对超重或肥胖孕妇的试点生活方式行为干预:结果和过程评估
Mei-Wei Chang1, Alai Tan1, Jonathan Schaffir2
1The Ohio State University College of Nursing, 1577 Neil Avenue, Columbus, OH 43210, USA.
Journal of pediatrics, perinatology and child health
|April 5, 2024
概括
这项试点研究探讨了孕妇的生活方式干预措施,以管理体重增加. 虽然干预没有显著减少妊娠期体重增加,但干预在接受性和未来干预设计方面显示出希望.
科学领域:
- 产科和妇科 产科和妇科
- 行为科学 行为科学
- 公共卫生 公共卫生
背景情况:
- 过度的妊娠体重增加是对母亲和新生儿健康的重大关注.
- 生活方式干预对于在怀孕期间控制体重至关重要.
- 整合心理学理论可以提高干预的有效性.
研究的目的:
- 评估试点生活方式行为干预对妊娠期体重增加 (GWG) 的影响.
- 评估超重或肥胖的孕妇参与者的孕产妇和新生儿结局.
- 确定一种新型干预措施的可接受性,该干预方案将希望理论和面向目标的情节性未来思维 (GoEFT) 整合在一起.
主要方法:
- 一项为期20周的随机对照试验,涉及70名超重/肥胖的孕妇参与者.
- 干预组每周接受网络模块和健康指导;对照组接受通常的护理.
- 主要结局:GWG;次要结局:母亲和新生儿健康;通过采访评估可接受性.
主要成果:
- 在怀孕24-27周和35-37周,干预和通常护理组之间的GWG没有显著差异.
- 两个组的孕产妇和新生儿结局在两组之间是可比的.
- 报告的干预接受度很高,主题包括引人入胜的网络内容,主题选择和目标评估.
结论:
- 试点生活方式干预没有显著改变GWG,但被参与者接受得很好.
- 研究结果为设计未来的生活方式干预措施提供了宝贵的见解,以防止过度的GWG.
- 过程评估突出了提高类似计划参与度和有效性的关键组成部分.
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