Barriers and facilitators of cardiovascular disease prevention services for women with prior gestational diabetes or hypertensive disorders of pregnancy in low-income, middle-income and high-income settings: a scoping review protocol

IntroductionWomen with previous pregnancy-related cardiovascular risk indicators, including gestational diabetes mellitus (GDM) and hypertensive disorders of pregnancy (HDP), have an increased risk of future cardiovascular disease (CVD). Although CVD screening and preventive care beginning in the ea...

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Veröffentlicht in:BMJ open Jg. 14; H. 8; S. e084212
Hauptverfasser: Quansah, Dan Yedu, Visintini, Sarah, O'Neill, Carley, Savard, Karine, Lewis, Rebekah, Coutinho, Thais, Mullen, Kerri-Anne
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England British Medical Journal Publishing Group 17.08.2024
BMJ Publishing Group LTD
BMJ Publishing Group
Schlagworte:
awareness
Blood pressure
Cardiovascular disease
Cardiovascular Diseases - prevention & control
Cardiovascular Medicine
Chronic illnesses
Diabetes, Gestational - prevention & control
Disease prevention
Female
Focus groups
Gestational diabetes
Health insurance
Health Services Accessibility
High income
Humans
Hypertension
Hypertension, Pregnancy-Induced - epidemiology
Hypertension, Pregnancy-Induced - prevention & control
Low income groups
Postpartum Period
postpartum women
Poverty
Preeclampsia
Pregnancy
Preventive Health Services - methods
Preventive Health Services - organization & administration
Preventive medicine
Protocol
Research Design
Scoping Reviews As Topic
Think tanks
Womens health
awareness
cardiovascular disease
postpartum women
ISSN:2044-6055, 2044-6055
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Zusammenfassung:IntroductionWomen with previous pregnancy-related cardiovascular risk indicators, including gestational diabetes mellitus (GDM) and hypertensive disorders of pregnancy (HDP), have an increased risk of future cardiovascular disease (CVD). Although CVD screening and preventive care beginning in the early postpartum period are recommended, certain barriers limit access to such services. We plan to conduct a scoping review of the literature to explore and summarise evidence on the barriers and facilitators of postpartum CVD preventive services in women with a history of GDM and HDP.Methods and analysisThis scoping review will be conducted in line with the Arksey and O’Malley’s (2005) methodological framework and the Joanna Briggs Institute guidance for conducting a systematic scoping review and will follow the Evidence for Policy and Practice Information and the Coordinating Centre at the Institute of Education guidelines. The review results will be reported using the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist. We will search the following databases: Medline, Embase and CINAHL. We will conduct grey literature searches for registered dissertations and theses. Inclusion and exclusion criteria will be kept broad. Qualitative and quantitative studies published in English or French that investigated and reported percieved barriers or facilitators to postpartum CVD screening and preventive care among women with previous GDM and HDP will be included. Individual, interpersonal, organizational, and system level factors will be reported. Qualitative findings will be summarised narratively, and quantitative findings will be absorbed within the themes using the multisource synthesis method.Ethics and disseminationThis review represents one objective of a larger project that was reviewed by the Ottawa Health Sciences Network Research Ethics Board (QI-184). We will disseminate knowledge emanating from this review through open-access publication, presentation/public forums on women’s cardiovascular health, women’s CVD prevention forums and social media. We will also present the findings of this review at the annual meeting of the Canadian Women’s Heart Health Alliance.
Bibliographie:Protocol
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Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise.
None declared.
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2024-084212