Feasibility of a Postpartum Web- and Phone-Based Lifestyle Program for Women with a History of Preeclampsia or Gestational Diabetes: A Pilot Intervention Study.

Autor:	Horn J; Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.; Department of Obstetrics and Gynecology, Levanger Hospital, Nord-Trøndelag Hospital Trust, Levanger, Norway., Kolberg M; Center for Oral Health Services and Research, Mid-Norway (TkMidt), Trondheim, Norway., Rangul V; Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.; Faculty of Nursing and Health Sciences, Nord University, Levanger, Norway., Magnussen EB; Department of Obstetrics and Gynecology, St. Olavs University Hospital, Trondheim, Norway.; Department of Clinical and Molecular Medicine, Norwegian University of Science and Technology, Trondheim, Norway., Åsvold BO; Department of Public Health and Nursing, Norwegian University of Science and Technology, Trondheim, Norway.; Department of Endocrinology, Clinic of Medicine, St. Olavs Hospital, Trondheim University Hospital, Trondheim, Norway., Henriksen HB; Department of Nutrition, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway., Blomhoff R; Department of Nutrition, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.; Division of Cancer Medicine, Department of Clinic Service, Oslo University Hospital, Oslo, Norway., Seely EW; Department of Medicine, Division of Endocrinology, Diabetes and Hypertension, Brigham and Women's Hospital, Boston, Massachusetts, USA.; Harvard Medical School, Boston, Massachusetts, USA., Rich-Edwards J; Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA.; Department of Medicine, Division of Women's Health, Brigham and Women's Hospital, Boston, Massachusetts, USA.; Connors Center for Women's Health and Gender Biology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
Jazyk:	angličtina
Zdroj:	Women's health reports (New Rochelle, N.Y.) [Womens Health Rep (New Rochelle)] 2023 Jul 18; Vol. 4 (1), pp. 345-357. Date of Electronic Publication: 2023 Jul 18 (Print Publication: 2023).
DOI:	10.1089/whr.2023.0039
Abstrakt:	Background: Women with a history of preeclampsia (PE) or gestational diabetes mellitus (GDM) are at increased risk of diabetes and cardiovascular disease (CVD) later in life. Increased awareness of pregnancy complications as early warning signs for CVD has called for postpartum primordial prevention strategies. The aim of this study was to evaluate the feasibility of a postpartum web- and phone-based lifestyle program promoting healthy lifestyle behaviors to women after a pregnancy complicated by PE or GDM. Materials and Methods: Women with a validated history of PE or GDM were invited to participate in a nonrandomized pilot intervention study 3-12 months after delivery. The intervention was delivered over 6 months. All participants received tailored lifestyle counseling by a registered dietitian and access to information material on healthy lifestyle behaviors on the study's website. After inclusion, participants were invited to three study visits at baseline, 3 months, and 6 months. Feasibility outcomes included assessment of recruitment, retention, and acceptability. Secondary outcomes were changes in lifestyle behaviors and cardiovascular risk factors. Results: Of the 207 women invited, 44 were enrolled in the feasibility study and 40 women completed the intervention, corresponding to a recruitment rate of 21% and a retention rate of 91%. At the 3-month study visit, 94.6% of participants reported they had used the website. A total of 41.7% of the participants reported that they had achieved their personal goals during the intervention period. Conclusions: This study suggested the feasibility and potential acceptability of a web- and phone-based lifestyle intervention for mothers with recent PE or GDM. Clinical Trial Registration: clinicaltrials.gov, www.clinicaltrials.gov, no. NCT03993145. Competing Interests: No competing financial interests exist. (© Julie Horn et al., 2023; Published by Mary Ann Liebert, Inc.)
Databáze:	MEDLINE
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