Promoting Health During Pregnancy: A Multiple Behavior Expert System Intervention

描述（由申请人提供）：低出生体重和早产是不利的出生结局，转化为严重和昂贵的健康问题，包括婴儿发病率和婴儿死亡率。研究表明，孕妇的健康行为不仅与分娩结果有关，而且与孩子未来的健康有关。本研究的目标是开发一种有效的，基于人群的，量身定制的干预措施的基础上跨理论模型，以促进采用和维护的健康行为服务不足的孕妇。将通过针对戒烟、压力管理和水果蔬菜消费的个性化干预措施来解决多种行为变化。干预内容将教导和指导妇女在怀孕期间改变行为的策略，重点是产后期间的保持。本I期研究将纳入多个层次的形成性研究。专家顾问将就干预措施的设计提供指导，并将对试点原型进行正式审查。孕妇将参加焦点小组、可用性访谈和干预原型的试点测试。将在整个I期研究中纳入传播拟定干预措施的评估渠道。该提案提供了创新功能，为有效的干预策略带来了巨大的希望，具有相当大的商业潜力，并为孕妇和婴儿群体带来了重大利益。

DESCRIPTION (provided by applicant): Low birthweight and preterm birth are unfavorable birth outcomes that translate into serious and costly health issues, including infant morbidity and infant mortality. Research demonstrates that the health behaviors of pregnant women are associated with not only birth outcomes, but also the future health of the child. The goal of this research is to develop an effective, population-based, tailored intervention based on the Transtheoretical Model to promote the adoption and maintenance of health behaviors among underserved pregnant women. Multiple behavior changes will be addressed through individually tailored interventions for smoking cessation, stress management and fruit and vegetable consumption. The intervention content will teach and guide women through strategies for making behavior changes during pregnancy, with an emphasis on maintenance into the postpartum period. Multiple levels of formative research will be incorporated in this Phase I study. Expert consultants will offer guidance on the design of the intervention and will conduct a formal review of the pilot prototype. Pregnant women will participate in focus groups, usability interviews, and a pilot test of the intervention prototype. Assessing channels for disseminating the proposed intervention will be incorporated throughout the Phase 1 study. This proposal offers innovative features that hold great promise for an effective intervention strategy, considerable commercial potential, and significant benefits for populations of pregnant women and infants.