Core outcome set for diabetes after pregnancy prevention across the life span: international Delphi study

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Core outcome set for diabetes after pregnancy prevention across the life span : international Delphi study. / Wu, Nancy; O'Reilly, Sharleen; Nielsen, Karoline Kragelund; Maindal, Helle Terkildsen; Dasgupta, Kaberi.

I: BMJ Open Diabetes Research and Care, Bind 8, Nr. 2, e001594, 11.2020.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avisTidsskriftartikelForskningpeer review

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Wu, N, O'Reilly, S, Nielsen, KK, Maindal, HT & Dasgupta, K 2020, 'Core outcome set for diabetes after pregnancy prevention across the life span: international Delphi study', BMJ Open Diabetes Research and Care, bind 8, nr. 2, e001594. https://doi.org/10.1136/bmjdrc-2020-001594

APA

Wu, N., O'Reilly, S., Nielsen, K. K., Maindal, H. T., & Dasgupta, K. (2020). Core outcome set for diabetes after pregnancy prevention across the life span: international Delphi study. BMJ Open Diabetes Research and Care, 8(2), [e001594]. https://doi.org/10.1136/bmjdrc-2020-001594

CBE

Wu N, O'Reilly S, Nielsen KK, Maindal HT, Dasgupta K. 2020. Core outcome set for diabetes after pregnancy prevention across the life span: international Delphi study. BMJ Open Diabetes Research and Care. 8(2):Article e001594. https://doi.org/10.1136/bmjdrc-2020-001594

MLA

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Author

Wu, Nancy ; O'Reilly, Sharleen ; Nielsen, Karoline Kragelund ; Maindal, Helle Terkildsen ; Dasgupta, Kaberi. / Core outcome set for diabetes after pregnancy prevention across the life span : international Delphi study. I: BMJ Open Diabetes Research and Care. 2020 ; Bind 8, Nr. 2.

Bibtex

@article{9021e686d6a34289954af7073791d19a,
title = "Core outcome set for diabetes after pregnancy prevention across the life span: international Delphi study",
abstract = "INTRODUCTION: Mothers with gestational diabetes mellitus (GDM) are at high risk of future diabetes. An active area of research examines health behavior change strategies in women within 5 years of a GDM pregnancy to prevent diabetes after pregnancy. We aimed to develop a core outcome set (COS) to facilitate synthesis and comparison across trials.RESEARCH DESIGN AND METHODS: Candidate outcomes were identified through systematic review and scored for importance (1-9) by healthcare professionals, researchers, and women with prior GDM through an international two-round electronic-Delphi survey. Outcomes retained required round two scores above prespecified thresholds (≥70% scoring 7-9) or expert panel endorsement when scores were indeterminate. The panel organized the COS by domain.RESULTS: 115 stakeholders participated in the survey and 56 completed both rounds. SD of scores decreased by 0.24 (95%CI 0.21 to 0.27) by round 2, signaling convergence. The final COS includes 19 domains (50 outcomes): diabetes (n=3 outcomes), other related diseases (n=3), complications in subsequent pregnancy (n=2), offspring outcomes (n=3), adiposity (n=4), cardiometabolic measures (n=5), glycemia (n=3), physical activity (n=2), diet (n=4), breast feeding (n=2), behavior change theory (n=5), diabetes-related knowledge (n=2), health literacy (n=1), social support (n=1), sleep (n=1), quality of life (n=1), program delivery (n=4), health economic evaluation (n=2), and diabetes risk screening (n=2). The seven outcomes endorsed by ≥90% were diabetes development and GDM recurrence, attending the postpartum diabetes screening and completing oral glucose tolerance testing and/or other glycemia measures, weight and total energy intake, and health behaviors in general. Among the 15 at the 80%-90% endorsement level, approximately half were specific elements related to the top 7, while the remainder related to diabetes knowledge, personal risk perception, motivation for change, program element completion, and health service use and cost.CONCLUSION: Researchers should collect and report outcomes from the breadth of domains in the COS.",
keywords = "diabetes, diabetes mellitus, gestational, preventive medicine, type 2",
author = "Nancy Wu and Sharleen O'Reilly and Nielsen, {Karoline Kragelund} and Maindal, {Helle Terkildsen} and Kaberi Dasgupta",
note = "{\textcopyright} Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.",
year = "2020",
month = nov,
doi = "10.1136/bmjdrc-2020-001594",
language = "English",
volume = "8",
journal = "BMJ open diabetes research & care",
issn = "2052-4897",
publisher = "BMJ Publishing Group",
number = "2",

}

RIS

TY - JOUR

T1 - Core outcome set for diabetes after pregnancy prevention across the life span

T2 - international Delphi study

AU - Wu, Nancy

AU - O'Reilly, Sharleen

AU - Nielsen, Karoline Kragelund

AU - Maindal, Helle Terkildsen

AU - Dasgupta, Kaberi

N1 - © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

PY - 2020/11

Y1 - 2020/11

N2 - INTRODUCTION: Mothers with gestational diabetes mellitus (GDM) are at high risk of future diabetes. An active area of research examines health behavior change strategies in women within 5 years of a GDM pregnancy to prevent diabetes after pregnancy. We aimed to develop a core outcome set (COS) to facilitate synthesis and comparison across trials.RESEARCH DESIGN AND METHODS: Candidate outcomes were identified through systematic review and scored for importance (1-9) by healthcare professionals, researchers, and women with prior GDM through an international two-round electronic-Delphi survey. Outcomes retained required round two scores above prespecified thresholds (≥70% scoring 7-9) or expert panel endorsement when scores were indeterminate. The panel organized the COS by domain.RESULTS: 115 stakeholders participated in the survey and 56 completed both rounds. SD of scores decreased by 0.24 (95%CI 0.21 to 0.27) by round 2, signaling convergence. The final COS includes 19 domains (50 outcomes): diabetes (n=3 outcomes), other related diseases (n=3), complications in subsequent pregnancy (n=2), offspring outcomes (n=3), adiposity (n=4), cardiometabolic measures (n=5), glycemia (n=3), physical activity (n=2), diet (n=4), breast feeding (n=2), behavior change theory (n=5), diabetes-related knowledge (n=2), health literacy (n=1), social support (n=1), sleep (n=1), quality of life (n=1), program delivery (n=4), health economic evaluation (n=2), and diabetes risk screening (n=2). The seven outcomes endorsed by ≥90% were diabetes development and GDM recurrence, attending the postpartum diabetes screening and completing oral glucose tolerance testing and/or other glycemia measures, weight and total energy intake, and health behaviors in general. Among the 15 at the 80%-90% endorsement level, approximately half were specific elements related to the top 7, while the remainder related to diabetes knowledge, personal risk perception, motivation for change, program element completion, and health service use and cost.CONCLUSION: Researchers should collect and report outcomes from the breadth of domains in the COS.

AB - INTRODUCTION: Mothers with gestational diabetes mellitus (GDM) are at high risk of future diabetes. An active area of research examines health behavior change strategies in women within 5 years of a GDM pregnancy to prevent diabetes after pregnancy. We aimed to develop a core outcome set (COS) to facilitate synthesis and comparison across trials.RESEARCH DESIGN AND METHODS: Candidate outcomes were identified through systematic review and scored for importance (1-9) by healthcare professionals, researchers, and women with prior GDM through an international two-round electronic-Delphi survey. Outcomes retained required round two scores above prespecified thresholds (≥70% scoring 7-9) or expert panel endorsement when scores were indeterminate. The panel organized the COS by domain.RESULTS: 115 stakeholders participated in the survey and 56 completed both rounds. SD of scores decreased by 0.24 (95%CI 0.21 to 0.27) by round 2, signaling convergence. The final COS includes 19 domains (50 outcomes): diabetes (n=3 outcomes), other related diseases (n=3), complications in subsequent pregnancy (n=2), offspring outcomes (n=3), adiposity (n=4), cardiometabolic measures (n=5), glycemia (n=3), physical activity (n=2), diet (n=4), breast feeding (n=2), behavior change theory (n=5), diabetes-related knowledge (n=2), health literacy (n=1), social support (n=1), sleep (n=1), quality of life (n=1), program delivery (n=4), health economic evaluation (n=2), and diabetes risk screening (n=2). The seven outcomes endorsed by ≥90% were diabetes development and GDM recurrence, attending the postpartum diabetes screening and completing oral glucose tolerance testing and/or other glycemia measures, weight and total energy intake, and health behaviors in general. Among the 15 at the 80%-90% endorsement level, approximately half were specific elements related to the top 7, while the remainder related to diabetes knowledge, personal risk perception, motivation for change, program element completion, and health service use and cost.CONCLUSION: Researchers should collect and report outcomes from the breadth of domains in the COS.

KW - diabetes

KW - diabetes mellitus

KW - gestational

KW - preventive medicine

KW - type 2

U2 - 10.1136/bmjdrc-2020-001594

DO - 10.1136/bmjdrc-2020-001594

M3 - Journal article

C2 - 33148689

VL - 8

JO - BMJ open diabetes research & care

JF - BMJ open diabetes research & care

SN - 2052-4897

IS - 2

M1 - e001594

ER -