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Supporting healthful lifestyles during pregnancy: a health coach intervention pilot study.


ABSTRACT: BACKGROUND:Excessive gestational weight gain (GWG) is associated with adverse health outcomes in both the mother and child. Many previous lifestyle interventions in women with excess weight during pregnancy encouraging appropriate GWG have been unsuccessful, and there remains no consensus about the content, format, or theoretical framework of GWG interventions. We assessed the feasibility and acceptability of a remote health coach intervention to promote healthful lifestyle behaviors and appropriate GWG among overweight pregnant women. METHODS:At one northeastern US clinic, we enrolled 30 overweight (pre-pregnancy BMI ? 25 kg/m2) pregnant women at a median gestation of 12.5 weeks (IQR: 11-15) into a one-arm trial. We connected participants with a health coach to provide behavioral support to help participants adopt healthful lifestyles during pregnancy. Health coaches contacted participants by phone every 2-3 weeks to monitor goals, and sent emails and text messages between calls. Participants completed baseline (N?=?30) and follow-up (N?=?26) surveys at the end of the intervention (36 weeks gestation), as well as follow-up phone interviews (N?=?18). RESULTS:Among 30 participants, median age was 32 years (IQR: 28-33), median self-reported pre-pregnancy BMI was 27.3 kg/m2 (IQR: 25.7-31.1), and 17/30 were white, 9/30 African-American, and 3/30 Asian. Three-quarters (22/29) of participants completed at least a college degree. Although 25/30 participants reported in baseline surveys that they worried about being able to lose the weight postpartum that they expected to gain during pregnancy, just 12/26 participants reported the same at follow-up (P?

SUBMITTER: Seward MW 

PROVIDER: S-EPMC6142676 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

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Supporting healthful lifestyles during pregnancy: a health coach intervention pilot study.

Seward Michael W MW   Simon Denise D   Richardson Martha M   Oken Emily E   Gillman Matthew W MW   Hivert Marie-France MF  

BMC pregnancy and childbirth 20180917 1


<h4>Background</h4>Excessive gestational weight gain (GWG) is associated with adverse health outcomes in both the mother and child. Many previous lifestyle interventions in women with excess weight during pregnancy encouraging appropriate GWG have been unsuccessful, and there remains no consensus about the content, format, or theoretical framework of GWG interventions. We assessed the feasibility and acceptability of a remote health coach intervention to promote healthful lifestyle behaviors and  ...[more]

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