Preconceptional health behavior change in women with overweight and obesity: prototype for SMART strong healthy women intervention

MHealth
Frank T MateriaDanielle Symons Downs

Abstract

The prevalence of maternal perinatal obesity is rising, and in turn, increases health risks and morbidity for both mother and child. Past evidence suggests the preconceptional Strong Healthy Women (SHW) intervention can reduce multiple biobehavioral risk factors for adverse perinatal health. The SHW intervention, however, was time- and resource-intensive to deliver. Mobile health (mHealth) technologies provide an opportunity to expand intervention reach while reducing implementation cost and burden. Previous research suggests that preconceptional women are broadly supportive of using smartphones for behavior change, yet few studies have elicited their specific preferences for a targeted mHealth intervention. The objective of this study was to evaluate women's preferences for receiving SHW content via smartphone to supplement the design of SMART SHW, a redeveloped version of the intervention that utilizes smartphones to enhance delivery. Overweight/obese (mean BMI =31.4) preconceptional community women (N=40) participated in semi-structured focus group interviews. SHW components across four content areas (physical activity, nutrition, stress, weight management) were presented to participants; women provided preferences for progr...Continue Reading

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