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一款促进孕期健康增重、饮食和身体活动的智能手机应用程序(健康妈妈):一项随机对照试验的方案

A Smartphone App to Promote Healthy Weight Gain, Diet, and Physical Activity During Pregnancy (HealthyMoms): Protocol for a Randomized Controlled Trial.

作者信息

Henriksson Pontus, Sandborg Johanna, Blomberg Marie, Alexandrou Christina, Maddison Ralph, Silfvernagel Kristin, Henriksson Hanna, Leppänen Marja H, Migueles Jairo H, Widman Linnea, Thomas Kristin, Trolle Lagerros Ylva, Löf Marie

机构信息

Department of Biosciences and Nutrition, Karolinska Institutet, Huddinge, Sweden.

Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.

出版信息

JMIR Res Protoc. 2019 Mar 1;8(3):e13011. doi: 10.2196/13011.

Abstract

BACKGROUND

Excessive gestational weight gain is common and associated with adverse outcomes both in the short and long term. Although traditional lifestyle-based interventions have shown to mitigate excess gestational weight gain, little is known about whether mobile Health (mHealth) apps can promote healthy weight gain, diet, and physical activity during pregnancy.

OBJECTIVE

The primary aim of the HealthyMoms trial is to determine the effectiveness of a smartphone app (HealthyMoms) for mitigating excess gestational weight gain during pregnancy. Secondary aims are to determine the effectiveness of the app on dietary habits, physical activity, body fatness, and glycemia during pregnancy.

METHODS

HealthyMoms is a two-arm randomized controlled trial. Women are being recruited at routine visits at the maternity clinics in Linköping, Norrköping and Motala, Sweden. Women are randomized to the control or intervention group (n=150 per group). All women will receive standard care, and women in the intervention group will also receive the HealthyMoms smartphone app.

RESULTS

Recruitment of participants to the trial was initiated in October 2017, and 190 women have so far completed the baseline measurement. The baseline measures are estimated to be finalized in December 2019, and the follow-up measures are estimated to be completed in June 2020.

CONCLUSIONS

This project will evaluate a novel smartphone app intervention integrated with existing maternity health care. If successful, it has great potential to be implemented nationally in order to promote healthy weight gain and health behaviors during pregnancy.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/13011.

摘要

背景

孕期体重过度增加很常见,且与短期和长期的不良后果相关。尽管基于传统生活方式的干预措施已显示可减轻孕期体重过度增加,但对于移动健康(mHealth)应用程序能否在孕期促进健康的体重增加、饮食和身体活动,人们知之甚少。

目的

“健康妈妈”试验的主要目的是确定一款智能手机应用程序(“健康妈妈”)在减轻孕期体重过度增加方面的有效性。次要目的是确定该应用程序在孕期对饮食习惯、身体活动、体脂和血糖的有效性。

方法

“健康妈妈”是一项双臂随机对照试验。正在瑞典林雪平、诺尔雪平及莫塔拉的产科诊所进行常规就诊时招募女性。女性被随机分为对照组或干预组(每组n = 150)。所有女性都将接受标准护理,干预组的女性还将获得“健康妈妈”智能手机应用程序。

结果

该试验于2017年10月开始招募参与者,到目前为止已有190名女性完成了基线测量。基线测量预计在2019年12月完成,随访测量预计在2020年6月完成。

结论

本项目将评估一种与现有孕产妇保健相结合的新型智能手机应用程序干预措施。如果成功,它有很大潜力在全国范围内实施,以促进孕期健康的体重增加和健康行为。

国际注册报告识别码(IRRID):DERR1-10.2196/13011

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4881/6418485/bf0cbfc61868/resprot_v8i3e13011_fig1.jpg

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