We propose to develop and test a targeted telephone-based health information technology (health IT) intervention for diabetes prevention among ethnic minority women in the San Francisco Bay area with recent prior gestational diabetes (pGDM). This group of women comprises the single most identifiable risk group for subsequent rapid onset of type-2 diabetes (DM), yet little is know about them, their diabetes knowledge or risk perceptions, behaviors, health literacy, or about their preferences related to tailored telephone-based counseling interventions to prevent DM. Ethnic minority women, particularly Latinas and Asians and women born outside the US, have disproportionately higher rates of GDM and DM, than white or African American women. Diabetes prevention studies indicate that the long-term risk for developing DM can be reduced significantly (up to 50%) through diet and exercise. Adapting these intensive interventions specifically to low income and ethnic minority pGDM women who have recently had a baby and may face barriers in accessing health care and adopting preventive behaviors is the goal of this project. In the proposed research we will study factors crucial to the adaptation of an existing effective evidence-based health IT tool to the prevention of DM in low-income ethnic minority pGDM women. We have determined in comparative effectiveness studies, that our Automated Telephone Self-Management Support (ATSM) program is efficacious in improving health outcomes for low-income ethnic minority patients with diabetes. In this CHARM Center study, we will use a participatory design to co-develop the ATSM intervention for DM prevention with key stakeholders, so that it is relevant to low income ethnic minority pGDM women and re-name it Support via Telephone Advice and Resources (STAR-Moms). We will then conduct a pilot randomized clinical trial in English and Spanish of STAR Moms beginning in the end of pregnancy and lasting 9 months post-partum among a sample of primarily Latina and Asian pGDM women receiving care at San Francisco General Hospital, a large public hospital where GDM women in the SF county safety net clinics receive care. Study outcomes include: weight loss (kg), exercise and diet changes, knowledge, and use of preventive services.

Public Health Relevance

We propose to develop and test an intervention to prevent diabetes among women with recent gestational diabetes (GDM), focusing on Latina and Asian women who have the highest rates of GDM. Women with recent GDM comprise the single most identifiable risk group for subsequent rapid onset of type-2 diabetes, yet little is know about them. Our research has the potential to delay diabetes onset past childbearing age;and reduce population diabetes incidence in this high risk and under-studied population.

National Institute of Health (NIH)
National Institute on Minority Health and Health Disparities (NIMHD)
Comprehensive Center (P60)
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Special Emphasis Panel (ZMD1)
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University of California San Francisco
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United States
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Zaitlen, Noah; Huntsman, Scott; Hu, Donglei et al. (2017) The Effects of Migration and Assortative Mating on Admixture Linkage Disequilibrium. Genetics 205:375-383
Mangurian, Christina; Niu, Grace C; Schillinger, Dean et al. (2017) Utilization of the Behavior Change Wheel framework to develop a model to improve cardiometabolic screening for people with severe mental illness. Implement Sci 12:134
Sarkar, Urmimala; Lyles, Courtney; Steinman, Michael et al. (2017) Changes in Medication Use After Dementia Diagnosis in an Observational Cohort of Individuals with Diabetes Mellitus. J Am Geriatr Soc 65:77-82
McGarry, Meghan E; Neuhaus, John M; Nielson, Dennis W et al. (2017) Pulmonary function disparities exist and persist in Hispanic patients with cystic fibrosis: A longitudinal analysis. Pediatr Pulmonol 52:1550-1557
Ling, Pamela M; Holmes, Louisa M; Jordan, Jeffrey W et al. (2017) Bars, Nightclubs, and Cancer Prevention: New Approaches to Reduce Young Adult Cigarette Smoking. Am J Prev Med 53:S78-S85
Sherenian, M G; Cho, S H; Levin, A et al. (2017) PAI-1 gain-of-function genotype, factors increasing PAI-1 levels, and airway obstruction: The GALA II Cohort. Clin Exp Allergy 47:1150-1158
Chen, Wei; Wang, Ting; Pino-Yanes, Maria et al. (2017) An epigenome-wide association study of total serum IgE in Hispanic children. J Allergy Clin Immunol 140:571-577
Yan, Qi; Brehm, John; Pino-Yanes, Maria et al. (2017) A meta-analysis of genome-wide association studies of asthma in Puerto Ricans. Eur Respir J 49:
Carballo-Diéguez, Alex; Giguere, Rebecca; Dolezal, Curtis et al. (2017) Preference of Oral Tenofovir Disoproxil Fumarate/Emtricitabine Versus Rectal Tenofovir Reduced-Glycerin 1% Gel Regimens for HIV Prevention Among Cisgender Men and Transgender Women Who Engage in Receptive Anal Intercourse with Men. AIDS Behav 21:3336-3345
Thakur, Neeta; Barcelo, Nicolas E; Borrell, Luisa N et al. (2017) Perceived Discrimination Associated With Asthma and Related Outcomes in Minority Youth: The GALA II and SAGE II Studies. Chest 151:804-812

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