scholarly journals Effectiveness of a step counter smartband and virtual midwife counselling intervention on gestational weight gain and physical activity in pregnant women with obesity (PAS & PES study): a randomised controlled trial (Preprint)

10.2196/28886 ◽  
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 ◽  
Gestational Weight Gain ◽  
Controlled Trial ◽  
Step Counter ◽  
Gestational Weight ◽  
Randomised Controlled ◽  
Counselling Intervention

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 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

Lifestyle intervention to limit gestational weight gain: the Norwegian Fit for Delivery randomised controlled trial

2016 ◽  
Vol 124 (1) ◽  
pp. 97-109 ◽  
Author(s):  
LR Sagedal ◽  
NC Øverby ◽  
E Bere ◽  
MK Torstveit ◽  
H Lohne-Seiler ◽  
...  
Keyword(s):  
Weight Gain ◽  
Randomised Controlled Trial ◽  
Lifestyle Intervention ◽  
Gestational Weight Gain ◽  
Controlled Trial ◽  
Gestational Weight ◽  
Randomised Controlled

scholarly journals Effectiveness of a behavioural intervention involving regular weighing and feedback by community midwives within routine antenatal care to prevent excessive gestational weight gain: POPS2 randomised controlled trial

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e030174 ◽  
Author(s):  
Amanda Daley ◽  
Kate Jolly ◽  
Susan A Jebb ◽  
Andrea Roalfe ◽  
Lucy Mackilllop ◽  
...  
Keyword(s):  
Physical Activity ◽  
Weight Gain ◽  
Gestational Weight Gain ◽  
Controlled Trial ◽  
Behavioural Intervention ◽  
Maximum Weight ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain ◽  
Community Midwives ◽  
Randomised Controlled

ObjectivesTo assess the effectiveness of a brief behavioural intervention based on routine antenatal weighing to prevent excessive gestational weight gain (defined by US Institute of Medicine).DesignRandomised controlled trial.SettingAntenatal clinic in England.ParticipantsWomen between 10+0and 14+6weeks gestation, not requiring specialist obstetric care.InterventionsParticipants were randomised to usual antenatal care or usual care (UC) plus the intervention. The intervention involved community midwives weighing women at antenatal appointments, setting maximum weight gain limits between appointments and providing brief feedback. Women were encouraged to monitor and record their own weight weekly to assess their progress against the maximum limits set by their midwife. The comparator was usual maternity care.Primary and secondary outcome measuresExcessive gestational weight gain, depression, anxiety and physical activity.ResultsSix hundred and fifty-six women from four maternity centres were recruited: 329 women were randomised to the intervention group and 327 to UC. We found no evidence that the intervention decreased excessive gestational weight gain. At 38 weeks gestation, the proportions gaining excessive gestational weight were 27.6% (81/305) versus 28.9% (90/311) (adjusted OR 0.84, 95% CI: 0.53 to 1.33) in the intervention and UC group, respectively. There were no significant difference between the groups in anxiety or depression scores (anxiety: adjusted mean −0.58, 95% CI:−1.25 to –0.8; depression: adjusted mean −0.60, 95% CI:−1.24 to –0.05). There were no significant differences in physical activity scores between the groups.ConclusionsA behavioural intervention delivered by community midwives involving routine weighing throughout pregnancy, setting maximum weight gain targets and encouraging women to weigh themselves each week to check progress did not prevent excessive gestational weight gain. There was no evidence of psychological harm.Trial registration numberISRCTN67427351

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
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