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The Experiences of American Indian Participants and Site Coordinators in a Gestational Diabetes Risk Reduction Trial

Year: 2023
Type: article
Abstract: Gestational diabetes mellitus is the most common complication of pregnancy and contributes to increased risk for type 2 diabetes in both the mother and offspring. We developed and evaluated a gestational diabetes risk reduction and preconception counseling program, Stopping GDM (SGDM), for American Indian females. The purpose of this study is to examine the experiences of American Indian mother-daughter dyad participants and the site coordinators who facilitated the SGDM randomized controlled trial to inform program revisions. We engaged mother-daughter dyads ( n = 22 dyads) and site coordinators ( n = 6) in focus group interviews. Four themes emerged: (1) SGDM sparked valuable quality conversation for dyads; (2) gestational diabetes risk factors and risk reduction was new information for most dyads; (3) all trial sites experienced challenges to recruitment and engagement; and (4) study-improvement recommendations. These findings will be used to enhance SGDM to decrease adverse intergenerational health impacts of gestational diabetes in American Indian communities.
DOI: 10.1177/23333936231166482
Authors: Sarah A. Stotz, Kelly Gonzales, Kelly R. Moore, Andrea R. Fischl, Heather Garrow, Nancy O’Banion, Laura Chalmers, Martha A. Terry, Denise Charron-Prochownik
Institutions: University of Colorado Anschutz, Portland State University, Oregon Health & Science University, University of Pittsburgh, Saint Regis Mohawk Tribe, Indian Health Care Resource Center of Tulsa, University of Oklahoma Medical Center
Language: English
Field: Medicine
Open Access status: gold
Estimated APC paid: $1,000
OpenAlex ID: W4365129280
FWCI: 0.937
Cites: 30
Cited by: 3
Related to: 10