Kelly R Moore1, Sarah Stotz1, Hiba Abujaradeh2, Gale Marshall3, Martha A Terry4, Denise Charron-Prochownik2. 1. Centers for American Indian and Alaska Native Health, Department of Community and Behavioral Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA. 2. Department of Health Promotion and Development, University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania, USA. 3. Two Feathers Media, LLC, Canton, North Carolina, USA. 4. Graduate School of Public Health, Department of Behavioral and Community Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
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.
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.
Authors: Elizabeth Rink; Elizabeth Ann R Bird; Kris Fourstar; Adriann Ricker; Winona Runs-Above/Meyers; Rachel Hallum-Montes Journal: Am Indian Alsk Native Ment Health Res Date: 2016
Authors: Sarah Stotz; Denise Charron-Prochownik; Martha Ann Terry; Kelly Gonzales; Kelly Moore Journal: Diabetes Educ Date: 2019-01-02 Impact factor: 2.140
Authors: Andrea F Rodgers Fischl; William H Herman; Susan M Sereika; Margaret Hannan; Dorothy Becker; M Joan Mansfield; Linda L Freytag; Kerry Milaszewski; Amanda N Botscheller; Denise Charron-Prochownik Journal: Diabetes Care Date: 2010-01-12 Impact factor: 17.152
Authors: Denise Charron-Prochownik; Susan M Sereika; Dorothy Becker; Neil H White; Patricia Schmitt; A Blair Powell; Ana Maria Diaz; Jacquelyn Jones; William H Herman; Andrea F Rodgers Fischl; Laura McEwen; Monica DiNardo; Feng Guo; Julie Downs Journal: Diabetes Care Date: 2013-10-15 Impact factor: 19.112