Prevention of obesity and promotion of healthy eating and physical activity habits Pregnancy and Childbirth
Conditions
Interventions
Motivational interviewing (MI) is a brief psychological counselling method characterized by an emphasis on promoting motivation for behavior change by helping a client to explore and resolve ambivalen
Sponsors
Stockholm County Council (Sweden)
Eligibility
Sex/Gender
Female
Inclusion criteria
Inclusion criteria: 1. Nulliparous or primiparous women at gestational week 8-11 2. Age 18-39 years 3. BMI 27.0-34.9 kg/m2 4. Fluent in Swedish
Exclusion criteria
Exclusion criteria: 1. Severe psychologic or somatic illness 2. Bariatric surgery patient 3. Alcohol or narcotic addiction 4. Insulin-dependent diabetes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Postpartum weight retention 12 months after delivery. Weight and height are assessed by study staff the first MI session/general visit(approximately gestational week 15) by scale and height meter, and at follow-up 52 weeks postpartum. Weight is also measured at the routine visits in antenatal care (approximately gestational weeks 10-12, 25 and 37/38) and at delivery and data are assessed from medical records. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Dietary and physical activity habits. Diet is assessed at baseline (gestational week 11-13) and follow-up (1 year after delivery) by four-days food records using a web-based method. Physical activity is measured during seven consecutive days using an accelerometer at baseline, at the end of the second trimester, 5-6 months postpartum, and at follow-up (12 months after delivery). 2. Self-efficacy - measured by a questionnaire (an instrument developed by Kendall et al and back translated to Swedish) at baseline, at the end of the second trimester, 5-6 months postpartum, and at follow-up (12 months after delivery). 3. Blood pressure is registered in routine antenatal care (approximately gestational weeks 10-12) and data are drawn from medical records as well as at follow-up (12 months postpartum). Blood pressure will measured in a sitting position in the right arm after 5 minutes rest according to the antenatal care´s guidelines. 4. Body composition is assessed by bioelectric impedance at follow-up (12 months after delivery). 5. Gestational weight gain 6. Quality of life will be assessed for the health economic evaluation by a questionnaire (the SF-36 instrument) at baseline and follow-up (12 months after delivery). | — |
Countries
Sweden
Outcome results
None listed