Weight-related SMS texts promoting appropriate pregnancy weight gain: a pilot study.
Weight-related SMS texts promoting appropriate pregnancy weight gain: a pilot study.
复制标题
DOI：
10.1016/j.pec.2014.07.030
复制
发表时间：
2014-11
影响因子：
3.5
通讯作者：
Østbye T
中科院分区：
文献类型：
--
作者：
Pollak KI;Alexander SC;Bennett G;Lyna P;Coffman CJ;Bilheimer A;Farrell D;Bodner ME;Swamy GK;Østbye T
过度的妊娠期体重增加（GWG）会使妇女和儿童面临肥胖的风险。我们试行了一项短信干预措施，以促进超重和肥胖妇女的健康GWG。我们招募了35名女性，并以2：1的比例将她们随机分配到：定制的短信干预（Preg CHAT）与通用的短信干预（Txt4baby）。Preg CHAT文本根据女性摄入的含糖饮料，水果和蔬菜，快餐，每日步数和体重提供个性化反馈。我们从图表中提取妇女的体重，并在基线和妊娠32周时对妇女进行调查。很少有女性拒绝这项研究;然而，许多人（30%）没有完成这项研究。在Preg聊天组中，86%的人回复了短信，80%的人说他们会向朋友推荐这个程序。对于完成调查的女性（n = 23），Preg CHAT组的女性比Txt4Baby组的女性平均体重增加少6磅（95%CI-15.9，4.0; p = 0.24）。这项试点研究显示了低强度和可传播的干预措施的可行性，可接受性和潜在功效，以帮助超重和肥胖妇女减少GWG。一个短信程序可以帮助超重的妇女减少过度的GWG。
Excessive gestational weight gain (GWG) puts women and children at risk of obesity. We piloted an SMS-texting intervention to promote healthy GWG among overweight and obese women. We recruited 35 women and randomized them in a 2:1 fashion to: a tailored SMS-texting intervention (Preg CHAT) vs. a generic texting intervention (Txt4baby). Preg CHAT texts provided personalized feedback based on women's intake of sweetened beverages, fruits and vegetables, fast food, daily steps taken, and weight. We abstracted women's weights from charts and surveyed women at baseline and 32 weeks gestation. Few women refused the study; many (30%) did not complete the study, however. Of those in the Preg CHAT arm, 86% responded to texts, and 80% said they would recommend this program to a friend. For women who completed the surveys (n=23), those in the Preg CHAT arm had a mean gain of 6 less pounds than women in the Txt4Baby arm (95% CI -15.9, 4.0; p=0.24). This pilot study shows feasibility, acceptability, and potential efficacy of a low-intensity and disseminable intervention to help overweight and obese women reduce GWG. An SMS texting program might help overweight women reduce excessive GWG.