A mobile health intervention promoting healthy gestational weight gain for women entering pregnancy at a high body mass index: the txt4two pilot randomised controlled trial

Abstract

An intervention that aimed to deliver healthy diet, physical activity and GWG guidance utilising innovative technology can be feasibly implemented and produce positive physical activity and GWG outcomes. TWEETABLE ABSTRACT: txt4two mHealth study improved gestational weight gain and physical activity in pregnant women with high BMIs.

Effect of diet and physical activity based interventions in pregnancy on gestational weight gain and pregnancy outcomes: meta-analysis of individual participant data from randomised trials

“…67686970717273747576777879808182838485868788 A further 45 trials (9945 women)8990919293949596979899100101102103104105106107108109110111112113114115116117118119120121122123124125126127128129130131132133 were identified after the IPD acquisition timeline until February 2017.…”

Evaluation of a smartphone nutrition and physical activity application to provide lifestyle advice to pregnant women: The SNAPP randomised trial

“…A combination of programme‐generated information and maternal self‐report supported the feasibility of the intervention, which was also found to be associated with improvements in gestational weight gain. Although women reported a smaller reduction in physical activity during pregnancy following access to the intervention, there were no reported differences in maternal dietary intake (Willcox et al, ). The PEARS randomised trial is evaluating the impact of an mHealth lifestyle package as compared with usual care among pregnant women who are overweight or obese on gestational diabetes (Kennelly et al, ).…”

“…Although women reported a smaller reduction in physical activity during pregnancy following access to the intervention, there were no reported differences in maternal dietary intake (Willcox et al, 2017). The PEARS randomised trial is evaluating the impact of an mHealth lifestyle package as compared with usual care among pregnant women who are overweight or obese on gestational diabetes (Kennelly et al, 2016).…”

“…Smartphone applications have been used to provide information regarding pregnancy care (Kaewkungwal et al, 2010), and although pregnant women use these tools to seek health-related advice, evaluation of both content and efficacy is limited (Hearn, Miller, & Lester, 2014). Several small pilot studies have investigated smartphone applications as a tool to prevent excessive gestational weight gain or to promote weight loss after birth (Herring, Cruice, Bennett, Davey, & Foster, 2014;Knight-Agarwal et al, 2015;Pollak et al, 2014;Soltani et al, 2015;Willcox et al, 2017), although robust evaluation of their impact on relevant clinical pregnancy and nutritional outcomes is limited by both their small sample size and poor reporting of outcomes indicative of behavioural change, including modification of dietary and physical activity patterns.…”

Feasibility and acceptability of a remotely‐delivered behavioural health coaching intervention to limit gestational weight gain

“…In addition, incorporating technologies, such as web-based platforms and mobile applications for behavioural tracking and intervention delivery, are desirable and effective in younger populations, including reproductive-age women. [18][19][20][21][22][23][24][25][26] Although remotely-delivered counselling has been shown to be effective for weight loss in adults, 27 few studies have assessed its feasibility and effectiveness for weight management in pregnant and postnatal women. [28][29][30][31] The aim of this pilot study was to evaluate the feasibility, acceptability and preliminary effectiveness of "Healthy for Two/Healthy for You" (H42/H4U), a remotely-delivered, behavioural health coaching program to limit GWG and PPWR in pregnant and postpartum women engaged in prenatal care.…”