Browsing by Author "Tshikovhi, Takalani"

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    Exploring the experiences of women participating in a lifestyle intervention programme (Iindiago) who had hyperglycaemia first detected in pregnancy
    (University of the Western Cape, 2021) Tshikovhi, Takalani
    Diabetes has become the second leading cause of death in South Africa. It accounts for 5.5% of South Africa’s total mortality. One of the major risk factors is Hyperglycaemia First Detected in Pregnancy (HFDP). The prevalence of HFDP is increasing, and it has become one of the common conditions found in women during their pregnancy. It is a significant risk factor for Gestational Diabetes Mellitus (GDM) in subsequent pregnancies and Type 2 Diabetes Mellitus (T2DM) in both mother and offspring. Emerging evidence suggests that a lifestyle change focused on healthier diets and increased physical activity can reduce the risk of progression to T2DM amongst women who had HFDP. Such interventions are usually provided to women with GDM as part of antenatal care. This study aims to explore the experiences of women who received the IINDIAGO intervention and understand what participation meant to them. IINDIAGO is a health system intervention that seeks to integrate the provision of a lifestyle intervention programme into the scheduled routine antenatal and post-partum care of the mother and her baby to decrease the risk of progression to T2DM in the mother. This study was conducted using a descriptive qualitative study design to investigate the experiences of women who received the IINDIAGO intervention by exploring opinions from women about the challenges, benefits, and perceived importance of sustaining a healthy lifestyle. Using purposive sampling we recruited 17 women who had been randomly recruited into the IINDIAGO lifestyle intervention programme. We conducted in-depth interviews via a telephone call using a series of open-ended questions in a flexible way to guide the conversation. Data analysis was done using qualitative thematic analysis. We used an inductive approach to allow our collected data to generate themes and a deductive approach using the Capability Opportunity Motivation and Behaviour (COM-B) theoretical framework of behaviour change outlined in the Behaviour ChangeWheel (BCW) to structure the themes into broad conceptual categories.