567-P: “It made me take pause. I didn’t realize that.”—Use of Infographics for T2D Risk Communication following Gestational Diabetes

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Introduction and Objective: Gestational diabetes (GDM) increases T2D risk seven- to 10-fold and doubles the risk of cardiovascular disease; however, people with a history of GDM may be unaware of these elevated risks. Our objectives were to 1) assess risk perception for T2D development among reproductive-aged people with a history of GDM (n=95) versus a comparison group [no GDM history & BMI<25, (n=91)]; and 2) describe how a T2D risk-communication infographic was perceived by participants with GDM.Methods: For our cross-sectional mixed-methods study, we worked with a community advisory board and graphic designer to develop a T2D risk-communication infographic comparing the average US woman’s risk with that of women with a history of GDM. We assessed risk perception and piloted the infographic in an online survey; six participants with a history of GDM were interviewed. We used t-tests to assess the difference in mean TRIRISK risk-perception scores (dependent variable) between participants with and without a history of GDM (independent variable). We used deductive and inductive coding and thematic analysis.Results: Participants’ ages ranged from 18-46 (M=34.4, SD=6.5). Most were white (90.4%) and non-Hispanic/Latino (88.4%). We found a statistically significant difference in mean risk-perception scores (assessed before seeing infographics) between the GDM (M=12.9, SD=0.32) and comparison (M=11.4, SD=0.34) groups, p=0.002. Interviewees who were not previously aware of their risk agreed the infographic was “shocking” in a good way—that it cued them to make lifestyle changes to prevent T2D; they shared that this risk information should be available to those with a history of GDM.Conclusion: Despite greater T2D risk perception among women with a history of GDM, triangulation of data supports the use of a T2D risk-communication infographic to promote risk awareness and motivation for T2D-prevention lifestyle change in this population.

Disclosure

J.M. Kent-Marvick: None. T.B. Aderibigbe: None. C.P. Poynot: None. C. Medina Poeliniz: None. B.D. Landrum: None. S. Lee: Research Support; Clairvoyant Networks, Olera. S.E. Simonsen: None.

Funding

University of Utah Emma Eccles Jones Nursing Research Center Pilot GrantNational Institute of Nursing Research (F31NR020431)



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