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Evaluating engagement in a digital and dietetic intervention promoting healthy weight gain in pregnancy: mixed methods study

Willcox, Jane C, Chai, Daniel, Beilin, Lawrence J, Prescott, Susan L, Silva, Desiree, Neppe, Cliff and Huang, Rae-Chi 2020, Evaluating engagement in a digital and dietetic intervention promoting healthy weight gain in pregnancy: mixed methods study, Journal of medical internet research, vol. 22, no. 6, pp. 1-11, doi: 10.2196/17845.

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Title Evaluating engagement in a digital and dietetic intervention promoting healthy weight gain in pregnancy: mixed methods study
Author(s) Willcox, Jane CORCID iD for Willcox, Jane C orcid.org/0000-0002-6306-5333
Chai, Daniel
Beilin, Lawrence J
Prescott, Susan L
Silva, Desiree
Neppe, Cliff
Huang, Rae-Chi
Journal name Journal of medical internet research
Volume number 22
Issue number 6
Article ID e17845
Start page 1
End page 11
Total pages 11
Publisher JMIR Publications
Place of publication Toronto, Ont.
Publication date 2020-06
ISSN 1438-8871
1438-8871
Keyword(s) Science & Technology
Life Sciences & Biomedicine
Health Care Sciences & Services
Medical Informatics
pregnancy
internet-based intervention
patient participation
qualitative research
eHealth
body weight
obesity
Summary Background Early excess and inadequate gestational weight gain (GWG) have been associated with negative outcomes for mother and child. The use of digital media to deliver pregnancy lifestyle interventions is increasing, but there is little data on participant engagement. The Pregnancy Lifestyle Activity and Nutrition (PLAN) intervention pilot study was an electronic health and dietetic-delivered intervention program promoting healthy GWG in early pregnancy. Objective This study aims to explore the interactions of participants with the program and to assess its acceptability. Methods This study uses both quantitative and qualitative methods using data from parent randomized controlled trial (ACTRN12617000725369). Quantitative data from 22 participants in the intervention arm who completed the study provided measures of the interactions participants had with the digital components of the program and with dietetic consultations. A descriptive qualitative analysis employed semistructured interviews with 9 participants to elicit views on the acceptability of the intervention and its components. Results The electronic delivery of information and recording of weight from 8 to 20 weeks of gestation were universally accepted. Component (face-to-face dietitian, weight tracker, website information delivery, and SMS goal prompting) acceptability and engagement differed between individuals. A total of 4 key themes emerged from the qualitative analysis: supporting lifestyle change, component acceptability and value, delivery platforms, and engagement barriers. Conclusions The PLAN intervention and its delivery via a blend of personal dietetic consultations and digital program delivery was found to be acceptable and valuable to pregnant women. Individuals responded differently to various components, emphasizing the importance of including women in the development of lifestyle interventions and allowing participants to choose and tailor programs. Larger randomized controlled trials using these insights in a broader section of the community are needed to inform the iterative development of practical, time-efficient, and cost-effective ways of supporting optimal GWG with the potential to optimize outcomes for pregnant women and their child.
Language eng
DOI 10.2196/17845
Indigenous content off
Field of Research 08 Information and Computing Sciences
11 Medical and Health Sciences
17 Psychology and Cognitive Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30149709

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.