ORCID Profile
0000-0002-5282-8155
Current Organisations
University of Queensland
,
Kyoto University
,
京都大学 / Kyoto University
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Publisher: Hindawi Limited
Date: 2015
DOI: 10.1155/2015/423717
Abstract: Aims . To develop a program to support behaviour changes for women with a history of Gestational Diabetes Mellitus (GDM) and a Body Mass Index (BMI) 25 kg/m 2 to delay or prevent Type 2 Diabetes Mellitus. Methods . Women diagnosed with GDM in the previous 6 to 24 months and BMI 25 kg/m 2 were randomized to an intervention (I) ( n = 16 ) or a control (C) ( n = 15 ) group. The intervention was a pedometer program combined with nutrition coaching, with the primary outcome increased weight loss in the intervention group. Secondary outcomes included decreased waist and hip measurements, improved insulin sensitivity and body composition, increased physical activity, and improved self-efficacy in eating behaviours. Results . Median (IQR) results were as follows: weight: I −2.5 (2.3) kg versus C +0.2 (1.6) kg ( P = 0.009 ), waist: I −3.6 (4.5) cm versus C −0.1 (3.6) cm ( P = 0.07 ), and hip: I −5.0 (3.3) cm versus C −0.2 (2.6) cm ( P = 0.002 ). There was clinical improvement in physical activity and eating behaviours and no significant changes in glucose metabolism or body composition. Conclusion . A pedometer program and nutrition coaching proved effective in supporting weight loss, waist circumference, physical activity, and eating behaviours in women with previous GDM.
Publisher: Wiley
Date: 12-03-2015
Publisher: Elsevier BV
Date: 12-2014
DOI: 10.1016/J.WOMBI.2014.09.002
Abstract: Gestational Diabetes Mellitus (GDM) during pregnancy is a risk factor for the development of Type 2 Diabetes (T2DM) within 15 years, and prevention programmes have been problematic. The aim of the study is to identify effective strategies and programmes to decrease the risk of T2DM in women who experience GDM, the barriers to participation, and the opportunities for midwives to assist women in prevention. English language, peer reviewed and professional literature published between 1998 and 2013 were searched. A systematic review of the literature was undertaken, included studies were then appraised for quality and finally findings of the studies were thematically analysed. This review identified that there are interventions that are effective, however most lifestyle changes are difficult to translate into everyday life. As the incidence of GDM is expected to rise, midwives' role in promoting long-term health behaviours requires further review. Women need to overcome barriers and be supported in making the behavioural changes necessary to prevent T2DM following GDM. Midwives as the primary carers for women in pregnancy and childbirth are ideally positioned to educate women and engage them in lifestyle and behaviour programmes that prevent the onset of Type 2 Diabetes.
Publisher: Elsevier BV
Date: 11-2023
Publisher: Royal Society of Chemistry (RSC)
Date: 2012
DOI: 10.1039/C2CC90426H
Publisher: Elsevier BV
Date: 09-2010
DOI: 10.1016/J.WOMBI.2009.09.002
Abstract: The cause of hypertension in pregnancy remains unknown and results in increased risk of complications for mother and baby. Symptoms of developing pre-ecl sia, such as an elevated blood pressure, can be vague and singular. The purpose of this literature review is to evaluate research investigating antenatal screening practices for hypertension which fall within the midwives scope of practice. Inclusion criteria for this literature review were English language, peer reviewed primary research journal articles, published in the previous 20 years where the population under study was pregnant with reported outcomes of prevention, screening or prediction of hypertension in pregnancy. A large number of papers (n=201) were identified and these were screened and subsequently excluded if they addressed diagnostic testing, screening and interpretation that depended solely on a medical practitioner. There was no single predictive factor found, however the relevant papers included in this review (n=33) found evidence of modifiable, non-modifiable and clinical assessment factors for inclusion in a midwifery screening model. Further research should be focused on the factors observed by midwives during history taking and the antenatal course in the second and third trimesters and whether or not these can be synthesised in to a hypertension-specific diagnostic tool for use in midwifery practice.
Publisher: Elsevier BV
Date: 07-2023
Publisher: Wiley
Date: 03-11-2022
DOI: 10.1111/JAN.15091
Abstract: To explore undergraduate nursing and midwifery student perspectives of using digital patient systems on clinical placements. This was an interpretative qualitative design study. Undergraduate nursing and midwifery students in a large Australian metropolitan university were invited to participate in two focus groups from April to June 2019. Twenty (20) students participated and data on their perspective of using digital systems on placement were collected. Thematic analysis using NVivo 12 software was undertaken. Students identified benefits and challenges when moving between paper records and digital systems. Whilst paper reporting was more efficient for some processes, the students recognised the advantages of digital technology, such as enabling greater confidentiality and consolidation of patient data in one place. However, they also reported difficulty with student access and the size of the portal digital workstation at the bedside. Generally, the lack of preparation and access was considered frustrating and mitigated some of the benefits described when using digital systems. Nursing and midwifery students prefer to be prepared for both paper and digital record keeping. Whilst students identify the benefits of digital platforms, not having direct access mitigates the benefits of these systems. Students identified the use of simulation and interactive modules prior to commencement of clinical practice to enable them to feel more confident with using the systems in patient care. Health care students require direct access to digital health platforms whilst on clinical placement to facilitate their learning. Higher Education Institutions (HEIs) are in a unique position to work with health care providers to better prepare health care professionals, including nurses and midwives, to work with digital health care systems. Further research is needed to develop the educational preparation for nurses, midwives, and other health care professionals to work with digital systems in practice.
Publisher: Hindawi Limited
Date: 2012
DOI: 10.1155/2012/892019
Abstract: Optimal strategies to prevent progression towards overt diabetes in women with recent gestational diabetes remain ill defined. We report a pilot study of a convenient, home based exercise program with telephone support, suited to the early post-partum period. Twenty eight women with recent gestational diabetes were enrolled at six weeks post-partum into a 12 week randomised controlled trial of Usual Care ( n = 13 ) versus Supported Care (in idualised exercise program with regular telephone support n = 15 ). Baseline characteristics (Mean ± SD) were: Age 33 ± 4 years Weight 80 ± 20 kg and Body Mass Index (BMI) 30.0 ± 9.7 kg/m 2 . The primary outcome, planned physical activity {Median (Range)}, increased by 60 (0–540) mins/week in the SC group versus 0 (0–580) mins/week in the UC group ( P = 0.234 ). Walking was the predominant physical activity. Body weight, BMI, waist circumference, % body fat, fasting glucose and insulin did not change significantly over time in either group. This intervention designed to increase physical activity in post-partum women with previous gestational diabetes proved feasible. However, no measurable improvement in metabolic or biometric parameters was observed over a three month period.
Publisher: Wiley
Date: 08-01-2016
Publisher: Royal Society of Chemistry (RSC)
Date: 2012
DOI: 10.1039/C2CC31078C
Abstract: A triarylamine-functionalized terpyridine ligand formed a highly coordinated complex with europium tris(β-diketonate), which displayed reversible ''ON-OFF'' luminescence switching coupled with a ligand redox process of triarylamine/triarylaminium cations.
Publisher: American Chemical Society (ACS)
Date: 20-09-2018
Publisher: Elsevier BV
Date: 06-2013
DOI: 10.1016/J.WOMBI.2012.12.003
Abstract: Gestational diabetes mellitus (GDM) affects almost 5% of pregnancies in Australia, and within 15 years, 25% of affected women will go on to develop Type 2 Diabetes Mellitus (T2DM). The adoption of preventive health behaviours may be influenced by women's experiences of GDM. This review sought to understand women's beliefs, values, perceptions and experiences following diagnosis of GDM. Peer reviewed and professional journals were searched for primary research, published between January 1991 and December 2011 that explored the beliefs, values, perceptions and experiences of peripartum or postpartum women with a diagnosis or history of GDM. Nineteen studies met the inclusion criteria and the majority of these studies were qualitative (n=15). Each study was reviewed and synthesis revealed three emergent themes and core concepts related to each theme: Responses (initial reaction to GDM diagnosis, negative thoughts following diagnosis, struggle to manage GDM, feelings of 'loss of control', changes to identity and adapting to change), Focus of Concern (concern for baby's health, mother's concern for her own health, perceived seriousness of GDM, perceived fear of T2DM) and Influencing Factors (cultural roles and beliefs, social stigmas, social support, professional support, adequate and appropriate information, social roles and barriers to self-care). The experiences of women with GDM are unique and personal however this review highlights common experiences evident in the existing research. The proposed framework may be used by midwives in clinical assessment and care of women diagnosed with GDM.
Publisher: E.U. European Publishing
Date: 10-06-2022
DOI: 10.18332/EJM/149244
No related grants have been discovered for Ann Peacock.