scholarly journals Testing the feasibility of a mobile technology intervention promoting healthy gestational weight gain in pregnant women (txt4two) - study protocol for a randomised controlled trial

Trials ◽  
2015 ◽  
Vol 16 (1) ◽  
Author(s):  
Jane Catherine Willcox ◽  
Karen Jane Campbell ◽  
Elizabeth Anne McCarthy ◽  
Shelley Ann Wilkinson ◽  
Martha Lappas ◽  
...  
Keyword(s):  
Weight Gain ◽  
Randomised Controlled Trial ◽  
Pregnant Women ◽  
Gestational Weight Gain ◽  
Mobile Technology ◽  
Study Protocol ◽  
Controlled Trial ◽  
Gestational Weight ◽  
Technology Intervention ◽  
Randomised Controlled

scholarly journals Effectiveness of a digital health intervention with a smartband and counselling App in gestational weight gain and physical activity in pregnant women with obesity (PAS & PES study): a randomised controlled trial (Preprint)

2021 ◽  
Author(s):  
Elena Gonzalez-Plaza ◽  
Jordi Bellart ◽  
Ángela Arranz ◽  
Leila Luján-Barroso ◽  
Esther Crespo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Gain ◽  
Randomised Controlled Trial ◽  
Pregnant Women ◽  
Mobile Apps ◽  
Controlled Trial ◽  
Perinatal Outcomes ◽  
Gestational Weight ◽  
Randomised Controlled ◽  
Health Counselling

BACKGROUND Obesity during pregnancy is a public health problem in our society. Pregnant women with obesity with excessive gestational weight gain (GWG) present a higher probability of presenting maternal and perinatal complications. The use of mobile Apps and a wristband during pregnancy may contribute to promoting healthy lifestyles and, thus, improving maternal and neonatal health. OBJECTIVE The objectives were to evaluate the effectiveness of the use of a smartband and an App with health counselling together with virtual support from a midwife in relation to GWG and physical activity (PA) in pregnant women with pre-pregnancy obesity and analyse the impact on maternal and perinatal outcomes. In addition, we studied the frequency of use, usability and satisfaction with the mobile Apps used by the women in the intervention group (IG). METHODS This parallel 2-arm randomised controlled trial included 150 pregnant women with obesity. The IG received a complex combined digital intervention called Pas & Pes. The intervention was delivered with a smartband (Mi band 2©) linked to the App Mi Fit© plus personalised health information and 24h/day midwife support through another App (Hangouts ©). Women in the control group (CG) only received standard antenatal care. The Spanish version of the International Physical Activity Questionnaire Short Form (IPAQ-SF) and the System Usability Scale (SUS) were used. Satisfaction was measured in a 1-5 point Likert scale. RESULTS We analysed 120 pregnant women; 30 have been withdrawn due to the COVID-19 pandemic. The mean GWG in the IG was 7 kg (Q1=4-Q3=11) vs. 9.3 kg (Q1=5.9-Q3=3.3) in the CG, P=.04. At the end of the study, the adjusted mean weight gain per week was 0.500 kg/week (95% confidence interval [CI]: 0.41 to 0.58) for the CG and 0.350 kg/week (95%CI: 0.27-0.43) for the IG.Between gestation weeks 35-37, the women in the IG performed greater mean PA than the GC (1,980 metabolic equivalent of tasks [METs]-min/week vs. 1,386 METs/min-week, respectively; P=.01). No differences were observed between study groups in the incidence of maternal and perinatal outcomes. In the IG, 61% (36) of the pregnant women used the smartband daily, and 74.6% (44) evaluated the usability of the Mi Fit© App as excellent. The grade of satisfaction with the health counselling and virtual midwife support through an App obtained a mean score of 4.8 (SD: 0.6) points. CONCLUSIONS The use of a smartband and a health counselling App together with virtual midwife support and standard prenatal controls were effective for obtaining a lower GWG and increasing the performance of PA in pregnant women with obesity. CLINICALTRIAL This trial was registered in the Clinical Trial Register of the National Library of Medicine of United States (NCT03706872).

scholarly journals Continuity of midwifery care and gestational weight gain in obese women: a randomised controlled trial

2011 ◽  
Vol 11 (1) ◽  
Author(s):  
Cate Nagle ◽  
Helen Skouteris ◽  
Anne Hotchin ◽  
Lauren Bruce ◽  
Denise Patterson ◽  
...  
Keyword(s):  
Weight Gain ◽  
Randomised Controlled Trial ◽  
Gestational Weight Gain ◽  
Controlled Trial ◽  
Obese Women ◽  
Midwifery Care ◽  
Gestational Weight ◽  
Randomised Controlled

scholarly journals The effects of a local dairy food supplement on pregnancy outcomes in Indonesia: A feasibility trial

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
H Soltani ◽  
F Fair ◽  
K Marvin-Dowle ◽  
N I Lipoeto
Keyword(s):  
Body Mass Index ◽  
Weight Gain ◽  
Randomised Controlled Trial ◽  
Gestational Weight Gain ◽  
Body Mass ◽  
Controlled Trial ◽  
Buffalo Milk ◽  
Neonatal Health ◽  
Gestational Weight ◽  
Randomised Controlled

Abstract Introduction Approximately 20.1% of Indonesian pregnant women are underweight (BMI<18.5kg/m²) and over 50% of women have inadequate gestational weight gain (GWG) [1]. Maternal nutrition is a modifiable factor influencing child health. This project aims to assess the feasibility of a randomised controlled trial (RCT) using a traditional Indonesian yogurt from buffalo milk (Dadih), to improve outcomes for pregnant mothers and their babies. Methods This is a two armed feasibility RCT (1:1) in which 200 women with body mass index<27.5kg/m² (Asian BMI classifications) were planned to randomly be allocated to routine care or the intervention group, who will be supplemented with four weekly servings of Dadih. Results A total of 107 women were recruited to the trial in the first wave from Dec 2018-March 2019 (recruitment rate of ∼25/month). Of these 81 have been followed up to delivery and will be followed up to 6 months postpartum. Local Dadih production reached its full capacity in one region and recruitment had to be extended to other regions. Comparative trends on study outcomes including GWG, mode of birth, postpartum depression, postpartum haemorrhage, maternal nutritional status, anaemia, birthweight, gestational age, admission to neonatal care unit, breastfeeding, neonatal health status will be reported. Conclusions Early results show that the supplementation is acceptable to women and protocol implementation is feasible. In order for this feasibility project to be developed to a full scale RCT, improvements to the infrastructure of supply are required. Such projects may have positive economic impact and provide sustainable solutions to local maternal and neonatal health challenges. Reference 1. Soltani H, Lipoeto NI, Fair FJ, Kilner K, Yusrawati Y. (2017) Pre-pregnancy body mass index and gestational weight gain and their effects on pregnancy and birth outcomes: a cohort study in West Sumatra, Indonesia. BMC Women's Health. Key messages Nutritional supplementation using a traditional Indonesian yogurt (Dadih) made from buffalo milk during pregnancy has been received positively by women. Depending on the observed comparative trends from the study outcomes, infrastructure investment is required to enable the feasibility study to be expanded to a full scale randomised controlled trial.

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