{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:16:13Z","timestamp":1777882573794,"version":"3.51.4"},"reference-count":53,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T00:00:00Z","timestamp":1760400000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100017618","name":"Division of Diabetes, Endocrinology, and Metabolic Diseases","doi-asserted-by":"publisher","award":["P30 DK092923"],"award-info":[{"award-number":["P30 DK092923"]}],"id":[{"id":"10.13039\/100017618","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000041","name":"American Diabetes Association","doi-asserted-by":"publisher","award":["7-23-ICTSWH-08"],"award-info":[{"award-number":["7-23-ICTSWH-08"]}],"id":[{"id":"10.13039\/100000041","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Science of Diabetes Self-Management and Care"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>The purpose of this study was to collect qualitative feedback from key stakeholders as to their recommendations for developing a behavior-change-focused social media toolkit for American Indian and Alaska Native (AI\/AN) female youth who are at risk for gestational diabetes mellitus (GDM). AI\/AN women experience a higher rate of GDM than women from most other racial and ethnic groups. The Stopping Gestational Diabetes in Daughters and Mothers (SGDM) program is designed to reduce GDM risk for AI\/AN females.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Individual interviews were conducted with content experts (health care providers\/educators, researchers, and social media experts) who serve AI\/AN communities (n = 20), and focus group interviews were conducted with female AI\/AN youth ages 12 to 21 (n = 20) and AI\/AN mothers (n = 20). Interviews were conducted via teleconference by an experienced AI\/AN moderator, and transcripts were analyzed using thematic analysis. Participants completed a survey assessing personal characteristics and technology use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All youth and mothers (100%) reported using social media daily; 60% of content experts reported daily social media use. Overarching themes included (1) negative aspects of social media use should be balanced with health-promoting messaging; (2) female AI\/AN youth need positive AI\/AN female role models, support, and connection to be healthy; (3) engage female AI\/AN youth on social media through use of videos, humor, strengths-based messaging, and codevelopment of content.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Understanding the perspectives of content experts and members of the priority audience is a key first step in developing an AI\/AN culturally relevant and community-engaged social media toolkit.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26350106251374238","type":"journal-article","created":{"date-parts":[[2025,10,14]],"date-time":"2025-10-14T08:50:19Z","timestamp":1760431819000},"page":"602-614","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Use of Social Media to Support Gestational Diabetes Risk Reduction for American Indian and Alaska Native Females: A Qualitative Study Soliciting Perspectives From American Indian and Alaska Native Youth, Mothers, and Content Experts"],"prefix":"10.1177","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4107-3313","authenticated-orcid":false,"given":"Sarah A.","family":"Stotz","sequence":"first","affiliation":[{"name":"Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shelly","family":"Palmer","sequence":"additional","affiliation":[{"name":"Department of Food Science and Human Nutrition, Colorado State University, Fort Collins, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shondra","family":"McCage","sequence":"additional","affiliation":[{"name":"Independent consultant, Ada, Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara J.","family":"Mumby","sequence":"additional","affiliation":[{"name":"Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelli","family":"Begay","sequence":"additional","affiliation":[{"name":"Maven Collective Consulting, LLC, Edmond, Oklahoma"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heather","family":"Garrow","sequence":"additional","affiliation":[{"name":"Saint Regis Mohawk Let\u2019s Get Healthy, Akwesasne, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3649-2812","authenticated-orcid":false,"given":"Denise","family":"Charron-Prochownik","sequence":"additional","affiliation":[{"name":"University of Pittsburgh School of Nursing, Pittsburgh, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie","family":"Aspaas","sequence":"additional","affiliation":[{"name":"Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie","family":"Charley","sequence":"additional","affiliation":[{"name":"Independent consultant, Portland, Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sheana","family":"Bull","sequence":"additional","affiliation":[{"name":"Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josefa S.","family":"Leon","sequence":"additional","affiliation":[{"name":"Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Gonzales","sequence":"additional","affiliation":[{"name":"Portland State University, Portland, Oregon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Reed","sequence":"additional","affiliation":[{"name":"Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela G.","family":"Brega","sequence":"additional","affiliation":[{"name":"Centers for American Indian and Alaska Native Health, University of Colorado Anschutz Medical Campus, Aurora, Colorado"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,14]]},"reference":[{"key":"e_1_3_3_2_2","article-title":"Management of diabetes in pregnancy: standards of care in diabetes\u20142023","volume":"46","author":"Elsayed NA","year":"2023","unstructured":"Elsayed NA, Aleppo G, Aroda VR, et al. 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