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20.09.2019

The Feasibility and Efficacy of a Behavioral Intervention to Promote Appropriate Gestational Weight Gain

verfasst von: Meghan Baruth, Rebecca A. Schlaff, Samantha Deere, Jessica L. Walker, Brenna L. Dressler, Sarah F. Wagner, Ashley Boggs, Holly A. Simon

Erschienen in: Maternal and Child Health Journal | Ausgabe 12/2019

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Abstract

Introduction

Nearly half of all women gain above gestational weight gain (GWG) recommendations. This study assessed the feasibility and efficacy of a pilot behavioral intervention on GWG and physical activity behaviors.

Methods

Women (n = 45) 14–20 weeks gestation enrolled in a behavioral intervention. Physicians ‘prescribed’ the intervention to low risk patients. The intervention included self-monitoring, support, and optional walking groups. Process evaluation measures regarding usage and acceptability of study components were obtained. Physical activity was objectively measured at baseline and 35 weeks. The percentage of participants with appropriate GWG was calculated. Control data was obtained from the same clinic where participants were recruited.

Results

Overall, the intervention was acceptable to participants; attrition was low (6.7%), weekly contact was high (87%), and self-monitoring was high (Fitbit worn on 82% of intervention weeks; weekly weighing on 81%). Facebook (40% of weeks) and study website use (19%) was low, as was walking group attendance (7% attended a single group). Participants reported a lack of discussions about the study with their physician. Results showed no significant difference between intervention and control participants in the percentage who gained excess weight (p = 0.37). There was a significant decrease in moderate-to-vigorous physical activity in intervention participants (p < 0.0001).

Discussion

Continued efforts for promoting physical activity and appropriate GWG are needed. Although acceptable, the intervention was not efficacious. Trainings for, or input from prenatal healthcare providers on how to best encourage and support patients’ engagement in healthy behaviors, such as PA, are warranted.

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Titel: The Feasibility and Efficacy of a Behavioral Intervention to Promote Appropriate Gestational Weight Gain
verfasst von: Meghan Baruth
Rebecca A. Schlaff
Samantha Deere
Jessica L. Walker
Brenna L. Dressler
Sarah F. Wagner
Ashley Boggs
Holly A. Simon
Publikationsdatum: 20.09.2019
Verlag: Springer US
Erschienen in: Maternal and Child Health Journal / Ausgabe 12/2019
Print ISSN: 1092-7875
Elektronische ISSN: 1573-6628
DOI: https://doi.org/10.1007/s10995-019-02812-6

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

The Feasibility and Efficacy of a Behavioral Intervention to Promote Appropriate Gestational Weight Gain

Abstract

Introduction

Methods

Results

Discussion

Live-Webinar "Urologie und Sexualmedizin in der Praxis"

Springer Medizin

Abstract

Introduction

Methods

Results

Discussion

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