Multimedia for Exercise During Pregnancy and Postpartum

说明(申请人提供)：由于生育的生理和心理需求，女性在孕期和产后的运动量明显减少。例如，大约60%的孕妇久坐不动，这远远高于美国成年人25%的全国平均水平。因此，怀孕和产后是久坐不动或缺乏活动的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锻炼行为，减少了过度体重增加以及在此期间经历的身体(例如恶心)和心理(例如抑郁、焦虑)症状的严重性。然而，大多数女性并不知道孕期和产后锻炼的指导方针和处方以及锻炼的生理和心理影响。多媒体可用于向孕妇和产后妇女经济有效地展示运动干预措施。因此，这个STTR项目的主要目的是开发一个行为多媒体包来实现这些期望的效果。第一阶段的任务将包括：(A)开发光盘的内容；(B)检查生成内容的准确性和可用性；(C)制作原型光盘；(D)评估原型光盘对目标人群的接受度、可用性和潜在的实用性；(E)将在第二阶段使用的试行测试措施和程序；(F)最后确定计划，制作经修订的原型光盘，并评估其对孕妇和产后妇女关于锻炼的知识、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.