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Multidisciplinary Approach to Obesity Management: A Case Report

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Maternal Obesity Management Using Mobile Technology: A Feasibility Study to Evaluate a Text Messaging Based Complex

Hora Soltani¹, Alexandra M S Duxbury¹, Madelynne A Arden²

¹Centre for Health and Social Care Research, Sheffield Hallam University, Collegiate Crescent, Sheffield S10 2BP, UK.

Journal of Obesity

|May 12, 2015

Summary

The MOMTech study showed that a text messaging intervention helped obese pregnant women manage gestational weight gain (GWG). Participants achieved lower GWG compared to a control group, indicating feasibility and acceptability.

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Area of Science:

Maternal Health
Digital Health Interventions
Obesity Management

Background:

Maternal obesity and excessive gestational weight gain (GWG) present significant risks to pregnancy and birth outcomes.
Limited research exists on managing GWG using accessible technologies.
The MOMTech study addresses this gap by investigating a mobile technology-based intervention.

Purpose of the Study:

To evaluate the feasibility of a text messaging-based intervention for managing GWG in obese women (BMI ≥ 30).
To assess the acceptability of the intervention among participants.
To explore potential improvements for future trials.

Main Methods:

The intervention involved daily text messages, four midwife appointments, lifestyle goal setting, and self-monitoring diaries.
A comparison group of obese mothers provided routinely collected data.
Postnatal interviews and focus groups were conducted with both participants and the comparison group.

Main Results:

Participants achieved a lower mean GWG (6.65 kg) compared to the comparison group (9.74 kg).
A smaller proportion of participants exceeded the recommended GWG limit (28% vs. 50%).
Statistical analysis was not possible due to the small sample size (14 completers).

Conclusions:

The MOMTech intervention is feasible in a clinical setting and acceptable for supporting women in limiting GWG.
Modifications to recruitment, text messages, and consultation logistics are planned for future trials.
This approach shows promise for managing GWG in obese pregnant women.