Challenge
Latina mothers who develop gestational diabetes face a significantly higher risk of type 2 diabetes after giving birth. Despite this heightened risk, they often receive little to no support during the postpartum period—exactly when staying active and healthy matters most for managing or preventing diabetes.
"After my baby was born, it all changed. During pregnancy, the doctors watched me closely because of my diabetes. Then after birth—nothing. They said I was fine, but I didn't know what to do next."
Research Approach
To understand the barriers and facilitators for physical activity among Latina mothers with a recent gestational diabetes diagnosis, I analyzed survey and focus group data using a mixed-methods approach:
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Surveys
Analyzed surveys from 49 Latina mothers who had experienced gestational diabetes within the past three years.
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Focus Group Discussions
Analyzed in-depth discussions with 14 participants across multiple focus groups, where mothers shared their experiences with a moderator in a safe space.
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Behavioral Analysis Framework
Applied the COM-B (Capability, Opportunity, Motivation - Behavior) framework to systematically identify the factors affecting physical activity engagement.
Key Discoveries
Support Cliff
Healthcare guidance disappeared precisely when mothers needed it most.
"After 6 weeks since I delivered my baby, I had my last diabetes check. And then, everything ended there... one remains thinking and now what?"
Family Role
Successful physical activity integration happened through family involvement.
"Not because someone will tell you how good you look but because you have to think that you have children and if I get sick...I won't be able to help them."
Practical Barriers
Practical limitations, not motivation, prevented activity.
"I have a gym close to my house but I'd have to pay for gas and the class is $7 and we are two people with my daughter, so it would be $15."
Translation Into Action
These insights were shared to inform the design of future interventions that try to bridge the critical healthcare gap for Latina mothers with gestational diabetes:
Continued Care Model
Research revealed the need for ongoing support beyond the typical 6-week postpartum period, informing a new model of extended care.
Accessibility Focus
Identified practical barriers that led to a shift towards interventions that eliminated transportation, childcare, and cost concerns.
Family-Centered
Highlighted the importance of incorporating family into messaging and the interventions themselves.
MOVE Study Design
Research findings directly influenced the design of the MOVE Study intervention, which created virtual exercise support for mothers with young children.
Research Impact
This research provided valuable insights into the unique challenges faced by Latina mothers with gestational diabetes. It highlighted a needs gap in the postpartum period. The study identified necessary components for future interventions/programs including integrating family and addressing logistical barriers.
These findings directly shaped the MOVE Study intervention design and contributed to our understanding of how to better support women's health after they have children.