MomZing Exercise Videos Online, Standard Exercise DVD
Conditions
Keywords
exercise, video, DVD, mother, infant
Brief summary
This Phase II Small Business Technology Transfer(STTR) project will develop and test the effectiveness of an interactive web program optimized for use on a Internet connected television(TV), titled Moms Exercising or (MomZing) that is designed specifically for women with infants 2-8 months old. Moms will select from a menu of 98, 10-minute exercise videos demonstrating yoga, aerobics, and strengthening exercises. They select and sequence together exercise videos personalized to their fitness level, form of exercise, and the choice to actively exercise with her baby or alone. The primary health goal of the MomZing Program is to increase home-based Moderate to Vigorous Physical Activity (MPVA) minutes per week in new mothers and to maintain their exercise increases over time as their baby grows. The investigators hypothesize that women that use the MomZing Program will have greater increases in physical activity and fewer will return to cigarette smoking or alcohol use, compared to women who use a standard mommy and me exercise DVD.
Detailed description
Becoming a mother is a significant transition in a woman's life, and while this is a positive experience for many, there can be significant decreases in healthful behaviors such as physical activity and increases in unhealthy behaviors including sleep deprivation, stress, and depressive symptoms. Increasing postpartum physical activity can have multiple health benefits including risk reduction for chronic diseases like diabetes and cardiovascular disease, and improvement in psychological health including decreased stress and depressive symptoms. Improvements in mental health outcomes can prevent substance use since psychological stress is a risk factor for substance use and abuse. The postpartum period also represents a critical period to prevent a return to substance use, including tobacco and alcohol. This Small Business Technology Transfer(STTR)- Phase II project will develop and test an interactive web-enabled television program, titled Mothers Exercising or (MomZing). Features include the ability to select one to five 10-minute videos demonstrating yoga, aerobics, and strengthening exercises for mothers with infants 2 to 8 months of age. Women will select and sequence together videos personalized to their fitness level, preference for exercise type, and the choice to actively exercise with her baby or alone. Exercises with a baby will be tailored to the infant's weight and include interactions that promote cognitive development and mother-child bonding. MomZing is designed for viewing on a television taking advantage of new technologies that allow viewers to watch streaming video (including movies) from the internet on a television. The television can also be connected to the internet via a web-enabled console such as an internet-connecting device. The primary goal of the MomZing web-enabled Program is to increase home-based moderate-to-vigorous physical activity (MVPA) minutes per week in new mothers. Phase II activities will include: 1) programming the MomZing multimedia web enabled Program, a recruitment website, and online survey; 2) producing 98,10-minute video segments showing women exercising with or without an infant; 3) conducting iterative usability testing of the features and content of the Program; and, 4) conducting a randomized trial of the efficacy of the Program with 572 new mothers recruited from across the U.S. New mothers will be randomly assigned to receive either the MomZing web-enabled TV Program or a standard exercise DVD designed for new mothers. The primary outcome will be minutes per week of leisure-time moderate to vigorous physical activity measured at baseline, 4 and 12 weeks. Secondary outcomes include changes in fatigue, sleep, depressive symptoms, tobacco and alcohol use at 12 weeks. Process evaluation will also determine extent to which the technology is utilized (frequency of use and time per access) over 12 weeks in both conditions. We will investigate whether key demographic (i.e., weight of infant, number of children) physiological (i.e., body mass index), and lifestyle factors (sleep quality, fatigue) act as mediators or moderators of any change in physical activity. The MomZing Program will allow Moms to tailor a range of exercise options to meet their needs and those of their infant. As their infant grows and progresses through different cognitive and developmental stages the Program can grow with them, allowing the Mom to change her preferences unlike any exercise multimedia(DVD or website) currently available on the market.
Interventions
BEHAVIORALMomZing Web Program
Online web platform that is accessed via a television connected to internet
BEHAVIORALStandard Exercise DVD
Standard exercise DVD that demonstrates exercises a women does with an infant.
Sponsors
Klein Buendel, Inc.
University of Hawaii
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
FEMALE
Age
18 Years to 45 Years
Healthy volunteers
Yes
Inclusion criteria
* woman aged 18-45 who has an infant 2-8 months old (who weighs 11-22 lbs) * live in one of the 50 states in US * have broadband, high speed wireless internet access at home * have high definition, flat screen TV at home * have DVD player at home * sedentary (\<30 minutes of exercise per week) * BMI between 17-40 * healthy woman * healthy infant * likes to learn about new technology
Exclusion criteria
* woman has health problems: pregnant or planning to become pregnant in next 3 months, dizziness/loss of consciousness, bone/joint problems that would be made worse by exercise, cancer, coronary heart disease (chest pain),insulin dependent diabetic, exercise -induced asthma or other atherosclerotic cardiovascular diseases, on medication for heart condition/high blood pressure, doctor has limited the amount of physical exertion/exercising. * Baby has health problems -a chronic illness/disorder that would prevent mother from holding or lifting him/her in her arms while exercising * Woman cannot read/write English * woman unable or unwilling to connect a device to her television at home to link it to her home's wireless network
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Minutes Per Week of Moderate-to-Vigorous Physical Activity (MPVA Min/wk) Assessed at 12 Weeks | 12 weeks | physical activity will be obtained via online surveys at the 12 week assessment point |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number Who Returned to Smoking From Baseline and 12 Weeks | 12 weeks | change in smoking status between baseline and 12 week assessment will be collected via survey at baseline and at the 12 week survey |
Other
| Measure | Time frame | Description |
|---|---|---|
| Return to Drinking Between Baseline and 12 Weeks | 12 weeks | drinking status measured via online survey taken at baseline and 12 week |
Countries
United States
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| MomZing Web Program Features include selection one to three 10-minute videos demonstrating yoga, aerobics, and strengthening, specifically designed for mothers with infants 2 to 8 months of age. Women will sequence together videos personalized to their fitness level, preference for exercise type, and a choice to actively exercise with her baby or alone. Exercises with a baby will be tailored to the infant's weight and include interactions that promote cognitive development and mother-child bonding.
MomZing Web Program: Online web platform that is accessed via a television connected to internet | 250 |
| Standard Exercise DVD Exercise DVD that demonstrates yoga or strengthening exercises a mother can perform with her infant.
Standard Exercise DVD: Standard exercise DVD that demonstrates exercises a women does with an infant. | 249 |
| Total | 499 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Lost to Follow-up | 59 | 39 |
| Overall Study | Pregnancy | 4 | 0 |
| Overall Study | Withdrawal by Subject | 1 | 0 |
Baseline characteristics
| Characteristic | Standard Exercise DVD | Total | MomZing Web Program |
|---|---|---|---|
| Age, Continuous | 29.4 years STANDARD_DEVIATION 5.3 | 29.8 years STANDARD_DEVIATION 5.25 | 30.2 years STANDARD_DEVIATION 5.2 |
| Ethnicity (NIH/OMB) Hispanic or Latino | 35 Participants | 53 Participants | 18 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 212 Participants | 441 Participants | 229 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 2 Participants | 5 Participants | 3 Participants |
| Minutes per week of moderate-to-vigorous of physical activity (MVPA min/wk) | 85.8 minutes per week STANDARD_DEVIATION 138.3 | 76.15 minutes per week STANDARD_DEVIATION 119 | 66.5 minutes per week STANDARD_DEVIATION 99.7 |
| Number meeting goal of 150 moderate-to-vigorous min/week | 71 participants | 116 participants | 45 participants |
| Race (NIH/OMB) American Indian or Alaska Native | 11 Participants | 19 Participants | 8 Participants |
| Race (NIH/OMB) Asian | 10 Participants | 23 Participants | 13 Participants |
| Race (NIH/OMB) Black or African American | 11 Participants | 31 Participants | 20 Participants |
| Race (NIH/OMB) More than one race | 3 Participants | 7 Participants | 4 Participants |
| Race (NIH/OMB) Native Hawaiian or Other Pacific Islander | 2 Participants | 3 Participants | 1 Participants |
| Race (NIH/OMB) Unknown or Not Reported | 5 Participants | 13 Participants | 8 Participants |
| Race (NIH/OMB) White | 207 Participants | 403 Participants | 196 Participants |
| Region of Enrollment United States | 249 participants | 499 participants | 250 participants |
| Sex: Female, Male Female | 249 Participants | 499 Participants | 250 Participants |
| Sex: Female, Male Male | 0 Participants | 0 Participants | 0 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 3 / 250 | 2 / 249 |
| serious Total, serious adverse events | 0 / 250 | 0 / 249 |
Outcome results
Primary
Minutes Per Week of Moderate-to-Vigorous Physical Activity (MPVA Min/wk) Assessed at 12 Weeks
physical activity will be obtained via online surveys at the 12 week assessment point
Time frame: 12 weeks
| Arm | Measure | Value (MEAN) |
|---|---|---|
| MomZing Web Program | Minutes Per Week of Moderate-to-Vigorous Physical Activity (MPVA Min/wk) Assessed at 12 Weeks | 217.7 MVPA minutes per week |
| Standard Exercise DVD | Minutes Per Week of Moderate-to-Vigorous Physical Activity (MPVA Min/wk) Assessed at 12 Weeks | 203.2 MVPA minutes per week |
Secondary
Number Who Returned to Smoking From Baseline and 12 Weeks
change in smoking status between baseline and 12 week assessment will be collected via survey at baseline and at the 12 week survey
Time frame: 12 weeks
Population: Number of participants who were not smoking at baseline but reported returned to smoking on 12 week survey.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| MomZing Web Program | Number Who Returned to Smoking From Baseline and 12 Weeks | 3 participants |
| Standard Exercise DVD | Number Who Returned to Smoking From Baseline and 12 Weeks | 3 participants |
Other Pre-specified
Return to Drinking Between Baseline and 12 Weeks
drinking status measured via online survey taken at baseline and 12 week
Time frame: 12 weeks
Population: number of participants who never/rarely drank at baseline but reported drank 1 or more drink per week at 12 weeks.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| MomZing Web Program | Return to Drinking Between Baseline and 12 Weeks | 22 participants |
| Standard Exercise DVD | Return to Drinking Between Baseline and 12 Weeks | 24 participants |