{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T09:04:45Z","timestamp":1781687085769,"version":"3.54.5"},"reference-count":30,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T00:00:00Z","timestamp":1717891200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Diabet Med"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To qualitatively explore the experiences of individuals with Gestational Diabetes Mellitus (GDM) in Australia, and to recognise opportunities for leveraging digital health to enhance the support of GDM management.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>A cross sectional online survey assessed the experiences of individuals with GDM, the healthcare system and their digital health usage. Respondents (recruited via a national diabetes registry or social media) were adults receiving GDM care within Australia in the last 5\u2009years, who responded to any of three open\u2010ended questions (<jats:italic>n<\/jats:italic>\u2009=\u2009815) exploring positive, negative and other GDM experiences. Thematic analysis was utilised, and themes were mapped to the socio\u2010ecological systems framework.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>At a system level, themes related to (1) <jats:italic>accessibility of care<\/jats:italic> including the value of digital health and the inflexible or inconsistent perception of the (2) <jats:italic>implementation of guidelines<\/jats:italic>. At an interpersonal level, themes covered the need for adequate (3) <jats:italic>health information provision,<\/jats:italic> and (4) <jats:italic>supportive care<\/jats:italic>, as well as highlighting (5) <jats:italic>experiences of stigma<\/jats:italic> including a desire for greater awareness of GDM. Individual\u2010level themes included: (6) differential <jats:italic>barriers to accessing care;<\/jats:italic> (7) negative <jats:italic>emotional burden<\/jats:italic>; (8) <jats:italic>internalisation of stigma<\/jats:italic>; (9) <jats:italic>dietary freedom and social impact<\/jats:italic> and (10) <jats:italic>opportunity for change<\/jats:italic> derived from having GDM.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Findings suggest a demand for more supportive, person\u2010centred GDM care, improved information provision and individualised implementation of clinical guidelines. Such mechanisms may support reduced barriers to accessing care or negative psychosocial impacts of GDM. Though not central to the identified experiences, digital health tools may help address the need for optimised GDM care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dme.15374","type":"journal-article","created":{"date-parts":[[2024,6,10]],"date-time":"2024-06-10T05:10:50Z","timestamp":1717996250000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["The experiences of individuals who have had gestational diabetes: A qualitative exploration"],"prefix":"10.1111","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9446-4700","authenticated-orcid":false,"given":"Anna","family":"Roesler","sequence":"first","affiliation":[{"name":"The Australian e\u2010Health Research Centre CSIRO  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaley","family":"Butten","sequence":"additional","affiliation":[{"name":"The Australian e\u2010Health Research Centre CSIRO  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pennie","family":"Taylor","sequence":"additional","affiliation":[{"name":"The Australian e\u2010Health Research Centre CSIRO  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melinda","family":"Morrison","sequence":"additional","affiliation":[{"name":"Diabetes Australia  Canberra Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marlien","family":"Varnfield","sequence":"additional","affiliation":[{"name":"The Australian e\u2010Health Research Centre CSIRO  Herston Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9139-4663","authenticated-orcid":false,"given":"Elizabeth","family":"Holmes\u2010Truscott","sequence":"additional","affiliation":[{"name":"The Australian Centre for Behavioural Research in Diabetes  Carlton Victoria Australia"},{"name":"Institute for Health Transformation Deakin University  Geelong Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,6,9]]},"reference":[{"key":"e_1_2_11_2_1","first-page":"1","article-title":"IDF diabetes atlas: estimation of global and regional gestational diabetes mellitus prevalence for 2021 by International Association of Diabetes in Pregnancy Study Group\u2019s Criteria","author":"Wang H","year":"2022","journal-title":"Diabetes Res and Clin Pract"},{"key":"e_1_2_11_3_1","unstructured":"Australian Institute of Health and Welfare. 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