Abstract
BACKGROUND/OBJECTIVES: Gestational diabetes is associated with an increased risk of future type 2 diabetes and cardiovascular disease, but healthy lifestyle changes can prevent the development of these diseases. This study aimed to identify factors that can improve intervention programmes and postpartum support after gestational diabetes. METHODS: Twenty-two women who had experienced gestational diabetes in Norway participated in in-depth interviews following a six-month intervention programme focusing on healthy lifestyle changes. Participants were included 3-12 months after giving birth. The data were analysed using reflexive thematic analysis. RESULTS: Four themes were developed: (1) A status report on my health and lifestyle-crucial for recognising the need for change; (2) encouragement and cheering on: getting started and maintaining changes; (3) life's challenging moments: looking after the baby and prioritising one's own health; and (4) the first period with the newborn baby-a good time to make changes. Participants described maternity leave as a suitable time for lifestyle change. Adequate information about and insight into their health were important for success. The focus on small changes motivated them to improve their lifestyle. Participants emphasised individualised help, support from others, noticing an improvement and seeing a positive effect on their family members as motivational factors for maintaining the changes. However, they found it difficult to prioritise themselves and to maintain lifestyle changes in challenging life situations and transitional phases. CONCLUSIONS: The study findings can help support the development of future intervention programmes for women who have experienced gestational diabetes.