Testing the feasibility of a mobile technology intervention promoting healthy gestational weight gain in pregnant women (txt4two) - study protocol for a randomised controlled trial

doi:10.1186/s13063-015-0730-1

Randomized Controlled Trial

. 2015 May 7:16:209.

doi: 10.1186/s13063-015-0730-1.

Testing the feasibility of a mobile technology intervention promoting healthy gestational weight gain in pregnant women (txt4two) - study protocol for a randomised controlled trial

Jane Catherine Willcox¹, Karen Jane Campbell², Elizabeth Anne McCarthy^{3

4}, Shelley Ann Wilkinson⁵, Martha Lappas^{6

7}, Kylie Ball⁸, Brianna Fjeldsoe⁹, Anne Griffiths¹⁰, Robyn Whittaker¹¹, Ralph Maddison¹², Alexis Shub^{13

14}, Deborah Pidd¹⁵, Elise Fraser¹⁶, Nelly Moshonas¹⁷, David Andrew Crawford¹⁸

Affiliations

¹ Centre for Physical Activity and Nutrition Research, Deakin University, Geelong, Victoria, Australia. jwillcox@deakin.edu.au.
² Centre for Physical Activity and Nutrition Research, Deakin University, Geelong, Victoria, Australia. karen.campbell@deakin.edu.au.
³ Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia. eamcca@unimelb.edu.au.
⁴ Mercy Hospital for Women, University of Melbourne, Melbourne, Victoria, Australia. eamcca@unimelb.edu.au.
⁵ Mater Mothers Hospital/Mater Research, Queensland, Australia. shelley.wilkinson@mater.org.au.
⁶ Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia. mlappas@unimelb.edu.au.
⁷ Mercy Hospital for Women, University of Melbourne, Melbourne, Victoria, Australia. mlappas@unimelb.edu.au.
⁸ Centre for Physical Activity and Nutrition Research, Deakin University, Geelong, Victoria, Australia. kylie.ball@deakin.edu.au.
⁹ Cancer Prevention Research Centre, School of Population Health, University of Queensland, Queensland, Australia. b.fjeldsoe@sph.uq.edu.au.
¹⁰ Centre for Physical Activity and Nutrition Research, Deakin University, Geelong, Victoria, Australia. anne.griffiths@deakin.edu.au.
¹¹ National Institute for Health Innovation, University of Auckland, Auckland, New Zealand. r.whittaker@nihi.auckland.ac.nz.
¹² National Institute for Health Innovation, University of Auckland, Auckland, New Zealand. r.maddison@nihi.auckland.ac.nz.
¹³ Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia. ashub@internode.on.net.
¹⁴ Mercy Hospital for Women, University of Melbourne, Melbourne, Victoria, Australia. ashub@internode.on.net.
¹⁵ Mercy Hospital for Women, University of Melbourne, Melbourne, Victoria, Australia. DPidd@mercy.com.au.
¹⁶ Mercy Hospital for Women, University of Melbourne, Melbourne, Victoria, Australia. EFraser@mercy.com.au.
¹⁷ Mercy Hospital for Women, University of Melbourne, Melbourne, Victoria, Australia. NMoshonas@mercy.com.au.
¹⁸ Centre for Physical Activity and Nutrition Research, Deakin University, Geelong, Victoria, Australia. david.crawford@deakin.edu.au.

PMID: 25947578
PMCID: PMC4426547
DOI: 10.1186/s13063-015-0730-1

Randomized Controlled Trial

Testing the feasibility of a mobile technology intervention promoting healthy gestational weight gain in pregnant women (txt4two) - study protocol for a randomised controlled trial

Jane Catherine Willcox et al. Trials. 2015.

. 2015 May 7:16:209.

doi: 10.1186/s13063-015-0730-1.

Authors

Affiliations

¹ Centre for Physical Activity and Nutrition Research, Deakin University, Geelong, Victoria, Australia. jwillcox@deakin.edu.au.
² Centre for Physical Activity and Nutrition Research, Deakin University, Geelong, Victoria, Australia. karen.campbell@deakin.edu.au.
³ Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia. eamcca@unimelb.edu.au.
⁴ Mercy Hospital for Women, University of Melbourne, Melbourne, Victoria, Australia. eamcca@unimelb.edu.au.
⁵ Mater Mothers Hospital/Mater Research, Queensland, Australia. shelley.wilkinson@mater.org.au.
⁶ Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia. mlappas@unimelb.edu.au.
⁷ Mercy Hospital for Women, University of Melbourne, Melbourne, Victoria, Australia. mlappas@unimelb.edu.au.
⁸ Centre for Physical Activity and Nutrition Research, Deakin University, Geelong, Victoria, Australia. kylie.ball@deakin.edu.au.
⁹ Cancer Prevention Research Centre, School of Population Health, University of Queensland, Queensland, Australia. b.fjeldsoe@sph.uq.edu.au.
¹⁰ Centre for Physical Activity and Nutrition Research, Deakin University, Geelong, Victoria, Australia. anne.griffiths@deakin.edu.au.
¹¹ National Institute for Health Innovation, University of Auckland, Auckland, New Zealand. r.whittaker@nihi.auckland.ac.nz.
¹² National Institute for Health Innovation, University of Auckland, Auckland, New Zealand. r.maddison@nihi.auckland.ac.nz.
¹³ Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia. ashub@internode.on.net.
¹⁴ Mercy Hospital for Women, University of Melbourne, Melbourne, Victoria, Australia. ashub@internode.on.net.
¹⁵ Mercy Hospital for Women, University of Melbourne, Melbourne, Victoria, Australia. DPidd@mercy.com.au.
¹⁶ Mercy Hospital for Women, University of Melbourne, Melbourne, Victoria, Australia. EFraser@mercy.com.au.
¹⁷ Mercy Hospital for Women, University of Melbourne, Melbourne, Victoria, Australia. NMoshonas@mercy.com.au.
¹⁸ Centre for Physical Activity and Nutrition Research, Deakin University, Geelong, Victoria, Australia. david.crawford@deakin.edu.au.

PMID: 25947578
PMCID: PMC4426547
DOI: 10.1186/s13063-015-0730-1

Abstract

Background: Overweight, obesity and excess gestational weight gain (GWG) are associated with negative health outcomes for mother and child in pregnancy and across the life course. Interventions promoting GWG within guidelines report mixed results. Most are time and cost intensive, which limits scalability. Mobile technologies (mHealth) offer low cost, ready access and individually-tailored support. We aim to test the feasibility of an mHealth intervention promoting healthy nutrition, physical activity and GWG in women who begin pregnancy overweight or obese.

Methods/design: txt4two is a parallel randomised control trial pilot recruiting women with a singleton, live gestation between 10(+0) and 17(+6) weeks at the first hospital antenatal clinic visit. Inclusion criteria are pre-pregnancy BMI > 25 kg/m(2) and mobile phone ownership. One hundred consenting women will be randomised to intervention or control groups at a 1:1 ratio. All participants will receive standard antenatal care. In addition, the txt4two intervention will be delivered from baseline to 36 weeks gestation and consists of a tailored suite of theoretically-grounded, evidence-based intervention strategies focusing on healthy nutrition, physical activity and GWG. This includes: mobile phone interactive text messages promoting positive health behaviours, goal setting and self-monitoring; video messages; an information website; and a private moderated Facebook® chat forum. The primary outcome is the feasibility of the intervention. Secondary outcomes include GWG and participants' knowledge and behaviour regarding diet and physical activity during pregnancy.

Discussion: Findings will inform the development of larger-scale mHealth programmes to improve the delivery of healthy pregnancy nutrition, physical activity and GWG, that could be widely translated and disseminated.

Trial registration: Australian New Zealand Clinical Trials Registry: ACTRNU111111544397 . Date of registration: 19 March 2014.

PubMed Disclaimer

Figures

See this image and copyright information in PMC

Cited by

Perceptions of Tailored Dietary Advice to Improve the Nutrient Adequacy of the Diet in French Pregnant Women.
Bianchi CM, Mariotti F, Reulet E, Le Goff G, Lluch A, Verger EO, Huneau JF, Gurviez P. Bianchi CM, et al. Nutrients. 2021 Dec 25;14(1):85. doi: 10.3390/nu14010085. Nutrients. 2021. PMID: 35010960 Free PMC article.
Exploring the acceptability and feasibility of a preconception and diabetes information app for women with pregestational diabetes: A mixed-methods study protocol.
Nwolise CH, Carey N, Shawe J. Nwolise CH, et al. Digit Health. 2017 Aug 30;3:2055207617726418. doi: 10.1177/2055207617726418. eCollection 2017 Jan-Dec. Digit Health. 2017. PMID: 29942610 Free PMC article.
A Mobile Application for Monitoring and Management of Depressed Mood in a Vulnerable Pregnant Population.
Hantsoo L, Criniti S, Khan A, Moseley M, Kincler N, Faherty LJ, Epperson CN, Bennett IM. Hantsoo L, et al. Psychiatr Serv. 2018 Jan 1;69(1):104-107. doi: 10.1176/appi.ps.201600582. Epub 2017 Oct 16. Psychiatr Serv. 2018. PMID: 29032705 Free PMC article. Clinical Trial.
Patient engagement practice within perinatal eHealth: A scoping review.
Auxier JN, Bender M, Hakojärvi HR, Axelin AM. Auxier JN, et al. Nurs Open. 2023 Aug;10(8):4971-4984. doi: 10.1002/nop2.1822. Epub 2023 May 21. Nurs Open. 2023. PMID: 37211718 Free PMC article. Review.
Stress during pregnancy: An ecological momentary assessment of stressors among Black and White women with implications for maternal health.
Omowale SS, Gary-Webb TL, Wallace ML, Wallace JM, Rauktis ME, Eack SM, Mendez DD. Omowale SS, et al. Womens Health (Lond). 2022 Jan-Dec;18:17455057221126808. doi: 10.1177/17455057221126808. Womens Health (Lond). 2022. PMID: 36148967 Free PMC article.

See all "Cited by" articles

References

1. World Health Organization . Global action plan for the prevention and control of noncommunicable diseases 2013–2020. Geneva: World Health Organization; 2013.
1. Finkelstein EA, Khavjou OA, Thompson H, Trogdon JG, Pan L, Sherry B, et al. Obesity and severe obesity forecasts through 2030. Am J Prev Med. 2012;42(6):563–70. doi: 10.1016/j.amepre.2011.10.026. - DOI - PubMed
1. Davis EM, Zyzanski SJ, Olson CM, Stange KC, Horwitz RI. Racial, ethnic, and socioeconomic differences in the incidence of obesity related to childbirth. Am J Public Health. 2009;99(2):294–9. doi: 10.2105/AJPH.2007.132373. - DOI - PMC - PubMed
1. IOM NRC, Rasmussen K, Yaktine A. Weight gain during pregnancy: reexamining the guidelines. Washington: The National Academies Press; 2009. - PubMed
1. Viswanathan M, Siega-Riz A, Moos M-K, Deierlein A, Mumford S, Knaack J, et al. Outcomes of maternal weight gain. Evidence report/technology assessment No. 168. Rockville, MD: Prepared by RTI International-University of North Carolina Evidence-based Practice Center under Contract No. 290-02-0016; 2008. - PMC - PubMed

Publication types

Actions
Actions

MeSH terms

Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions
Actions

Associated data

ANZCTR/ACTRNU111111544397

LinkOut - more resources

Full Text Sources
Other Literature Sources
- scite Smart Citations
Medical
- MedlinePlus Health Information

[1] World Health Organization . Global action plan for the prevention and control of noncommunicable diseases 2013–2020. Geneva: World Health Organization; 2013.

[2] World Health Organization . Global action plan for the prevention and control of noncommunicable diseases 2013–2020. Geneva: World Health Organization; 2013.

[3] Finkelstein EA, Khavjou OA, Thompson H, Trogdon JG, Pan L, Sherry B, et al. Obesity and severe obesity forecasts through 2030. Am J Prev Med. 2012;42(6):563–70. doi: 10.1016/j.amepre.2011.10.026. - DOI - PubMed

[4] Finkelstein EA, Khavjou OA, Thompson H, Trogdon JG, Pan L, Sherry B, et al. Obesity and severe obesity forecasts through 2030. Am J Prev Med. 2012;42(6):563–70. doi: 10.1016/j.amepre.2011.10.026. - DOI - PubMed

[5] Davis EM, Zyzanski SJ, Olson CM, Stange KC, Horwitz RI. Racial, ethnic, and socioeconomic differences in the incidence of obesity related to childbirth. Am J Public Health. 2009;99(2):294–9. doi: 10.2105/AJPH.2007.132373. - DOI - PMC - PubMed

[6] Davis EM, Zyzanski SJ, Olson CM, Stange KC, Horwitz RI. Racial, ethnic, and socioeconomic differences in the incidence of obesity related to childbirth. Am J Public Health. 2009;99(2):294–9. doi: 10.2105/AJPH.2007.132373. - DOI - PMC - PubMed

[7] IOM NRC, Rasmussen K, Yaktine A. Weight gain during pregnancy: reexamining the guidelines. Washington: The National Academies Press; 2009. - PubMed

[8] IOM NRC, Rasmussen K, Yaktine A. Weight gain during pregnancy: reexamining the guidelines. Washington: The National Academies Press; 2009. - PubMed

[9] Viswanathan M, Siega-Riz A, Moos M-K, Deierlein A, Mumford S, Knaack J, et al. Outcomes of maternal weight gain. Evidence report/technology assessment No. 168. Rockville, MD: Prepared by RTI International-University of North Carolina Evidence-based Practice Center under Contract No. 290-02-0016; 2008. - PMC - PubMed

[10] Viswanathan M, Siega-Riz A, Moos M-K, Deierlein A, Mumford S, Knaack J, et al. Outcomes of maternal weight gain. Evidence report/technology assessment No. 168. Rockville, MD: Prepared by RTI International-University of North Carolina Evidence-based Practice Center under Contract No. 290-02-0016; 2008. - PMC - PubMed

Save citation to file

Email citation

Add to Collections

Add to My Bibliography

Your saved search

Create a file for external citation management software

Your RSS Feed

Testing the feasibility of a mobile technology intervention promoting healthy gestational weight gain in pregnant women (txt4two) - study protocol for a randomised controlled trial

Affiliations

Testing the feasibility of a mobile technology intervention promoting healthy gestational weight gain in pregnant women (txt4two) - study protocol for a randomised controlled trial

Authors

Affiliations

Abstract

Figures

Similar articles

Cited by

References

Publication types

MeSH terms

Associated data

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical

Abstract

Figures

Similar articles

Cited by

References

Publication types

MeSH terms

Associated data

Related information

LinkOut - more resources

Full Text Sources

Other Literature Sources

Medical