Feasibility and Acceptability of a Mindfulness-Based Smartphone App among Pregnant Women with Obesity.
Feasibility and Acceptability of a Mindfulness-Based Smartphone App among Pregnant Women with Obesity.
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DOI：
10.3390/ijerph20075421
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发表时间：
2023-04-06
影响因子：
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通讯作者：
Lindsay, Karen L
中科院分区：
文献类型：
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作者：
Ward, Kerrie;Herekar, Anjali;Wang, Peiyi;Lindsay, Karen L
母亲肥胖与产前抑郁症状风险增加有关。基于正念的干预（MBIs）已被证明可以降低产前抑郁症的风险。这项试点研究评估了基于智能手机的MBI在肥胖孕妇中的可行性和可接受性，以及其改善孕产妇心理和行为健康结果的潜力。五名孕前体重指数> 30 kg/m2的孕中期孕妇使用Headspace应用程序参加了为期30天的音频引导正念练习。所有参与者都参与了怀孕模块，而三名参与者同时参与了正念饮食模块。每天使用该应用程序进行跟踪，并进行试验后调查评估母亲的可接受性。经过验证的试验前和试验后问卷调查探讨了感知压力，焦虑，抑郁和饮食习惯的变化。所有参与者都完成了研究，并对规定的日常实践有不同程度的坚持;怀孕模块的平均参与天数为23/30（77%），而注意饮食模块的平均参与天数为20/30（67%）。所有受试者都报告了一定程度的感知益处，没有人报告负面体验。观察到产妇心理健康和饮食行为改善的趋势。这项试点研究表明，基于智能手机的MBI是可行的，可接受的，并认为对肥胖孕妇有益。
Maternal obesity is associated with an increased risk for prenatal depressive symptoms. Mindfulness-based interventions (MBIs) have been shown to reduce the risk of prenatal depression. This pilot study assesses the feasibility and acceptability of a smartphone-based MBI among pregnant women with obesity, and its potential for improving maternal mental and behavioral health outcomes. Five second-trimester pregnant women with a prepregnancy body mass index > 30 kg/m2 participated in a 30-day audio-guided mindfulness practice using the Headspace app. All participants engaged in the pregnancy module, while three concurrently engaged in the mindful eating module. Daily engagement with the app was tracked and a post-trial survey assessed maternal acceptability. Validated pre- and post-trial questionnaires explored changes in perceived stress, anxiety, depression, and eating habits. All participants completed the study with varying levels of adherence to the prescribed daily practice; the average number of days of engagement was 23/30 (77%) for the pregnancy module and 20/30 (67%) for the mindful eating module. All subjects reported some degree of perceived benefit, and none reported negative experiences. Trends were observed for improvements in maternal mental wellbeing and eating behaviors. This pilot study shows that a smartphone-based MBI is feasible, acceptable, and perceived to provide benefit among pregnant women with obesity.