A pragmatic, scalable e-health intervention for management of gestational weight gain in low-income mothers

用于管理低收入母亲妊娠期体重增加的务实、可扩展的电子健康干预措施

• 批准号: 10392251
• 负责人: Leanne Maree Redman
• 金额: $ 69.95万
• 依托单位: LSU PENNINGTON BIOMEDICAL RESEARCH CTR
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-12-18 至 2023-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10392251
• 关键词: 2019-nCoV; Administrative Supplement; Anxiety; Birth; Black race; Body mass index; COVID-19; COVID-19 pandemic; Caring; Categories; Cesarean section; Code; Color; Common Data Element; Country; Development; Disasters; Disease; Economics; Educational Background; Employment; Exposure to; Future; Gestational Diabetes; Goals; Government; Guidelines; Health Insurance; Hospitals; Housing; Incidence; Income; Individual; Insurance; Intervention; Interview; Laboratories; Louisiana; Low income; Mediating; Mediator of activation protein; Medicaid; Medical; Medical Records; Mental Depression; Mental Health; Methods; Mothers; National Institute of Child Health and Human Development; Neighborhoods; Obesity; Outcome; Overweight; Patients; Perinatal; Population; Positioning Attribute; Postpartum Period; Postpartum Women; Pregnancy; Pregnancy Outcome; Pregnant Women; Prevention strategy; Privatization; Public Health; Questionnaires; Race; Reporting; Research; Research Design; Risk; Risk Factors; Special Supplemental Nutrition Program for Women, Infants, and Children; Stress; Structure; Surveys; Testing; Time; Underweight; Weight Gain; Woman; adverse pregnancy outcome; black women; cohort; data harmonization; design; eHealth; education access; gestational weight gain; health disparity; improved; low socioeconomic status; pandemic disease; perinatal health; perinatal mental health; perinatal outcomes; physical conditioning; pregnancy disorder; pregnant; psychosocial; racial disparity; racial diversity; recruit; sedentary lifestyle; segregation; service delivery; social health determinants

PROJECT SUMMARY The SARS-CoV-2 (COVID-19) pandemic is adversely impacting the physical and mental health of non- pregnant people, including weight gain and increased sedentary behavior, depression, anxiety, and stress. The overarching goal of this administrative supplement to A pragmatic, scalable e-health intervention for management of gestational weight gain in low-income mothers (R01NR017644), is to expand these observations into pregnant and postpartum populations with the long-term objective of understanding the impact of the COVID-19 pandemic on perinatal physical and mental health outcomes among women who were pregnant during the pandemic and to identify mediators of this impact. The central hypothesis is that exposure to the COVID-19 pandemic during pregnancy will be associated with worsened perinatal physical and mental health outcomes. The specific aims are: 1) examine the effects of the COVID-19 pandemic on gestational weight gain among pregnant women in Louisiana, 2) investigate the effects of the COVID-19 pandemic on racial disparities on adverse pregnancy outcomes among women pregnant during the pandemic in Louisiana, and 3) examine the effects of the COVID-19 pandemic on perinatal mental health among women pregnant during the pandemic in Louisiana. Louisiana is a living laboratory for the country and the world, with an expansive spectrum of income and education levels, and high racial diversity. The specific aims will be tested with two unique study designs. First, a retrospective chart review of deliveries at Woman's Hospital (Baton Rouge, Louisiana) will be used to compare gestational weight gain and pregnancy outcomes from women who were pregnant during the pandemic, compared to women who were pregnant immediately before the pandemic (n=~23,000); as well as comparing outcomes between Black and White women. Second, using a sequential explanatory mixed-methods design we will survey and interview two cohorts of recently postpartum women who were pregnant during the pandemic about their mental health as well as pandemic-related hardships: Louisiana WIC recipients and patients of Woman's Hospital. The mixed-methods design offers rigor by integrating components of triangulation, complementarity, expansion, and development. The project survey includes validated mental health questionnaires and common data elements of the NICHD Promoting Data Harmonization to Accelerate COVID-19 Pregnancy Research. Potential mediators are pandemic-related hardships, including isolation and changes to government assistance, housing, employment, or access to medical care. At the end of the project, our expected outcome is to have quantified the impact of the COVID-19 pandemic on the physical and mental health of pregnant and postpartum women and identified mediators of that impact.

项目摘要 SARS-CoV-2（COVID-19）大流行对非政府组织的身心健康产生了不利影响， 怀孕的人，包括体重增加和增加久坐不动的行为，抑郁，焦虑和压力。的 这一行政补充的总体目标是一个务实的，可扩展的电子卫生干预， 低收入母亲妊娠期体重增加的管理（R 01 NR 017644），是为了扩大这些 观察孕妇和产后人群，长期目标是了解 COVID-19大流行对以下妇女围产期身心健康结果的影响： 在大流行期间怀孕，并确定这种影响的媒介。核心假设是， 怀孕期间的COVID-19大流行将与围产期身心状况恶化有关 健康成果。具体目标是：1）研究COVID-19大流行对妊娠的影响 路易斯安那州孕妇体重增加，2）调查COVID-19大流行对 在路易斯安那州大流行期间怀孕的妇女在不良妊娠结局方面的种族差异， 以及3）研究COVID-19大流行对孕妇围产期心理健康的影响 在路易斯安那州的大流行期间。路易斯安那州是美国和世界的活实验室， 广泛的收入和教育水平，以及高度的种族多样性。具体目标将受到考验 两个独特的研究设计。首先，回顾性图表审查交付在妇女医院（巴顿 Rouge，路易斯安那州）将用于比较妊娠期体重增加和妊娠结局的妇女， 在大流行期间怀孕的妇女人数，与大流行前不久怀孕的妇女人数相比， 流行病（n=~ 23，000）;以及比较黑人和白色女性之间的结果。第二，使用 序贯解释混合方法设计，我们将调查和采访两个队列的最近产后 在大流行期间怀孕的妇女的心理健康以及与大流行有关的 困难：路易斯安那州妇女信息中心的接受者和妇女医院的病人。混合方法设计提供了严谨性 通过整合三角、互补、扩展和发展的组成部分。项目调查 包括经过验证的心理健康问卷和NICHD促进数据的常见数据元素 协调以加速COVID-19妊娠研究。潜在介质与大流行相关 困难，包括孤立和政府援助的变化，住房，就业，或获得 医疗等在项目结束时，我们的预期成果是量化COVID-19的影响 大流行病对孕妇和产后妇女身心健康的影响以及 这种影响。