Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO.
Division of Endocrinology, Metabolism and Diabetes, Department of Medicine, University of Colorado School of Medicine, Aurora, CO.
Health Promot Pract. 2024 Jul;25(4):677-688. doi: 10.1177/15248399231173704. Epub 2023 May 25.
. Postpartum weight retention is a risk factor for obesity and is particularly important among Hispanic women who have an increased rate of obesity. Given its broad reach, the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) program provides an ideal setting to implement community-based interventions for low-income postpartum women. . To examine the feasibility, acceptability, and preliminary efficacy of a multicomponent intervention delivered by staff within the WIC program designed to promote behavior changes in urban, postpartum women with overweight/obesity. . This was a 12-week pilot trial randomizing participants to a health behavior change (Intervention) or control (Observation) group. The Intervention included monthly visits with trained WIC staff providing patient-centered behavior change counseling, with multiple touchpoints between visits promoting self-monitoring and offering health behavior change support. . Participants (n = 41), who were mainly Hispanic (n = 37, 90%) and Spanish-speaking (n = 33, 81%), were randomized to the Intervention (n = 19) or Observation (n = 22) group. In the Intervention group, 79% (n = 15) of eligible participants were retained for the study duration. All Intervention participants endorsed that they would participate again. Regarding physical activity, participant readiness to change and self-efficacy improved for Intervention participants. About one-quarter of women in the Intervention group (27%, n = 4) had a 5% weight loss compared with one woman (5%) in the Observation group; this difference was not statistically significant (p = .10). . This pilot demonstrated the feasibility and acceptability of delivering a low-intensity behavior change intervention within the WIC setting for postpartum women with overweight/obesity. Findings support the role of WIC in addressing postpartum obesity.
. 产后体重滞留是肥胖的一个风险因素，尤其是在肥胖率较高的西班牙裔妇女中。鉴于其广泛的影响，妇女、婴儿和儿童特别补充营养计划（WIC）计划为实施针对低收入产后妇女的基于社区的干预措施提供了理想的环境。. 为了研究通过 WIC 计划中的工作人员提供的多组分干预措施在促进超重/肥胖的城市产后妇女行为改变方面的可行性、可接受性和初步效果。. 这是一项为期 12 周的试点试验，将参与者随机分配到健康行为改变（干预）或对照组（观察）。干预措施包括每月与经过培训的 WIC 工作人员进行一次访问，提供以患者为中心的行为改变咨询，在访问之间进行多次联系，以促进自我监测并提供健康行为改变支持。. 参与者（n = 41）主要为西班牙裔（n = 37，90%）和西班牙语（n = 33，81%），随机分配到干预组（n = 19）或观察组（n = 22）。在干预组中，有 79%（n = 15）符合条件的参与者在研究期间保留下来。所有干预组的参与者都表示他们会再次参加。关于体育活动，干预组参与者的改变意愿和自我效能感有所提高。干预组约有四分之一的女性（27%，n = 4）体重减轻了 5%，而观察组中只有一名女性（5%）；这一差异没有统计学意义（p =.10）。. 该试点研究表明，在 WIC 环境中为超重/肥胖的产后妇女提供低强度行为改变干预措施是可行和可接受的。研究结果支持 WIC 在解决产后肥胖问题中的作用。
