Multimedia for Exercise During Pregnancy and Postpartum

描述（由申请人提供）：由于生育的生理和心理需求，女性在怀孕期间和产后的运动量显著减少。例如，大约60%的孕妇久坐不动，这大大高于美国成年人25%的全国平均水平。因此，怀孕和产后是久坐或低活动生活方式的重要因素，从而使这些妇女患心血管疾病和相关疾病的风险增加。运动干预增加了怀孕期间的运动行为，减少了体重的过度增加和身体的严重程度（例如，恶心）和心理（例如，抑郁症，焦虑症）症状在此期间经历。然而，大多数妇女并不了解怀孕期间和产后运动的指导方针和处方以及运动对生理和心理的影响。多媒体可以用来经济有效地向孕妇和产后妇女介绍运动干预措施。因此，这个STTR项目的主要目的是开发一个行为多媒体包，以实现这些理想的效果。第一阶段的任务将包括：（a）发展唯读光碟的内容;（B）审查所产生内容的准确性和可用性;（c）制作唯读光碟的原型;（d）评估唯读光碟原型在目标人口中的可接受性、可用性和潜在效用;（e）将在第二阶段使用的试验性测试措施和程序;及（f）最后确定制作经修订的CD-ROM原型的计划，并评估其对孕妇和产后妇女在第二阶段中有关运动的知识、态度、行为和行为意图的影响。

DESCRIPTION (provided by applicant): Women's exercise is significantly reduced during pregnancy and postpartum due to the physical and psychological demands of childbearing. For example, about 60 percent of pregnant women are sedentary, which is significantly above the national average of 25 percent for U.S. adults. Thus, pregnancy and postpartum are strong contributors to either a sedentary or a low active lifestyle, thereby placing these women at increased risk for cardiovascular and related diseases. Exercise interventions increase exercise behavior during pregnancy and reduce excessive weight gain and the severity of the physical (e.g., nausea) and psychological (e.g., depression, anxiety) symptoms experienced during this time. Most women, however, are unaware of the guidelines and prescriptions for and the physiological and psychological effects of exercise during pregnancy and postpartum. Multimedia can be used to present exercise interventions economically and efficiently to pregnant and postpartum women. Consequently, the primary purpose of this STTR project is to develop a behavioral multimedia package to achieve these desirable effects. Phase I tasks will include: (a) developing content for the CD-ROM; (b) examining the accuracy and usability of the generated content; (c) producing a prototype CD-ROM; (d) evaluating the acceptability, usability, and potential utility of the prototype CD-ROM with the target population; (e) pilot testing measures and procedures to be used in Phase II; and (f) finalizing plans to produce a revised prototype CD-ROM and evaluate its effects on pregnant and postpartum women's knowledge, attitudes, behaviors, and behavioral intentions regarding exercise in Phase II.