Co-Designing a postpartum diabetes prevention program after gestational diabetes mellitus: A MoSCoW prioritization workshop exercise.

AIMS: Avoiding Diabetes After Pregnancy Together with Moms (ADAPT-M) is a postpartum lifestyle modification program aimed at preventing type 2 diabetes mellitus (T2DM) after gestational diabetes mellitus (GDM). The purpose of the workshop was to bring together key stakeholders to support the contextual adaptation of ADAPT-M needed for effective implementation.

METHODS

Participants were invited to a co-design workshop held on June 10th, 2024. Participants engaged in facilitator-led breakout groups to prioritize intervention and implementation components using the MoSCoW method. Data were analyzed using a deductive thematic analysis approach.

RESULTS

In total, 27 attendees and eight facilitators participated in the workshop. We identified a total of 11 themes distributed across the four MoSCoW categories. Themes included: comprehensive support and education, cultural sensitivity and inclusivity, integrated and personalized care, communication and accessibility, and community and peer support networks, among others.

CONCLUSIONS

Our findings support research development that aligns with a core outcome set for diabetes after pregnancy prevention interventions, correlates with current diabetes prevention programs after GDM, and further refines potential changes to ADAPT-M as it is implemented in the real-world setting. Future work can consider these components and co-design methods when developing diabetes prevention programs in high-risk postpartum women with GDM.