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Exploration of Women's Experiences and Technology Usage Before, During, and After Pregnancy in Singapore

8 november 2021 bijgewerkt door: Prof. Dean Ho, National University of Singapore

This study seek to understand the motivations and contextual influences that can induce and sustain behaviour change to inform future interventions for women before, during and after pregnancy, through a qualitative interview-based assessment of 60 participants. As digital health intervention in pregnant women has been shown to be cost-effective and scalable, the current study also aims to understand women's usage of technology throughout the process of trying to conceive, being pregnant and being a new mother within the local Singapore context.

Studie Overzicht

Toestand

Werving

Conditie

Zwangerschap gerelateerd

Gedetailleerde beschrijving

Maternal overweight and obesity is a growing public health concern in Singapore. A recent Singaporean prospective cohort study examined 724 pregnant women and reported that 26.2% of the women had a total gestational weight gain (GWG) which exceed the Institute of Medicine's (IOM) 2009 guidelines. When examined based on body mass index (BMI), overweight and obese women had significantly increased risk of gaining gestational weight above IOM recommendations, compared to normal weight women. Higher GWG have previously been linked to adverse maternal and infant outcomes including higher rates of gestational diabetes mellitus (GDM) and primary caesarean delivery, large for age (LGA) infant, macrosomia and increased risk of childhood overweight/obesity. Given the impact of maternal GWG on pregnancy and infant outcomes, there is a need for a targeted behavioural intervention. As effective health behaviour change requires early initiation and maintenance of change, women before, during and after pregnancy should be targeted. Furthermore, high pre-pregnancy BMI have been shown to be linked with increased risk of GDM and type 2 diabetes post-delivery, and higher infant birthweight, child obesity and atypical child neurodevelopment. Accordingly, this highlights the need for early behavioural intervention beginning with women trying to get pregnant. Current studies have focused predominantly on individual factors contributing to maternal obesity in relation to infant outcomes, both immediately postpartum and prospectively into early childhood. Based on Bronfenbrenner's ecological model, key contextual factors involving the micro-, meso-, exo-, macro- and chronosystem are important factors contributing to the efficacy of digital means on health behavioural change among pregnant women. From this theoretical orientation, understanding individual factors involving motivation and contextual influences is central to facilitating health behaviour change. Specifically, elucidating the proximal (e.g. peers, family) and distal factors (e.g. community, health services) embedded within specific cultural contexts ensure sustainability of behaviour change among pregnant women.

As Singapore is a culturally diverse society, there is a need to understand the impact of cultural factors on maternal behaviours and decision making. Accordingly, the current study will consist of a qualitative assessment of 60 participants who will undergo semi-structured interviews with the aim to understand motivations and contextual influences that induce and sustain behaviour change, so as to inform future interventions for women before, during and after pregnancy. As digital health intervention in pregnant women has been shown to be cost-effective and scalable, the current study also aims to understand women's usage of technology throughout the process of trying to conceive, being pregnant and being a new mother within the local Singapore context.

Studietype

Observationeel

Inschrijving (Verwacht)

Contacten en locaties

In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.

Studiecontact

Naam: Xavier Tadeo, PhD
Telefoonnummer: +65 66017766
E-mail: lsixtc@nus.edu.sg

Studie Contact Back-up

Naam: Yoong Hun Ong, MSc
Telefoonnummer: +65 66017766
E-mail: yoong@nus.edu.sg

Studie Locaties

Singapore
- - Singapore, Singapore, 119074
    - Nog niet aan het werven
    - National University Hospital
    - Contact:
      
      Delicia Shu Qin Ooi, PhD
      
      E-mail: paeosqd@nus.edu.sg
    - Contact:
      
      Maria Catherine Dado Celes
      
      E-mail: obgcmcd@nus.edu.sg
    - Hoofdonderzoeker:
      
      Shiao-Yng Chan, PhD
    - Onderonderzoeker:
      
      Yung Seng Lee, PhD
    - Onderonderzoeker:
      
      Yijuan, Yvonne Lim, MMed
    - Onderonderzoeker:
      
      Anjian, Andrew Sng, MMed
    - Onderonderzoeker:
      
      Nicholas Beng Hui Ng, MMed
    - Onderonderzoeker:
      
      Lin Lin Su, MMed
    - Onderonderzoeker:
      
      Delicia Shu Qin Ooi, PhD
  - Singapore, Singapore, 117456
    - Werving
    - The N.1 Institute for Health (N.1), NUS, Singapore
    - Contact:
      
      Xavier Tadeo, PhD
      
      E-mail: lsixtc@nus.edu.sg
    - Contact:
      
      Yoong Hun Ong, MSc
      
      E-mail: yoong@nus.edu.sg
    - Onderonderzoeker:
      
      V Vien Lee, PhD
    - Onderonderzoeker:
      
      Smrithi Vijayakumar, PhD
    - Onderonderzoeker:
      
      Qiao Ying Leong, BSc
    - Onderonderzoeker:
      
      Johan Eriksson, Prof
    - Onderonderzoeker:
      
      Yoann Sapanel, MBA
    - Onderonderzoeker:
      
      Ni Yin Lau, BSocSci (Hons)
    - Onderonderzoeker:
      
      Wei Ying Ng, BSocSci (Hons)

Deelname Criteria

Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.

Geschiktheidscriteria

Leeftijden die in aanmerking komen voor studie

21 jaar tot 45 jaar (Volwassen)

Accepteert gezonde vrijwilligers

Geslachten die in aanmerking komen voor studie

Vrouw

Bemonsteringsmethode

Niet-waarschijnlijkheidssteekproef

Studie Bevolking

Women who are actively trying to conceive (pre-pregnancy) or currently in first to third trimester of pregnancy (during pregnancy) or have a child aged 0-2 years (post-pregnancy).

Beschrijving

Inclusion Criteria:

English fluency;
Aged 21 years and above;
Actively trying to conceive (pre-pregnancy) or currently in first to third trimester of pregnancy (during pregnancy) or have a child aged 0-2 years (post-pregnancy).

Exclusion Criteria:

Evidence/diagnosis of cognitive impairment (e.g. history of dementia, intellectual disability, traumatic brain injury);
Current diagnosis of psychiatric disorder (e.g. severe anxiety, depression, schizophrenia);
Significant hearing impairment;
Inability to complete the study at the judgement of the clinician investigators;
Women requiring or who had any form of assisted conception.

Studie plan

Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.

Hoe is de studie opgezet?

Ontwerpdetails

Aantal groepen / cohorten

Cohorten en interventies

Groep / Cohort
Pre-pregnancy
During pregnancy
Post-pregnancy

Wat meet het onderzoek?

Primaire uitkomstmaten

Uitkomstmaat	Maatregel Beschrijving	Tijdsspanne
Experiences and technology usage among women Tijdsspanne: 1 year	We will conduct semi-structured interviews with women who are either trying to conceive, pregnant or have a child aged 0 to 2 years. The interviews seek to find out about the participants' pregnancy/maternal-related experiences including the challenges faced, lifestyle changes made, support systems and experience with the health system. Participants will also be asked about their previous and current experiences with technology usage, such as the type of technology used and the purposes of technology usage. Additionally, there will also be two questionnaires, conducted pre- and post-interview, on the participants' demographics and their opinions on technical aspects of digital platforms.	1 year

Medewerkers en onderzoekers

Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.

Sponsor

National University of Singapore

Onderzoekers

Hoofdonderzoeker: Dean Ho, Prof, National University of Singapore

Publicaties en nuttige links

De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.

Algemene publicaties

Studie record data

Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.

Bestudeer belangrijke data

Studie start (Werkelijk)

8 november 2021

Primaire voltooiing (Verwacht)

8 mei 2022

Studie voltooiing (Verwacht)

8 november 2022

Studieregistratiedata

Eerst ingediend

15 september 2021

Eerst ingediend dat voldeed aan de QC-criteria

28 oktober 2021

Eerst geplaatst (Werkelijk)

29 oktober 2021

Updates van studierecords

Laatste update geplaatst (Werkelijk)

10 november 2021

Laatste update ingediend die voldeed aan QC-criteria