting websites (Mumsnet and Netmums) were searched using the search term 'gestational diabetes or GD' in February 2019. Relevant posts made by users with gestational diabetes on or after 1 January 2017 were retained for analysis. Framework analysis using pre‐existing framework from a previous study was used to organize and analyse the data. Results A total of 646 posts generated by 282 unique users were included in the analysis. Analysis of the online content identified three important implicit messages that may be being conveyed to readers. The first is that gestational diabetes is not a serious diagnosis that warrants undue concern. Secondly, few users recognized the importance of their own behaviours or lifestyle, with others minimizing personal responsibility or attributing gestational diabetes to non‐modifiable factors. Finally, there was a lack of acknowledgment of heightened risk of type 2 diabetes. These three messages will all directly mitigate against the efforts of clinicians (and others) to encourage women with gestational diabetes to improve their lifestyle behaviours in the longer term. Conclusions These findings highlight messages that are being widely disseminated and that are unlikely to support prevention of type 2 diabetes.
DOI Link: 10.1111/dme.14348
Rights: © 2020 The Authors. Diabetic Medicine published by John Wiley & Sons Ltd on behalf of Diabetes UK This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License (, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
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