None listed
Conditions
Brief summary
Background: Home-based health interventions have shown promise in improving some health behaviours (e.g. physical activity) amongst postnatal women, yet little is known regarding the efficacy of home-based interventions that target multiple health behaviours (physical activity, sedentary behaviour, nutrition and sleep) for improving PND symptoms in postnatal women. Intervention description: Food, Move, Sleep (FOMOS) for Postnatal Mental Health is an evidence-based, multi-component and multi-behaviour program which offers a potentially convenient and low-burden solution to improving health behaviours among women at-risk of PND. Study aims: 1) to test the impact of a 6-month home-based program for reducing depressive symptoms by targeting risk factors such as physical activity, nutrition, sleep, and sedentary behaviour in women at-risk of PND; 2) to assess whether the program is efficacious and appealing (e.g., adoption, acceptability, appropriateness, costs, feasibility) at 6 months; and 3) to assess maintenance of behaviour change sustained intervention effects at 12-months follow-up (6-months post-intervention completion). Hypothesis: The FOMOS program will improve depressive symptoms at 6-months, compared to those in the control group.
Interventions
FOMOS is an evidence-based, multi-component, home-based health behaviour program, which involves provision of home exercise equipment (free hire), information/motivational material (e.g. goal setting and self-monitoring) and social support delivered via e-health (website and text messaging) and a popular social media platform (e.g., Instagram).
For the first 3-months, women will receive:
- Home-exercise equipment: Free-hire (e.g. exercise bike/treadmill/cross-trainer/yoga bands and/or resistance
FOMOS is an evidence-based, multi-component, home-based health behaviour program, which involves provision of home exercise equipment (free hire), information/motivational material (e.g. goal setting and self-monitoring) and social support delivered via e-health (website and text messaging) and a popular social media platform (e.g., Instagram). For the first 3-months, women will receive: - Home-exercise equipment: Free-hire (e.g. exercise bike/treadmill/cross-trainer/yoga bands and/or resistance bands per preference) to overcome barriers of leaving home and enhance initial engagement. For the first 6-months, women will receive: - Website: Access to a purposely built website, targeting knowledge (diet quality, physical activity, sleep), self-efficacy, overcoming barriers, goal-setting and self-monitoring. The website includes written informative and educational materials, short videos, as well as links to other resources (e.g., Government or not-for-profit health information websites). - Social media: Access to a private Instagram page providing “bite-sized” information related to website content. - Text messaging: One- and two-way support, educational, and encouraging text messages delivered approximately twice weekly. The aim of these text messages is to enhance social-support, goal-setting, monitoring, and feedback, as well as to encourage participants to engage with different components of the website and Instagram. *No recommendation or limitation regarding timing or usage of website, social media and text messages will be given to participants, and they can read the materials and engage with the website in a time-frame suitable and convenient to them. *The FOMOS Instagram account will post approximately 6 - 10 posts per week (and each post will take approximately 2-3 minutes to read/watch). Participants will be encouraged to comment, like, and interact with posts. *Text messages will be one or two sentences, max of one minute to read each message. *Engagement with the different components of the website (e.g., the number of pages visited) and website login data (e.g., the number of unique website visitors per month and frequency of views of the videos) will be systematically tracked and recorded throughout the entire intervention and follow-up period by Wix web Analytics. Engagement with the text messages and social media will be measured by study specific self-reported questionnaire.
Sponsors
Associate Prof Megan Teychenne
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Prevention
Masking
Blinded (masking used) (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
Participants will be eligible for inclusion if they: • Are mothers 2-12 months postpartum; • Living in selected metropolitan, rural, regional areas in VIC, NSW, SA. Remote areas are excluded as the equipment hire companies utilised for the purpose of this study may not deliver to remote areas; • Experiencing heightened PND symptoms (score 10 or greater than 10 on Edinburgh PND Scale); • Are insufficiently active (<150 mins/week of moderate physical activity or 75 mins of vigorous physical activity per week – or equivalent combination); • Not meeting dietary guidelines (not consuming the recommended serves per day for fruit and vegetables); • Not meeting sleep guidelines (shorter than recommended sleep (less than 7hrs) and/or poor quality sleep (“Fairly Bad” or “Very Bad” sleep)) assessed using two items from the PSQI; • Are able to communicate fluently in English; • Have or are willing to create an Instagram account for use during the intervention period.
Exclusion criteria
• Living with an injury/illness/disability that prevents physical activity; • Are pregnant; • Are children and/or young people (i.e. <18 years); • Have a diagnosed eating disorder, complex dietary requirements, or any socio-cultural, religious, or medical reasons which preclude their ability to follow general dietary advice or participate in a lifestyle intervention.
Outcome results
None listed