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Piloting a Telephone Based Health Coaching Program for Pregnant Women: A Mixed Methods Study.
Chris Rissel1, Santosh Khanal2, Jane Raymond3
1NSW Office of Preventive Health, Liverpool, NSW, Australia. Chris.Rissel@health.nsw.gov.au.
Maternal and Child Health Journal
|February 14, 2019
Summary
Telephone-based lifestyle coaching for pregnant women showed promise for healthy weight gain, though not significantly better than information-only calls. Positive feedback suggests potential for wider implementation.
Area of Science:
- Public Health
- Maternal Health
- Health Behavior Interventions
Background:
- Healthy gestational weight gain is crucial for maternal and infant outcomes.
- Lifestyle interventions can support healthy weight management during pregnancy.
- The Get Healthy in Pregnancy (GHiP) program offers telephone-based support.
Purpose of the Study:
- To compare outcomes of two GHiP service options: health coaching vs. information only.
- To identify characteristics of women likely to use the GHiP service.
- To explore feedback from participants and health professionals on the GHiP program.
Main Methods:
- Pragmatic stratified clustered randomized controlled trial across five hospitals in New South Wales, Australia.
- Comparison of a 10-call health coaching program versus an information-only option (one call).
- Collection of self-reported height, weight, and health behaviors at baseline and 36 weeks gestation; qualitative feedback via interviews.
Main Results:
- Women in the health coaching arm had a higher rate of healthy gestational weight gain (42.9%) compared to the information-only arm (31.9%).
- No statistically significant difference was found between the two arms regarding weight gain.
- Participants and health professionals reported positive experiences, finding the program useful and supportive.
Conclusions:
- Telephone-based lifestyle programs integrated into clinical care show potential for promoting healthy gestational weight gain.
- While not statistically superior in this trial, the GHiP program received strong positive feedback.
- The findings suggest that scaled-up delivery of such programs could be well-received by pregnant women and healthcare providers.
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