Promoting Health During Pregnancy: A Multiple Behavior Computer Tailored Interven

孕妇，特别是来自服务不足人群的孕妇，往往有多种行为风险，威胁到积极的妊娠和分娩结果，以及母亲和婴儿未来的健康。该应用程序代表了影响促进孕妇健康行为的创新研究。目的是开发和测试第一个针对孕妇的计算机定制干预措施，以解决多种行为风险。健康妊娠：《一步一步》提供了关于采用和维持戒烟、压力管理以及水果和蔬菜消费的量身定制指导。该应用程序通过使用跨行为的不同级别的定制和共同变化设计来提供创新，通过该设计可以有效地和高效地处理多个行为。第一阶段的成功完成表明，一个阶段匹配的计算机定制的干预是可以接受的孕妇，可行的传播与产前保健的健康诊所，并与多种行为的初步疗效。第二阶段的主要目标是完成和加强干预措施的发展，并在一项随机临床试验中评估疗效，该试验涉及来自两个非营利性健康中心的368名孕妇，这些中心治疗服务不足的人群。此外，将创建补充干预组件，包括打印的反馈报告、基于多行为阶段的手册和所有干预材料的西班牙语版本。这种干预措施提供了一种具有成本效益、基于科学且易于交付的解决方案，以改善孕妇群体的多种健康行为以及整体健康和福祉。来自多个分销渠道的支持增强了该计划的商业潜力和广泛传播的前景。 公共卫生相关性：促进怀孕期间和产后的健康行为对公共卫生至关重要。这项研究旨在为孕妇制定和测试一项基于人群的多种健康行为改变计划，为采用和维持戒烟，压力管理以及水果和蔬菜消费提供指导。这种计算机定制的干预提供了一种具有成本效益的、基于科学的、易于交付的解决方案，以改善孕妇群体的多种健康行为以及整体健康和福祉。

DESCRIPTION (provided by applicant): Pregnant women, particularly those from underserved populations, often have a multitude of behavioral risks that threaten positive pregnancy and birth outcomes, as well as the future health of mother and baby. This application represents innovative research for impacting the promotion of healthy behaviors among pregnant women. The objective is to develop and test the first computer tailored intervention for pregnant women to address multiple behavioral risks. Healthy Pregnancy: Step by Step offers tailored guidance on the adoption and maintenance of smoking cessation, stress management, and fruit and vegetable consumption. This application offers innovation through the use of varying levels of tailoring across behaviors and a co-variation design through which multiple behaviors can be treated effectively and efficiently. The successful completion of Phase I demonstrates that a stage-matched computer tailored intervention is acceptable to pregnant women, feasible to disseminate in health clinics in conjunction with prenatal care, and has initial efficacy with multiple behaviors. The primary goals of Phase II are to complete and enhance the development of the intervention and to assess the efficacy in a randomized clinical trial involving 368 pregnant women from two non-profit health centers that treat underserved populations. In addition, supplemental intervention components will be created including printed feedback reports, a multiple behavior stage-based manual, and Spanish versions of all intervention materials. This intervention offers a cost-effective, science- based, and easily deliverable solution to improve multiple health behaviors, and overall health and well-being, of populations of pregnant women. Support from several distribution channels bolsters the commercial potential for this program and the promise for widespread dissemination. PUBLIC HEALTH RELEVANCE: Promoting healthy behaviors during pregnancy and postpartum is of great public health importance. This research proposes to develop and test a population-based, multiple health behavior change program for pregnant women that offers guidance on the adoption and maintenance of smoking cessation, stress management, and fruit and vegetable consumption. This computer tailored intervention offers a cost- effective, science-based, and easily deliverable solution to improve multiple health behaviors, and overall health and well-being, of populations of pregnant women.