Promoting Health During Pregnancy: A Multiple Behavior Computer Tailored Interven

描述（由申请人提供）：孕妇，特别是那些来自服务不足人口的孕妇，往往有许多行为风险，威胁到积极的怀孕和分娩结果，以及母亲和婴儿的未来健康。该应用程序代表了影响促进孕妇健康行为的创新研究。目标是开发和测试第一种针对孕妇的计算机定制干预措施，以解决多种行为风险。《健康怀孕：一步一步》为戒烟、压力管理和水果蔬菜消费的采用和维持提供了量身定制的指导。该应用程序通过使用不同级别的跨行为裁剪和共变设计提供了创新，通过这种设计可以有效和高效地处理多个行为。第一阶段的成功完成表明，阶段匹配的计算机定制干预对孕妇是可接受的，与产前护理一起在卫生诊所传播是可行的，并且对多种行为具有初步效果。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其疗效，该试验涉及来自两个治疗服务不足人群的非营利保健中心的368名孕妇。此外，将创建补充干预组件，包括打印反馈报告，基于多个行为阶段的手册，以及所有干预材料的西班牙语版本。这一干预措施提供了一种具有成本效益、以科学为基础且易于交付的解决方案，可改善孕妇群体的多种健康行为以及整体健康和福祉。几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希望。

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.