Centers for American Indian and Alaska Native Health, Colorado School of Public Health, University of Colorado Anschutz Medical Campus, Aurora, CO (SAS, KRM).
John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI (RS, KS, MM).
Hawaii J Health Soc Welf. 2023 Jan;82(1):10-15.
The authors examined perspectives of health care providers (HCPs) who serve Native Hawaiian and Pacific Islander (NH/PI) adolescents to inform the adaption of an existing American Indian and Alaska Native-specific gestational diabetes mellitus (GDM) risk reduction and preconception counseling program entitled Stopping GDM, for NH/PI adolescents. Hawai'i-based HCPs (n=14) who care for NH/PI adolescent females volunteered for this expert panel focus group study. These HCP participants served as an expert panel specific to their experiences in providing primary care and reproductive health care/family planning, and their perspectives regarding GDM risk reduction for NH adolescents. Several key themes emerged from these expert panel focus groups: (1) importance of multi-generational family involvement and support; (2) need to address the social determinants of health; (3) strengths-based strategies and recommendations to engage adolescents in a preconception counseling and GDM risk-reduction education program. Findings will inform the adaptation of Stopping GDM into a more holistic, multi-level, strengths-based, culturally tailored GDM risk reduction intervention that fosters empowerment and builds on the resilience of NH/PI communities.
作者研究了服务于夏威夷原住民和太平洋岛民（NH/PI）青少年的医疗保健提供者（HCPs）的观点，以告知适应现有的专门针对美国印第安人和阿拉斯加原住民的妊娠糖尿病（GDM）风险降低和孕前咨询计划，该计划名为“Stopping GDM”，适用于 NH/PI 青少年。在夏威夷的 HCPs（n=14）自愿参加了这个专家小组焦点小组研究，他们为 NH/PI 少女提供初级保健和生殖保健/计划生育服务，并就 NH 青少年的 GDM 风险降低发表了意见。这些专家小组焦点小组提出了几个关键主题：（1）多代家庭参与和支持的重要性；（2）需要解决健康的社会决定因素；（3）以优势为基础的策略和建议，使青少年参与孕前咨询和 GDM 风险降低教育计划。研究结果将为将 Stopping GDM 改编为更全面、多层次、以优势为基础、量身定制的 GDM 风险降低干预措施提供信息，该干预措施促进赋权，并建立在 NH/PI 社区的弹性基础上。
