Exploring women's priorities for the potential consequences of a gestational diabetes diagnosis: A pilot community jury.

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  • Additional Information
    • Affiliation:
      Institute for Evidence‐Based Healthcare, Bond University, Gold Coast Qld,, Australia
      Therapeutic Guidelines Limited, Melbourne Vic.,, Australia
      University of Newcastle, Newcastle NSW,, Australia
      School of Medicine and Dentistry, James Cook University, Mackay Qld,, Australia
      Maternity Choices Australia, Brisbane Qld,, Australia
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Background: There is no international diagnostic agreement for gestational diabetes mellitus (GDM). In 2014, Australia adopted a new definition and testing procedure. Since then, significantly more women have been diagnosed with GDM but with little difference in health outcomes. We explored the priorities and preferences of women potentially impacted by a GDM diagnosis. Method: We recruited 15 women from the Gold Coast, Australia, to participate in a pilot community jury (CJ). Over two days, the women deliberated on the following: (a) which important consequences of a diagnosis of GDM should be considered when defining GDM?; (b) what should Australian health practitioners call the condition known as GDM? Results: Eight women attended the pilot CJ, and their recommendations were a consensus. Women were surprised that the level of risk for physical harms was low but emotional harms were high. The final ranking of important consequences (high to low) was as follows: women's negative emotions; management burden of GDM; overmedicalized pregnancy; minimizing infant risks; improving lifestyle; and macrosomia. To describe the four different clinical states of GDM, the women chose three different labels. One was GDM. Conclusions: The women from this pilot CJ prioritized the consequences of a diagnosis of GDM differently from clinicians. The current glucose threshold for GDM in Australia is set at a cut‐point for adverse risks including macrosomia and neonatal hyperinsulinaemia. Definitions and guideline panels often fail to ask the affected public about their values and preferences. Community voices impacted by health policies should be embedded in the decision‐making process.
    • Journal Subset:
      Europe; Health Services Administration; Peer Reviewed; UK & Ireland
    • ISSN:
      1369-6513
    • MEDLINE Info:
      NLM UID: 9815926
    • Grant Information:
      National Health and Medical Research Council, Grant/Award Number: 1044904, 1080042, 1106452 and 9100002; Faculty of Health Sciences and Medicine; Bond University
    • Publication Date:
      20200701
    • Publication Date:
      20200701
    • DOI:
      10.1111/hex.13036
    • Accession Number:
      144279114
  • Citations
    • ABNT:
      THOMAS, R. et al. Exploring women’s priorities for the potential consequences of a gestational diabetes diagnosis: A pilot community jury. Health Expectations, [s. l.], v. 23, n. 3, p. 593–602, 2020. DOI 10.1111/hex.13036. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144279114. Acesso em: 29 out. 2020.
    • AMA:
      Thomas R, Scott AM, Sims R, et al. Exploring women’s priorities for the potential consequences of a gestational diabetes diagnosis: A pilot community jury. Health Expectations. 2020;23(3):593-602. doi:10.1111/hex.13036
    • APA:
      Thomas, R., Scott, A. M., Sims, R., Craig, L., Claase, L., Lowe, J., Heal, C., Hardiman, L., & Glasziou, P. (2020). Exploring women’s priorities for the potential consequences of a gestational diabetes diagnosis: A pilot community jury. Health Expectations, 23(3), 593–602. https://doi.org/10.1111/hex.13036
    • Chicago/Turabian: Author-Date:
      Thomas, Rae, Anna Mae Scott, Rebecca Sims, Louise Craig, Leigh‐Anne Claase, Julia Lowe, Clare Heal, Leah Hardiman, and Paul Glasziou. 2020. “Exploring Women’s Priorities for the Potential Consequences of a Gestational Diabetes Diagnosis: A Pilot Community Jury.” Health Expectations 23 (3): 593–602. doi:10.1111/hex.13036.
    • Harvard:
      Thomas, R. et al. (2020) ‘Exploring women’s priorities for the potential consequences of a gestational diabetes diagnosis: A pilot community jury’, Health Expectations, 23(3), pp. 593–602. doi: 10.1111/hex.13036.
    • Harvard: Australian:
      Thomas, R, Scott, AM, Sims, R, Craig, L, Claase, L, Lowe, J, Heal, C, Hardiman, L & Glasziou, P 2020, ‘Exploring women’s priorities for the potential consequences of a gestational diabetes diagnosis: A pilot community jury’, Health Expectations, vol. 23, no. 3, pp. 593–602, viewed 29 October 2020, .
    • MLA:
      Thomas, Rae, et al. “Exploring Women’s Priorities for the Potential Consequences of a Gestational Diabetes Diagnosis: A Pilot Community Jury.” Health Expectations, vol. 23, no. 3, June 2020, pp. 593–602. EBSCOhost, doi:10.1111/hex.13036.
    • Chicago/Turabian: Humanities:
      Thomas, Rae, Anna Mae Scott, Rebecca Sims, Louise Craig, Leigh‐Anne Claase, Julia Lowe, Clare Heal, Leah Hardiman, and Paul Glasziou. “Exploring Women’s Priorities for the Potential Consequences of a Gestational Diabetes Diagnosis: A Pilot Community Jury.” Health Expectations 23, no. 3 (June 2020): 593–602. doi:10.1111/hex.13036.
    • Vancouver/ICMJE:
      Thomas R, Scott AM, Sims R, Craig L, Claase L, Lowe J, et al. Exploring women’s priorities for the potential consequences of a gestational diabetes diagnosis: A pilot community jury. Health Expectations [Internet]. 2020 Jun [cited 2020 Oct 29];23(3):593–602. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=144279114