Co-Designing a postpartum diabetes prevention program after gestational diabetes mellitus: A MoSCoW prioritization workshop exercise

AIMS: Avoiding Diabetes After Pregnancy Together with Moms (ADAPT-M) is a postpartum lifestyle modification program aimed at preventing type 2 diabetes mellitus (T2DM) after gestational diabetes mellitus (GDM). The purpose of the workshop was to bring together key stakeholders to support the contextual adaptation of ADAPT-M needed for effective implementation. METHODS: Participants were invited to a co-design workshop held on June 10th, 2024. Participants engaged in facilitator-led breakout groups to prioritize intervention and implementation components using the MoSCoW method. Data were analyzed using a deductive thematic analysis approach. RESULTS: In total, 27 attendees and eight facilitators participated in the workshop. We identified a total of 11 themes distributed across the four MoSCoW categories. Themes included: comprehensive support and education, cultural sensitivity and inclusivity, integrated and personalized care, communication and accessibility, and community and peer support networks, among others. CONCLUSIONS: Our findings support research development that aligns with a core outcome set for diabetes after pregnancy prevention interventions, correlates with current diabetes prevention programs after GDM, and further refines potential changes to ADAPT-M as it is implemented in the real-world setting. Future work can consider these components and co-design methods when developing diabetes prevention programs in high-risk postpartum women with GDM.