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. 2021 Nov;155(2):195-200.
doi: 10.1002/ijgo.13849. Epub 2021 Aug 19.

Reducing risk for gestational diabetes among American Indian and Alaska Native teenagers: Tribal leaders' recommendations

Kelly R Moore  1 , Sarah Stotz  1 , Hiba Abujaradeh  2 , Gale Marshall  3 , Martha A Terry  4 , Denise Charron-Prochownik  2 ; Stopping GDM Study Group
Collaborators, Affiliations

Reducing risk for gestational diabetes among American Indian and Alaska Native teenagers: Tribal leaders' recommendations

Kelly R Moore et al. Int J Gynaecol Obstet. 2021 Nov.

Abstract

Objective: To elicit feedback from tribal leaders and American Indian/Alaska Native (AI/AN) health system administrators as a national stakeholder perspective to inform the development of a gestational diabetes mellitus (GDM) risk reduction and preconception counseling intervention for AI/AN teenagers at high risk for GDM.

Methods: A semi-structured focus group interview guide was developed by both principal investigators and qualitative methods experts. Using open-ended questions about the Reproductive-health Education and Awareness of Diabetes in Youth for Girls (READY-Girls) booklet and video clips, AI/AN health care system administrators and elected tribal leaders attending the 2015 National Indian Health Board Conference in Washington, DC, made recommendations on adaptation for an AI/AN audience. The focus group was recorded, transcribed verbatim, and analyzed by two researchers using an inductive coding technique with constant comparison method as supported by the grounded theory approach.

Results: Recommendations from the 12 participants included: (1) the best ways to communicate with AI/AN teenagers, (2) the importance of parental, family, and community education and engagement to support AI/AN teenagers in GDM risk reduction, and (3) building on traditional AI/AN cultural values and practices, while accommodating differences between tribes and regions.

Conclusion: Findings from this focus group were used to inform the iterative development of a GDM risk reduction and preconception counseling intervention for AI/AN teenagers.

Keywords: American Indian/Alaska Native; adolescents and young adults; gestational diabetes; preconception counseling.

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Conflict of interest statement

CONFLICTS OF INTEREST

KRM was a consultant for Novo Nordisk, Inc. The remaining authors declare no conflicts of interest.

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