Evidence map›Paper›PMID 25837258›Full record

ArticlePreventing chronic disease2015

Identifying postpartum intervention approaches to reduce cardiometabolic risk among American Indian women with prior gestational diabetes, Oklahoma, 2012-2013.

Emily J Jones, Michael Peercy, J Cedric Woods, Stephany P Parker, Teresa Jackson, Sara A Mata, Shondra McCage, Sue E Levkoff, Jacinda M Nicklas, Ellen W Seely

Abstract read
In one paragraph

Article in Preventing chronic disease, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Emily J JonesCollege of Nursing and Health Sciences, University of Massachusetts Boston, 100 Morrissey Boulevard, Boston, MA 02125. E-mail: emily.jones@umb.edu.
Michael PeercyChickasaw Nation Department of Health, Ada, Oklahoma.
J Cedric WoodsInstitute for New England Native American Studies, University of Massachusetts Boston, Massachusetts.
Stephany P ParkerDepartment of Nutritional Sciences, Oklahoma State University, Stillwater, Oklahoma.
Teresa JacksonChickasaw Nation Department of Health, Ada, Oklahoma.
Sara A MataDepartment of Nutritional Sciences, Oklahoma State University, Stillwater, Oklahoma.
Shondra McCageChickasaw Nation Department of Health, Ada, Oklahoma.
Sue E LevkoffCollege of Social Work, University of South Carolina, Columbia, South Carolina.
Jacinda M NicklasDivision of General Internal Medicine, University of Colorado School of Medicine, Boulder, Colorado.
Ellen W SeelyDivision of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital/Harvard Medical School, Boston, Massachusetts.

Funding

UCHSC: Building Interdisciplinary Research Careers in Women's HealthK12HD057022 · NICHD · UNIVERSITY OF COLORADO DENVER · PI REGENSTEINER, JUDITH G., SANTORO, NANETTE F. · 2007 to 2023
$8.5M
Unique cardiovascular Risk Factors in Women Research and Mentoring ProgamK24HL096141 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI SEELY, ELLEN W · 2010 to 2014
$997k
NHLBI NIH HHS K24 HL096141NHLBI NIH HHS K24HL096141NICHD NIH HHS 5K12HD057022-08NICHD NIH HHS K12 HD057022
6 · The paper itself

Abstract

introductionInnovative approaches are needed to reduce cardiometabolic risk among American Indian women with a history of gestational diabetes. We assessed beliefs of Oklahoma American Indian women about preventing type 2 diabetes and cardiovascular disease after having gestational diabetes. We also assessed barriers and facilitators to healthy lifestyle changes postpartum and intervention approaches that facilitate participation in a postpartum lifestyle program.

methodsIn partnership with a tribal health system, we conducted a mixed-method study with American Indian women aged 19 to 45 years who had prior gestational diabetes, using questionnaires, focus groups, and individual interviews. Questionnaires were used to identify women's cardiometabolic risk perceptions and feasibility and acceptability of Internet or mobile phone technology for delivery of a postpartum lifestyle modification program. Focus groups and individual interviews were conducted to identify key perspectives and preferences related to a potential program.

resultsParticipants were 26 women, all of whom completed surveys; 11 women participated in focus group sessions, and 15 participated in individual interviews. Most women believed they would inevitably develop diabetes, cardiovascular disease, or both; however, they were optimistic that they could delay onset with lifestyle change. Most women expressed enthusiasm for a family focused, technology-based intervention that emphasizes the importance of delaying disease onset, provides motivation, and promotes accountability while accommodating women's competing priorities.

conclusionsOur findings suggest that an intervention that uses the Internet, text messaging, or both and that emphasizes the benefits of delaying disease onset should be tested as a novel, culturally relevant approach to reducing rates of diabetes and cardiovascular disease in this high-risk population.

Indexed as

AdultCardiovascular DiseasesCross-Sectional StudiesDiabetes, GestationalDiabetes Mellitus, Type 2FemaleFocus GroupsFood AssistanceHealth Knowledge, Attitudes, PracticeHealth PromotionHumansIndians, North AmericanInternetInterviews as TopicLife StyleMiddle Aged

Identifiers

PMID25837258
PMCPMC4383443

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.