Personalized Mobile Health Intervention for Health and Weight Loss in Postpartum Women Receiving Women, Infants, and Children Benefit: A Randomized Controlled Pilot Study

Gilmore, L. Anne; Klempel, Monica C.; Martin, Corby K.; Myers, Candice A.; Burton, Jeffrey; Sutton, Elizabeth F.; Redman, Leanne M.

doi:10.1089/jwh.2016.5947

Cited by 74 publications

(135 citation statements)

References 58 publications

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“…Several previous studies among postpartum women enrolled in WIC programs have observed no significant changes in body weight following a variety of intervention delivery modalities including DVDs and support group teleconferences [19], peer-led support groups [18], and mobile apps [45]. One study testing a 12-month intervention involving an internetbased weight loss program combined with text messages and monthly face-to-face sessions observed an average 3.2 kg weight loss among 371 women enrolled in WIC programs [46,47].…”

Section: Discussionmentioning

confidence: 99%

Adapting a Behavioral Weight Loss Intervention for Delivery via Facebook: A Pilot Series Among Low-Income Postpartum Women (Preprint)

Silfee¹,

Lόpez-Cepero²,

Lemon³

et al. 2017

Preprint

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Background: Efforts to translate evidence-based weight loss interventions, such as the Diabetes Prevention Program (DPP), to low-income, postpartum women are limited by poor intervention attendance and high attrition rates. Strategies that improve engagement and retention in this population are needed to maximize the reach of evidence-based weight loss interventions. Purpose: To adapt a DPP-based weight loss intervention (Fresh Start) for Facebook delivery and to evaluate its feasibility among low-income postpartum women. Methods: This study comprised of three single group pilot studies where feasibility outcomes iteratively informed changes from one pilot to the next. We paralleled the in-person program to Facebook delivery by translating the protocol to a content library to be delivered in a Facebook feed with additional input from lifestyle coaches. Low-income postpartum women were recruited from Women, Infants, and Children (WIC) clinics in Worcester, MA. Participants were enrolled into a 16-week weight loss intervention delivered via Facebook. During the first eight weeks, Facebook intervention posts were delivered two times per day with additional posts from coaches. For the following 8 weeks, posts were delivered once per day without additional coaching. Outcome measures were collected at baseline and 16-week follow-up and included changes in weight as well as feasibility outcomes including retention, engagement (defined by likes, comments, and posts), and acceptability. Results: Pilot 1 (n = 27) had a retention rate of 89% and 62% engaged in the group during the 8-week coached phase. Mean weight loss was 2.6 pounds (SD = 8.64) and 75% reported being satisfied with the program. Pilot 2 (n = 24) had a retention rate of 83% and 55.2% engaged in the group during the 8-week coached phase. Mean weight loss was 2.5 pounds (SD = 9.23) and 80% were satisfied with the program. Pilot 3 (n = 16) had a retention rate of 88% and 67% engaged in the group during the 8-week coached phased. Mean weight loss was 7.0 pounds (SD = 11.6) and 64.3% were satisfied with the program. Conclusions: Findings demonstrated that a Facebook-delivered intervention was acceptable and could be feasibly delivered to the low-income, postpartum women. Future research is needed to evaluate the efficacy of a Facebook-delivered weight loss intervention.

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Section: Discussionmentioning

confidence: 99%

Adapting a Behavioral Weight Loss Intervention for Delivery via Facebook: A Pilot Series Among Low-Income Postpartum Women (Preprint)

Silfee¹,

Lόpez-Cepero²,

Lemon³

et al. 2017

Preprint

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“…Incorporation of individual video‐consultations may support other technology‐based interventions, such as a smartphone based health intervention by Gilmore et al . , by improving engagement. Given that the present study provided consultations over an 8‐week period only, future research should investigate the use and attendance rates of video‐consultations when the intervention is conducted over a longer period of time.…”

Section: Discussionmentioning

confidence: 99%

VITAL change for mums: a feasibility study investigating tailored nutrition and exercise care delivered by video‐consultations for women 3–12 months postpartum

Vincze

Rollo

Hutchesson

et al. 2018

J Human Nutrition Diet

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“…In addition to self‐monitoring weight, other strategies that consistently improve weight management programs and can be integrated into an eHealth/mHealth program include (1) utilization of behaviour change techniques especially those that compare individual's behaviour with others ; (2) increased counsellor–participant contact ; and (3) counselling with a dietitian focusing on energy intake . There are a few examples now of efficacious eHealth interventions delivered in WIC for management of weight during pregnancy or post‐partum that show promise for wide‐scale testing and dissemination .…”

Section: Four Pillars Of Women Infants and Children Servicementioning

confidence: 99%

“…Weight management in WIC A. Gilmore et al 97 few examples now of efficacious eHealth interventions delivered in WIC for management of weight during pregnancy or post-partum that show promise for wide-scale testing and dissemination (32)(33)(34)(35)(36).…”

Section: Obesity Science and Practicementioning

confidence: 99%

“…Indeed, WIC participants most often only receive two contacts (more if breastfeeding). Combining government resources including universal participant data records for easy transmittal of health information between the entities allows for a continuity of care and implementation of more efficient and effective (32,52). b (4) At each WIC visit, measure weight and plot on a weight gain or weight loss chart showing an ideal weight zone.…”

Section: Implications For Practice And/or Policymentioning

confidence: 99%

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Periconception weight management in the Women, Infants, and Children program

Gilmore

Augustyn

Gross

et al. 2019

Obesity Science & Practice

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Summary Introduction Reproductive age women, particularly low‐income and minority women, are at risk for obesity. As an integral service provider for these women, the US Department of Agriculture Special Supplemental Nutrition Program for Women, Infants, and Children is uniquely positioned to refine its focus and efforts. Methods Strategies for accomplishing this goal include identifying pregnant, inter‐partum and post‐partum women in need of targeted patient‐centred services including education, counselling and support to address weight loss or appropriate gestational weight gain. Results These services may include calorie‐controlled diets, behavioural strategies, alternative methods of education delivery and extending post‐partum benefits. Implementation of these strategies is feasible through collaboration with related government subsidized programs and reallocation of funds, staff and other resources. Conclusions Given the magnitude of the problem and the adverse outcomes that obesity has on health and quality of life, Women, Infants, and Children can more positively impact the lives of our most vulnerable families, which face an obesogenic environment.

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Personalized Mobile Health Intervention for Health and Weight Loss in Postpartum Women Receiving Women, Infants, and Children Benefit: A Randomized Controlled Pilot Study

Cited by 74 publications

References 58 publications

Adapting a Behavioral Weight Loss Intervention for Delivery via Facebook: A Pilot Series Among Low-Income Postpartum Women (Preprint)

Adapting a Behavioral Weight Loss Intervention for Delivery via Facebook: A Pilot Series Among Low-Income Postpartum Women (Preprint)

VITAL change for mums: a feasibility study investigating tailored nutrition and exercise care delivered by video‐consultations for women 3–12 months postpartum

Periconception weight management in the Women, Infants, and Children program

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