PACEi-MOM: A Web-based Post-Partum Weight Loss Program

描述（由申请人提供）：我们建议开发一种基于网络和手机的体重控制干预措施，医生可以为超重的产后患者提供：PACEi-MoM。干预将针对产后4至8周时被归类为超重至1级肥胖（BMI为25 - 34.9 NIH，1998）的妇女，这些妇女能够进行中等强度的体力活动，如散步。我们将让最近的母亲和产科护理提供者参与PACEi-MoM形成性研究。具体针对的行为包括：减少膳食脂肪摄入量;增加水果，蔬菜和纤维摄入量;增加整体身体活动。iMoM将基于SDCHI研究人员多年来一直在评估的健康行为改变的经验支持方法，并由最近的母亲和产科护理提供者的焦点小组充分了解。iMoM产品将是一个为期12个月的在线计划，集成了手机消息和可上传的计步器组件，以帮助新妈妈达到并保持健康的体重。主题，程序架构，图形和用户界面的开发将告知两个重点小组与产后母亲，一个重点小组与产科护理提供者，可用性测试与产后母亲，并正在进行输入从两个产科护理顾问。PACEi-MoM特别具有创新性，因为：1）它解决了处于持续体重增加风险中的人群的需求，在一个关键的过渡时期，其特征是以前的健康行为不稳定和新的，苛刻的障碍。2)它满足了为新妈妈量身定制的长期、循证和全面的行为体重管理方法的特殊需求; 3）它利用手机短信作为忙碌母亲的重要干预方式，以提示特定行为目标的形式，并作为整体计划依从性的监督者; 4）它利用具有方便，自动数据上传到PACEi-MoM网站，通过用户的家庭PC和专有软件。这项形成性研究将使PACEi-MoM产品的创建能够在第二阶段进行有效性研究。

DESCRIPTION (provided by applicant): We propose to develop a web and cell phone-based weight control intervention that physicians can offer their overweight post-partum patients: PACEi-MoM. The intervention will target women classified as overweight to Level 1 Obese (BMI of 25 -34.9 NIH, 1998) at 4 to 8 weeks post-delivery who are able to do moderate intensity physical activity such as walking. We will involve recent mothers and providers of obstetrical care in PACEi-MoM formative research. Behaviors specifically targeted include: decreasing dietary fat intake; increasing fruit, vegetable and fiber intake; and increasing overall physical activity. iMoM will be based on empirically supported approaches to health behavior change that SDCHI researchers have been evaluating or several years, and thoroughly informed by focus groups with recent mothers and providers of obstetrical care. The iMoM product will be a 12-month online program with integrated cell phone messaging and uploadable pedometer components, to help new mothers reach and maintain a healthful weight. Topics, program architecture, graphics and user interface development will be informed by two focus groups with post partum mothers, one focus group with obstetrical care providers, usability testing with post partum mothers, and ongoing input from two obstetric care consultants. PACEi-MoM is particularly innovative because: 1) It addresses needs of a population at risk for continued weight gain, at a key transitional time that is characterized by destabilization of former health behaviors and new, demanding barriers. 2) It meets a special need for long-term, evidence-based, and comprehensive behavioral weight management approaches tailored to new mothers, 3) It utilizes cell phone text messaging as an important intervention modality for busy mothers, in the form of prompts about specific behavioral goals and as a reinforcer of overall program compliance and 4) It utilizes a high-quality pedometer with a feature of convenient, automatic data uploading to the PACEi-MoM web site, via the user's home PC and proprietary software. This formative research will enable the creation of the PACEi-MoM product to be studied for effectiveness in Phase II.