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

我们建议开发一种基于网络和手机的体重控制干预措施，医生可以为他们提供 产后超重患者：PACEI-MANM。这项干预措施将针对被归类为超重的女性 产后4至8周的1级肥胖(BMI为25-34.9，NIH，1998)，能够进行中度肥胖 强度较大的体力活动，如散步。我们将让最近的母亲和产科护理提供者参与 3ACE-MOM形成性研究。有针对性的行为包括：减少膳食脂肪摄入量； 增加水果、蔬菜和纤维的摄入量；增加整体体力活动。iMoM将基于 SDCHI研究人员一直在评估的有经验支持的健康行为改变方法 或几年，并由最近的母亲和产科提供者的焦点小组彻底告知 关心。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 可上传计步器组件，帮助新妈妈达到并保持健康的体重。主题、 程序架构、图形和用户界面开发将由两个焦点小组提供信息，这些小组具有 产后母亲，产科护理人员的一个焦点群体，产后可用性测试 母亲，以及来自两个产科护理顾问的持续投入。PACEi-MOM特别创新 因为：1)在一个关键的过渡时期，它满足了面临体重持续增加风险的人群的需求 其特点是以前的健康行为不稳定，以及新的、苛刻的障碍。2)相遇 特别需要长期、循证和全面的行为体重管理 为新妈妈量身定做的方法，3)它利用手机短信作为重要的干预手段 为忙碌的母亲提供的情态，以提示具体行为目标的形式，并作为一种强化 总体程序合规性；4)它使用高质量计步器，具有方便、 通过用户的家用PC和专有软件自动将数据上传到PACEi-MOM网站。 这项形成性研究将使PACEi-MoM产品的创建成为可能，将研究其在 第二阶段。

We propose to develop a web & 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 (BMIof 25 -34.9 NIH,1998) at 4 to 8 weeks post-delivery who are able to do moderate ntensity physical activity such as walking. We will involve recent mothers and providers of obstetrical care in 3ACE-MoM formative research. Behaviors specifically targeted include: decreasing dietary fat intake; ncreasing fruit, vegetable and fiber intake; and increasing overall physical activity.iMoMwill 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 reinforcerof overall program compliance and 4) It utilizes a high-quality pedometer with a featureof 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.