A Pilot Study of a Sleep Intervention Delivered through Group Prenatal Care to Overweight and Obese Women

Cain, Mary Ashley; Brumley, Jessica; Louis‐Jacques, Adetola; Drerup, Michelle; Stern, Marilyn; Louis, Judette

doi:10.1080/15402002.2019.1613995

Cited by 21 publications

(21 citation statements)

References 32 publications

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“…No studies required a formal diagnosis of anxiety, depression, or insomnia at baseline. Studies primarily delivered the eHealth intervention through the computer or internet (12/17, 71% of the included studies) [ 51 - 57 , 59 - 61 , 65 , 66 ]. Of these 12 studies, 4 (33%) were delivered via a mobile app on a smartphone [ 58 , 62 - 64 ] and 1 (8%) was delivered through SMS text messages [ 67 ].…”

Section: Resultsmentioning

confidence: 99%

“…Regarding the frequency at which the intervention was delivered, 12% (2/17) of the studies were considered to be low frequency (defined as an intervention that was accessed once, twice, or monthly) [ 52 , 66 ] and 88% (15/17) of the studies were considered to be high frequency (defined as an intervention that was delivered weekly or daily) [ 51 , 53 - 65 , 67 ]. In considering who delivered the intervention, treatment providers varied, as 12% (2/17) of the studies used health care [ 62 , 64 ] providers to deliver the intervention, 24% (4/17) of the studies used researchers to deliver the intervention [ 51 , 65 - 67 ], and 65% (11/17) of the studies used other means [ 52 - 57 , 59 - 61 , 63 ]. Other was subjectively defined as an intervention that was self-administered, but indirectly provided or developed by another organization, researcher, or clinician.…”

Section: Resultsmentioning

confidence: 99%

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eHealth Interventions for Treatment and Prevention of Depression, Anxiety, and Insomnia During Pregnancy: Systematic Review and Meta-analysis

Silang¹,

Sohal²,

Bright³

et al. 2022

JMIR Ment Health

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Background Pregnancy is associated with an increased risk for depression, anxiety, and insomnia. eHealth interventions provide a promising and accessible treatment alternative to face-to-face interventions. Objective The objective of this systematic review and meta-analysis is to determine the effectiveness of eHealth interventions in preventing and treating depression, anxiety, and insomnia during pregnancy. Secondary aims are to identify demographic and intervention moderators of effectiveness. Methods A total of 5 databases (PsycINFO, Medline, CINAHL, Embase, and Cochrane) were searched from inception to May 2021. Terms related to eHealth, pregnancy, randomized controlled trials (RCTs), depression, anxiety, and insomnia were included. RCTs and pilot RCTs were included if they reported an eHealth intervention for the prevention or treatment of depression, anxiety, or insomnia in pregnant women. Study screening, data extractions, and quality assessment were conducted independently by 2 reviewers from an 8-member research team (KAS, PRS, Hangsel Sanguino, Roshni Sohail, Jasleen Kaur, Songyang (Mark) Jin, Makayla Freeman, and Beatrice Valmana). Random-effects meta-analyses of pooled effect sizes were conducted to determine the effect of eHealth interventions on prenatal mental health. Meta-regression analyses were conducted to identify potential moderators. Results In total, 17 studies were included in this review that assessed changes in depression (11/17, 65%), anxiety (10/17, 59%), and insomnia (3/17, 18%). Several studies included both depression and anxiety symptoms as outcomes (7/17, 41%). The results indicated that during pregnancy, eHealth interventions showed small effect sizes for preventing and treating symptoms of anxiety and depression and a moderate effect size for treating symptoms of insomnia. With the exception of intervention type for the outcome of depressive symptoms, where mindfulness interventions outperformed other intervention types, no significant moderators were detected. Conclusions eHealth interventions are an accessible and promising resource for treating symptoms of anxiety, depression, and insomnia during pregnancy. However, more research is necessary to identify ways to increase the efficacy of eHealth interventions for this population. Trial Registration PROSPERO (International Prospective Register of Systematic Reviews) CRD42020205954; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=205954

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

eHealth Interventions for Treatment and Prevention of Depression, Anxiety, and Insomnia During Pregnancy: Systematic Review and Meta-analysis

Silang¹,

Sohal²,

Bright³

et al. 2022

JMIR Ment Health

View full text Add to dashboard Cite

show abstract

“…One interesting study reported significant improvement in sleep in terms of longer sleep duration and less sleep disruption with home-based cognitive-behavioral training (CBT) program during late pregnancy [ 40 ]. CBT was also explored in a study in obese women which showed improvement in insomnia symptoms [ 41 ]. A recently published systematic review which included studies on CBT, pharmacotherapy, acupuncture, mindfulness and herbal remedies, emphasized however that there is still lack of evidence for preventive and treatment options for sleep problems in pregnancy [ 42 ].…”

Section: Discussionmentioning

confidence: 99%

Sleep quality and BMI in pregnancy– a prospective cohort study

Tang

Dai

Razali

et al. 2022

BMC Pregnancy Childbirth

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Background Pregnancy associated sleep disturbances is a common pregnancy-related complication which can lead to significant maternal distress and adverse pregnancy outcomes. Sleep quality can be affected by multiple factors and obesity has been recognized as one of them. Various previous studies have demonstrated poorer sleep quality during pregnancy. However, most studies included assessment at only one point of pregnancy. This prospective cohort study aimed to better evaluate the effect of pregnancy on the quality of sleep throughout the antenatal period and how BMI affects antenatal sleep. Methods A total of 926 women were recruited before 14 weeks of gestation and followed throughout pregnancy. The Pittsburgh Sleep Quality Index questionnaire (PSQI) was employed to assess sleep quality in 4 antenatal visits throughout pregnancy. Their weight was also recorded at each visit. Results The PSQI global score was higher towards the later part of pregnancy (6.4 to 8.0, p < 0.001) and highest at the 4th visit. Sleep latency was longer as pregnancy progressed (18.5 mins to 23.2 mins, p = 0.001). Sleep duration became shorter over time and was the shortest at the 4th visit (7.1 h to 6.5 h, p < 0.001). Sleep efficiency was the lowest at the 4th visit (85.2 to 81.6%, p < 0.001). The same trend was observed for subjects in different BMI groups throughput pregnancy. PSQI score increased and sleep duration decreased as BMI increased. The effect of increasing BMI on PSQI and sleep duration was only observed in the higher BMI groups (> 25 kg/m2). Conclusions Our study showed that sleep quality gradually declined throughout pregnancy for all BMI groups. Higher BMI was associated with poorer sleep as represented by PSQI score and sleep duration, particularly in the overweight and obese subgroups.

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“…Poor health outcomes resultinging from biological, and secretion modifications throughout pregnancy might be associated with sleep disturbances [2]. Sleep disturbances, which are common and prevalent in pregnancy, increase as pregnancy progresses [11]. In pregnancy, sleep changes with raised demand within the first trimester and additional difficulties within the last trimester [12].…”

Section: Introductionmentioning

confidence: 99%

A systematic review and meta-analysis of prevalence of insomnia in the third trimester of pregnancy

Salari

Darvishi

Khaledi-Paveh

et al. 2021

BMC Pregnancy Childbirth

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Background Sleep disorders, which are among the foremost important medical care issues, are prevalent in pregnancy. The present study is a meta-analysis of the prevalence of insomnia in the third trimester of pregnancy. This study aims to systematically review the overall prevalence of insomnia in the third trimester of pregnancy through conducting a meta-analysis. Method The literature used in this meta-analysis for the topic discussed above were obtained through searching several databases, including SID, MagIran, IranDoc, Scopus, Embase, Web of Science (WoS), PubMed Science Direct and Google Scholar databases without time limitation until December 2020. Articles developed based on cross-sectional studies were included in the study. The heterogeneity of studies was investigated using the I2 index. Also, the possible effects of heterogeneity in the studied studies are investigated using meta-regression analysis. Result In 10 articles and 8798 participants aged between11–40, the overall prevalence of insomnia in the third trimester of pregnancy based on meta-analysis was 42.4% (95% CI: 32.9–52.5%). It was reported that as the sample size increases, the prevalence of insomnia in the third trimester of pregnancy increases. Conversely, as the year of research increases, the prevalence of insomnia in the third trimester of pregnancy decreases. Both of these differences were statistically significant (P < 0.05). Conclusion Insomnia was highly prevalent in the last trimester of pregnancy. Sleep disorders are neglected among pregnant women, and they are considered natural. While sleep disturbances can cause mental and physical problems in pregnant women, they can consequently cause problems for the fetus. As a result, maintaining the physical and mental health of pregnant mothers is very important. It is thus recommended that in addition to having regular visits during pregnancy, pregnant women should also be continuously monitored for sleep-related disorders.

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A Pilot Study of a Sleep Intervention Delivered through Group Prenatal Care to Overweight and Obese Women

Cited by 21 publications

References 32 publications

eHealth Interventions for Treatment and Prevention of Depression, Anxiety, and Insomnia During Pregnancy: Systematic Review and Meta-analysis

eHealth Interventions for Treatment and Prevention of Depression, Anxiety, and Insomnia During Pregnancy: Systematic Review and Meta-analysis

Sleep quality and BMI in pregnancy– a prospective cohort study

A systematic review and meta-analysis of prevalence of insomnia in the third trimester of pregnancy

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