title: Satisfaction with diagnosis process for gestational diabetes mellitus and risk perception among Australian women.
abstract: OBJECTIVE
  To evaluate satisfaction with diagnosis, risk perceptions, and health beliefs among women with gestational diabetes mellitus (GDM).
  
  
  METHODS
  In a cross-sectional questionnaire-based study, participants with GDM diagnosed after 26weeks of pregnancy were recruited from hospital-based services at Monash Health (Melbourne, VIC, Australia) and through newspaper advertisements between 2008 and 2010. Eligible participants-aged at least 18years and able to read English-completed a questionnaire.
  
  
  RESULTS
  Among 46 women who completed the questionnaire, 38 (83%) were satisfied with the explanation of the GDM screening test and 31 (67%) felt that the results were explained well. Generally, women were satisfied with the information provided about lifestyle management (29 [81%] of 36) and medical therapy (26 [72%] of 36). Most women (41 [89%]) associated poor GDM control with perinatal complications. Additionally, many participants thought that insulin (35 [76%]) and lifestyle changes (30 [65%]) could reduce macrosomia. A total of 37 (82%) of 45 women perceived that they were at risk of future GDM, and 33 (73%) thought they had an increased risk of type 2 diabetes. Most women believed that they could change these risks (29 [64%] and 37 [82%] of 45, respectively).
  
  
  CONCLUSIONS
  Women were largely positive about their experience of GDM diagnosis. Explanation of the screening test and provision of information could be improved. Risk perception was reasonable.
authors.affiliation: Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia; Diabetes and Vascular Medicine Unit, Monash Health, Melbourne, VIC, Australia.
authors.forename: Rebecca F
authors.initials: RF
authors.lastname: Goldstein
authors.affiliation: Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
authors.forename: Melanie E
authors.initials: ME
authors.lastname: Gibson-Helm
authors.affiliation: Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.
authors.forename: Jacqueline A
authors.initials: JA
authors.lastname: Boyle
authors.affiliation: Monash Centre for Health Research and Implementation, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia; Diabetes and Vascular Medicine Unit, Monash Health, Melbourne, VIC, Australia. Electronic address: helena.teede@monash.edu.
authors.forename: Helena J
authors.initials: HJ
authors.lastname: Teede
mesh_terms: D000328:Adult; D001315:Australia; D003430:Cross-Sectional Studies; D016640:Diabetes, Gestational / Q000175:diagnosis* / Q000523:psychology*; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000523:psychology; D011296:Prenatal Diagnosis / Q000523:psychology*; D012306:Risk; D011795:Surveys and Questionnaires
keywords: Diagnosis; Gestational diabetes; Risk perception; Satisfaction