title: Gestational diabetes mellitus: a  kitchen table  approach.
abstract: The issue of gestational diabetes mellitus within disadvantaged communities is being addressed by Healthy Start for Mom & Me, a highly collaborative and multi-faceted prenatal nutrition program targeting at-risk women and teens in Winnipeg, Manitoba. The program s  kitchen table  approach focuses on the core concepts of education, community participation, and capacity-building to develop effective methods for community-based practice in this population. A qualitative case study of the program was conducted in 1999. This study showed that health education practices in the program are sensitive to marginalized women s needs and enhance service providers  understanding of the context of participants  lives. Community dietitians  roles in this prenatal program are evolving, and are significant for other dietitians charting a new course of community-based practice.
authors.affiliation: Department of Agricultural, Food and Nutritional Sciences, University of Alberta, Edmonton, AB.
authors.forename: E
authors.initials: E
authors.lastname: Vogel
authors.forename: K
authors.initials: K
authors.lastname: Anderson
authors.forename: K
authors.initials: K
authors.lastname: Raine
authors.forename: T
authors.initials: T
authors.lastname: Clandinin
mesh_terms: D002170:Canada; D016640:Diabetes, Gestational / Q000178:diet therapy / Q000517:prevention & control*; D005260:Female; D006266:Health Education / Q000379:methods*; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D052756:Nutritional Sciences / Q000193:education*; D011247:Pregnancy; D011295:Prenatal Care / Q000379:methods*; D015397:Program Evaluation; D012307:Risk Factors