Using mHealth to Deliver Behavior Change Interventions Within Prenatal Care at Community Health Centers.

Autor:	Mauriello LM; Pro-Change Behavior Systems, Inc., South Kingstown, Rhode Island lmauriello@prochange.com., Van Marter DF; Pro-Change Behavior Systems, Inc., South Kingstown, Rhode Island., Umanzor CD; Pro-Change Behavior Systems, Inc., South Kingstown, Rhode Island., Castle PH; Pro-Change Behavior Systems, Inc., South Kingstown, Rhode Island., de Aguiar EL; Pro-Change Behavior Systems, Inc., South Kingstown, Rhode Island.
Jazyk:	angličtina
Zdroj:	American journal of health promotion : AJHP [Am J Health Promot] 2016 Sep; Vol. 30 (7), pp. 554-62. Date of Electronic Publication: 2016 Jun 16.
DOI:	10.4278/ajhp.140530-QUAN-248
Abstrakt:	Purpose: To test an iPad-delivered multiple behavior tailored intervention (Healthy Pregnancy: Step by Step) for pregnant women that addresses smoking cessation, stress management, and fruit and vegetable consumption. Design: A randomized 2 × 5 factorial repeated measures design was employed with randomization on the individual level stratified on behavior risk. Women completed three sessions during pregnancy and two postpartum at postdelivery months 1 and 4. Setting: Women were recruited from six locations of federally funded health centers across three states. Subjects: Participants (N = 335) were English- and Spanish-speaking women at up to 18 weeks gestation. Intervention: The treatment group received three interactive sessions focused on two priority health behavior risks. The sessions offered individually tailored and stage-matched change strategies based on the transtheoretical model of behavior change. The usual care group received March of Dimes brochures. Measures: The primary outcome was the number of behavior risks. Stage of change and continuous measures for all behaviors also were assessed. Analysis: Data were analyzed across all time points using generalized estimating equations examining repeated measures effects. Results: Women in the treatment group reported significantly fewer risks than those in usual care at 1 month (.85 vs. 1.20, odds ratio [OR] = .70) and 4 months postpartum (.72 vs. .91, OR = .81). Conclusion: Healthy Pregnancy is an evidence-based and personalized program that assists pregnant women with reducing behavior risks and sustaining healthy lifestyle behaviors. (© 2016 by American Journal of Health Promotion, Inc.)
Databáze:	MEDLINE
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