Previously submitted to: JMIR Formative Research (no longer under consideration since Aug 19, 2019)
Date Submitted: Mar 4, 2019
Open Peer Review Period: Mar 7, 2019 - May 2, 2019
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What Pregnant Women Want: Results from a Web-Based Needs Assessment of Weight-Related Information Gaps and e-Health Intervention Features for Pregnant Women in the U.S.
Background:
Healthy gestational weight gain (GWG) is critical for reducing adverse pregnancy outcomes. Health care providers may not have the resources and specialized training to provide weight counseling to pregnant patients. Electronic health (e-health) interventions hold potential as important resources for pregnant women.
Objective:
This study identified weight-related knowledge and sources of prenatal health information and examined pregnant women’s feedback on features considered for inclusion in an e-health intervention targeted at preventing excessive GWG.
Methods:
Using social media sites, pregnant women in the U.S. who owned a smartphone were recruited to complete an online survey (n=329). The survey included questions regarding weight-related topics discussed with prenatal health providers, uses of technology for health information during pregnancy, interest in pregnancy weight-related information (e.g., physical activity), and features (e.g., weight tracking tool and podcasts) delivered electronically. ANCOVA and chi-square analyses were used to examine differences by parity and weight status.
Results:
Half of participants reported having no discussion about GWG recommendations with providers. Overall, interest in weight tracking, podcasts, and group-based behavioral challenges was high. Multiparous women expressed less interest in listening to weekly podcasts on pregnancy-related topics than nulliparous women (66.7% vs. 80.3%, p<0.01). Overweight/obese participants were more interested in a mobile app for communicating with other pregnant women than normal weight participants (86.5% vs. 77.3%; p=0.03).
Conclusions:
Given the interest in e-health interventions among pregnant women, future studies should examine their effectiveness in the prevention of excessive GWG. Tailoring e-health intervention content based on parity and weight status may be necessary.
ClinicalTrial:
NCT03063528
Citation
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