Gestational Age and Weight Conditions, Health Knowledge, Attitudes, Practice
Conditions
Keywords
primigravida women, weight management, health literacy
Brief summary
Worldwide obesity has continued to increase over the past decades. Among the adult women, the overweight and obesity rates in Taiwan are much higher than that of women in nearby Asian countries. In particular, the body mass index of women with low health literacy exceeds the normal range before pregnancy. Without proper supervision, the increase in body weight during pregnancy may result in multiple maternal complications, affect the newborn's health, and increase unnecessary medical expenses in Taiwan's health care system. Thus, assessing pregnant women' s health literacy to manage their body weight is of importance. However, currently, there is no appropriate instrument available in Taiwan to assist health practitioners in assessing the health literacy of pregnant women for weight management. The aim of the study is to develop an instrument to measure the health literacy regarding weight management of pregnant women and examine its psychometric properties.
Detailed description
This study will use a multiphase prospective longitudinal design. While developing the items of the instrument based on the review of the literature, five content experts will be invited to participate in the study for examining the appropriateness of the generated items. Upon the approval of the Institutional Review Board, a convenience sample will be recruited to establish face validity. Then the instrument will be refined according to the report derived from the pretesting. The content experts will then review the revised instrument again, and another 330 primigravida women will be enrolled in the study for assessing the psychometric properties. The validity and reliability of the instrument will be examined through evaluating the internal consistency reliability, split-half reliability, concurrent validity, and predictive validity. Health practitioners can use this newly developed instrument to assess pregnant women's health literacy to help manage their weight gain during pregnancy. By utilizing this instrument, health practitioners can provide individually tailored nursing care to improve the effectiveness of their weight management.
Interventions
OTHERPregnancy Weight Management Health Literacy Questionnaire
Give questionnaires to check the weight management health literacy level of primigravida women.
Sponsors
National Taipei University of Nursing and Health Sciences
Chao-Hui, Lee
Study design
Observational model
FAMILY_BASED
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
FEMALE
Age
20 Years to 55 Years
Healthy volunteers
Yes
Inclusion criteria
* Primigravida women * Fluent in writing, reading and speaking Mandarin
Exclusion criteria
* Non-pregnant * Can't fluent in writing, reading and speaking Mandarin * Cognitive dysfunction
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| weight management health literacy | during pregnancy(before delivery/ Within 10 months) | level of maternal weight management health literacy |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| postpartum body weight | On the day of delivery | record postpartum body weight in kilograms |
| body weight before pregnancy | On the day of delivery | record body weight in kilograms from medical records |
| time of labor | On the day of delivery | record time of labor from medical records |
| labor conditions | On the day of delivery | record conditions of labor from medical records |
| newborn body height | On the day of delivery | record newborn body height in meters from medical records |
| newborn Apgar score | On the day of delivery | record newborn Apgar score from medical records |
| newborn conditions | On the day of delivery | record newborn conditions from medical records |
| newborn body weight | On the day of delivery | record newborn body weight in grams from medical records |
Other
| Measure | Time frame | Description |
|---|---|---|
| The short-form health literacy questionnaire (HL-SF12) | during pregnancy(before delivery/ Within 10 months) | This study uses the short-form health literacy questionnaire (HL-SF12) to check the level of health literacy.The perceived difficulty of each health-related task was rated on 4-point Likert scales (1=very difficult, 2=difficult, 3=easy, and 4=very easy).An index value was thus obtained in which 0 represented the lowest HL and 50 the highest HL.The HL matrix was constructed from 4 steps of information processing in three health domains, which created a total of 12 dimensions or components of HL. The indices for HL were standardized to unified metrics from 0 to 50 using the formula; Index=(mean-1)×(50/3), where Index is the specific index calculated, mean is the mean of all participating items for each individual, 1 is the minimal possible value of the mean (leading to a minimum value of the index of 0), 3 is the range of the mean, and 50 is the chosen maximum value of the new metric. |
Countries
Taiwan
Contacts
Primary ContactChao-Hui Lee, MS
Backup ContactChia-Yi Lin, BS
Outcome results
None listed