The overall aim is to educate women to handle common pregnancy-related pain experiences to facilitate healthy life-long physical activity habits and prevent chronic pain. Our developed WOMENinMOTION model with person-centred preventions and interventions focused on management of pain components added to usual care, will be evaluated in a randomized control study against usual care. Data and method The model WOMENinMOTION is built on pain education and management of the sensory, emotional, and cognitive components of pain. Through pain management and motivation, pregnant women are guided to choose personal tools for health-promoting physical activity and adaptation of daily activities. Instructive films of exercises, pelvic belt application, and knowledge to meet worries are provided digitally. When the digital content is insufficient, the model is supported by physiotherapist. Plan for project realisation WOMENinMOTION developed in collaboration with women with PGP, will be pilot tested including analysis of focus groups interviews 2024. The model is evaluated by self-reported questionnaires in a multicenter randomised controlled trial 2025-27 with primary outcomes: physical activity, function and health in gestational week 35, 4 months, 1 and 2 years after birth. Secondary outcomes is PGP prevalence, satisfaction with care, and health economy.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
592
-knowledge on pain in general and specifically pelvic girdle pain Pregnant women who in addition to usual care get our model WOMENinMOTION on a digital platform with self-directed content areas modules and linked tasks to promote physical activity and function by reducing concerns, pain, and building confidence for physical activity and realistic expectations. When women consider the digital platform insufficient, they are referred to physiotherapy at clinic for physiotherapeutically individually coached content of WIM
motivation to be physically active
Närhälsan Gibraltargatan rehabmottagning
Gothenburg, Sweden
RECRUITINGNärhälsan Eriksberg rehabmottagning
Gothenburg, Sweden
RECRUITINGPhysical activity: the Pregnancy Physical Activity Questionnaire
different domains of physical activity in every day life
Time frame: From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
Health by EQ5D
Health-related quality of life by the EuroQol 5-dimension questionnaire.
Time frame: From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
Function, summary of sensory components of pain
SENSORY component of pain: Severity and disability of Pelvic Girdle Pain - measured by the Pelvic Girdle Questionnaire (PGQ).
Time frame: From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
Function, summary of cognitive components of pain
COGNITIVE component of pain: Self-efficacy for carrying out physical activity - measured by the Pregnancy-Exercise Self-Efficacy Scale (P-ESES).
Time frame: From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
Function, summary of emotional components of pain
EMOTIONAL component of pain: Concern about pain - a Numeric Rating Scale of 0-10.
Time frame: From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
Person-centered function
Person-centered function, assessed by the Patients Specific Function Scale (PSFS). Two, by the participant, self-chosen activities rated on a numeric rating scale of 0-10; 10 = have full function
Time frame: From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
Prevalence of pelvic girdle pain
Prevalence of Pelvic Girdle Pain measured with self-administered pelvic pain provocation tests.
Time frame: From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
Work ability
Work ability, measured by one question from the Work Ability Index.
Time frame: From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
Evening pain
Evening pain intensity at its worst, measured by a NRS where 10 = worst pain
Time frame: From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
Pain frequency
Pain frequency by question
Time frame: From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
Depressive symptoms
Symptoms of depression, measured by the Edinburgh Postnatal Depression Scale
Time frame: From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
health economy
Health-economy evaluation with direct/indirect costs (days on sick leave, visits to health care providers).
Time frame: From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
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