Healthy for Two, Healthy for You: A Pilot Health Coaching Intervention for Pregnant Women
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 26
- 主要终点
- Gestational weight gain
研究概览
简要总结
Investigators conducted a pilot feasibility and acceptability randomized controlled trial of a remotely delivered behavioral health coaching program in pregnancy and postpartum.
详细描述
Half of pregnant women are overweight or obese. Obesity disproportionately impacts low-income women and women of racial and ethnic minorities. Maternal obesity is linked with adverse perinatal outcomes, including gestational diabetes and preeclampsia, as well as longer-term health problems such as obesity in offspring and maternal cardiovascular disease. Pregnancy provides a unique opportunity to engage women in improving their health behaviors because women are motivated to protect the health of their babies and have frequent interactions with the healthcare system. Advances in behavioral weight management and obesity prevention have not yet been translated into real-world prenatal care settings. Our team was recently supported by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)-funded Nutrition and Obesity Research Center Pilot and Feasibility program to adapt an evidence-based telephonic health coaching program for pregnant women. Investigators conducted 20 in-depth interviews with patients and providers to gain valuable feedback to inform the intervention design and delivery, and have put together a multi-disciplinary team to adapt the intervention. Investiagtors developed the intervention specific for pregnancy and postpartum based on this feedback and are testing the intervention, Healthy for Two / Healthy for You, to assess feasibility and acceptability.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Prevention
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •BMI >= 18.5 kg/m2 at time of eligibility screening
- •Age >=18
- •Able to provide informed consent
- •12 weeks gestation or earlier
- •English speaking
- •Insurance type
- •Willing to provide address and >=2 contact people
- •Consistent use of a personal smartphone and willingness to use for health behavior tracking as part of the study
- •Patient at a participating prenatal clinical site
- •Access to internet (including public library and smartphone)
- •Demonstrated ability to track caloric intake for 4 days
- •Singleton pregnancy
- •Born during Mother's enrollment in study
排除标准
- •• Type 1 or type 2 diabetes, pre-pregnancy or gestational diabetes, diagnosed prior to start of intervention (14 weeks gestation)
- •Multiple fetuses
- •Prior history of severe preeclampsia, pre-term birth (before 32 weeks gestation)
- •Prior history of or current diagnosis of incompetent cervix
- •Poorly controlled blood pressure (>160/100)
- •Unable to walk 1 block without pain, shortness of breath
- •Serious medication condition hindering use of recommendations for pregnancy weight gain
- •Not cleared by study's maternal-fetal medicine or treating obstetrician
- •Planning to relocate from areas in next 2 years
- •Psychiatric or substance use related hospitalization in past 1 year
- •(There is no exclusion criteria for the infants)
结局指标
主要结局
Gestational weight gain
时间窗: At 37 weeks gestation
Gestational weight gain is calculated as weight, in pounds recorded at 37 weeks gestation minus the baseline weight recorded by 14 weeks gestation.
次要结局
- Postpartum weight retention(At 3 months after delivery)