The investigators will test the efficacy of a tailored behavioral lifestyle modification program to support cardiovascular health in postpartum women with excessive gestational weight gain. This program will include a mobile health texting component postpartum to support changes in nutrition and physical activity. The investigators will randomize women into either the control arm (usual care) or the intervention (usual care + mobile health program postpartum). The women will be recruited during their 3rd trimester once they have been identified as gaining too much weight according to the 2009 IOM guidelines during pregnancy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
NONE
Enrollment
55
Behavioral intervention will include a group class for women in their 3rd trimester followed by a mobile texting program to support behavior change postpartum.
Stanford Hospital and Clinics
Stanford, California, United States
BMI (body mass index)
A mobile Health intervention tailored for the 30 postpartum mother and grounded in behavioral change theory will be associated with significantly more reduction in BMI than 30 women not enrolled in the intervention.
Time frame: 4 months postpartum
Cardiovascular health metrics
(1) Examine changes in cardiovascular health metrics (fasting glucose, fasting insulin, and BP) and markers of inflammation (hs-CRP) verses control group (2) We will evaluate changes in perceived nutrition, physical activity, and weight-loss self-efficacy; self-efficacy has been shown to be a direct predictor of behavior (3) measure the effects of breastfeeding support on the length of time a mother breastfeeds verse the control group.
Time frame: 4 months postpartum
Change in self efficacy score based on behavioral self-efficacy scale
We will measure changes in pre- and post-intervention self-efficacy of all women in intervention and control arms.
Time frame: 4 months postpartum
Cardiovascular health metrics
We will evaluate changes in perceived nutrition, physical activity, and weight-loss self-efficacy; self-efficacy has been shown to be a direct predictor of behavior
Time frame: 4 months postpartum
Cardiovascular health metric
Measure the effects of breastfeeding support on the length of time a mother breastfeeds verse the control group.
Time frame: 4 months postpartum
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.