A Mobile Health Intervention to Achieve Appropriate Gestational Weight Gain in Overweight/Obese Women
該当なし
完了
NCT03880461
| 対象疾患 | Gestational Weight Gain |
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| 相 | 該当なし |
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| スポンサー | Kaiser Permanente |
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| ステータス | 完了 |
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| 参加者数 | 1,335 名 |
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| 介入(薬剤) | Lifestyle Intervention |
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| 開始日 | 2021年1月21日 |
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| 完了日 | 2024年3月28日 |
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| 結果公開日 | 2025年4月18日 |
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概要
The aim of this trial is to investigate the effectiveness of a mobile health (mhealth) intervention to help overweight and obese women achieve appropriate gestational weight gain (GWG) for their pre-pregnancy body mass index (BMI). The goal of the intervention is to help women achieve GWG within the range recommended by the Institute of Medicine. The investigators propose an adaptive intervention that begins with an effective, yet low resource-intensive treatment and then provides incremental support and resources only to patients who need them. The intervention includes: 1) an mHealth tool allowing data to be automatically transmitted to a mobile website; 2) personalized text messages; and 3) personalized 1:1 telephone coaching sessions. The latter more intensive components are reserved for patients whose GWG is not within the IOM guidelines. The lifestyle intervention will be delivered through 1 telephone counseling session with a study dietician trained in motivational interviewing techniques, as well as through technology-based tools, automated text messages and weekly e-mails of core lifestyle intervention sessions. Personalized text messages and 1:1 telephone coaching session
Total Gestational Weight Gain (GWG)
From 10 gestational weeks until time of delivery (duration of up to 9 months) · kilograms
| Intervention Arm - PATIENTS | 10.5 ± 5.7 kilograms |
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| Usual Care Arm - PATIENTS | 11.3 ± 5.9 kilograms |
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Rate of Total GWG
From 10 gestational weeks until time of delivery (duration of up to 9 months) · kilograms/week
| Intervention Arm - PATIENTS | 0.26 ± 0.17 kilograms/week |
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| Usual Care Arm - PATIENTS | 0.28 ± 0.16 kilograms/week |
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Proportion of Women Meeting the Institute of Medicine's GWG Recommendation
From 10 gestational weeks until time of delivery (duration of up to 9 months) · Participants
| Intervention Arm - PATIENTS | 172 Participants |
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| Usual Care Arm - PATIENTS | 126 Participants |
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