Beta Testing of a Gestational Diabetes Risk Reduction Intervention for American Indian and Alaska Native Teens.
Kristen J Nadeau, Sarah A Stotz, Kelly Moore and 4 others
PMID 32532483WHAT IT FOUND
American Indian and Alaska Native mother-daughter dyads found the gestational diabetes risk-reduction video and e-book acceptable.
Daughters' knowledge and confidence scores increased after viewing, but the pilot was too small to show the program works.
Key findings
01A beta test included six American Indian and Alaska Native mother-daughter dyads, with five mothers and six daughters, who viewed a gestational diabetes risk-reduction e-book and video.
02Daughters' correct scores increased from 45% to 58% for diabetes prevention knowledge and from 34% to 71% for reproductive health and gestational diabetes total knowledge; self-efficacy scores for healthy living rose from 47.2 to 56.6 and for pregnancy planning from 57.0 to 66.4.
03Satisfaction with the e-book, video, and online portal was moderately high to very high, but some participants reported small font, difficulty entering birth dates, and a session that was a little too long.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only six dyads took part, so the changes are descriptive and cannot show whether the intervention works. The study did not test the changes for statistical significance because the sample was small. This paper reports the beta test, not the randomized trial, and it was done to test usability and acceptability. Participants came from one urban Indian health clinic and were fluent in English, so results may not apply to rural or reservation settings or to people who need other languages. The e-book, video, and online portal were delivered together, so the study cannot separate the contribution of any single component. All material was viewed in one visit, and participants reported that the session was a little too long.
Declared interests
The authors reported no conflicts of interest.
The easy way to misread this
Do not read the score increases as evidence that the program prevents gestational diabetes. The e-book, video, and online portal were delivered together, and this six-dyad beta test cannot separate the contribution of any single component.