A Pilot Lifestyle Behavior Intervention for Overweight or Obese Pregnant Women: Results and Process Evaluation

Chang, Mei-Wei; Tan, Alai; Schaffir, Jonathan; Wegener, Duane T.; Worly, Brett; Strafford, Katherine; Soma, Loriana; Sampsell, Cassandra; Rosen, Melvin

doi:10.26502/jppch.74050139

Cited by 1 publication

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“…Thus, we created pre-written goals, which were well received by low-income mothers with young children. This finding was consistent with our prior pilot intervention study of pregnant women [38]. Future studies might consider creating pre-written goals that better address the needs of the target audience.…”

Section: Discussionsupporting

confidence: 88%

“…In line with the qualitative data related to our prior intervention with pregnant women [38], the current participants unequivocally said that the GoEFT (picturing) intervention was easy and quick to apply in daily life. Also, GoEFT helped them keep a personal value and goal in mind, thus increasing motivation to generate and implement plans for accomplishing their goals.…”

Section: Discussionsupporting

confidence: 66%

“…The short intervention with no follow-up limited our ability to assess applications of GoEFT beyond 3 weeks. Even so, the results of our other 20-week intervention applying GoEFT supported that participants enjoyed applying GoEFT [38].…”

Section: Discussionmentioning

confidence: 60%

“…We recently completed a separate pilot intervention study applying GoEFT to help or obese pregnant women = 70) prevent excessive gestational weight gain in a real-world setting. Participants (N = 70) were randomized to a 20-week intervention or usual care group [38]. Results of dietary fat and added sugar intake between our prior pregnant women and current low-income women intervention studies were inconsistent.…”

Section: Discussionmentioning

confidence: 99%

“…A promising approach to integrate the above-mentioned concepts is through goaloriented episodic future thinking (GoEFT) [22][23][24][25][26], vividly imagining oneself in the future to pre-experience upcoming goal-related activities (picturing) [27,28]. Episodic future thinking improves executive function, motivation, and affect [29][30][31][32][33][34][35][36][37], but tests have been limited to laboratory settings [22,24,25] with the exception of a recent field intervention study applying GoEFT to promote weight management in overweight or obese pregnant women [38].…”

Section: Introductionmentioning

confidence: 99%

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A Pilot Goal-Oriented Episodic Future Thinking Weight Loss Intervention for Low-Income Overweight or Obese Young Mothers

et al. 2023

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Background. Episodic future thinking (EFT) has shown efficacy in laboratory settings. We conducted a pilot goal-oriented EFT (GoEFT) intervention in a real-world setting to help low-income overweight or obese mothers lose weight. This paper presents intervention acceptability and efficacy. Methods. The study used a single-group, before–after design. During the 3-week intervention, participants (N = 15) completed weekly web-based lessons and online health coaching sessions to manage stress and emotion, eat healthier, and be more physically active. Participants completed online surveys at baseline and immediately after the intervention. They also completed an interview to evaluate intervention acceptability. We applied paired t-tests to evaluate efficacy and used content analysis to discover interview themes. Results. Participants consistently identified the intervention as acceptable, noting the usefulness of pre-written goals, GoEFT strategies, and goal progress evaluations. The intervention effectively promoted weight loss (d = −0.69), fruit and vegetable intake (d = 0.45–0.49), and emotion control (d = 0.71). It also reduced fat (d = −0.51) and added sugar intake (d = −0.48) and alleviated stress (d = −0.52). Moreover, the intervention increased autonomous motivation (d = 0.75–0.88) and self-efficacy (d = 0.46–0.61). Conclusion. The GoEFT intervention was acceptable to participants, showing strong preliminary efficacy.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 60%

Section: Discussionmentioning

confidence: 99%