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

8 november 2021 uppdaterad av: 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.

Studieöversikt

Status

Rekrytering

Betingelser

Detaljerad beskrivning

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.

Studietyp

Observationell

Inskrivning (Förväntat)

60

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studiekontakt

Studera Kontakt Backup

Studieorter

  • Singapore
      • Singapore, Singapore, 119074
        • Har inte rekryterat ännu
        • National University Hospital
        • Kontakt:
        • Kontakt:
        • Huvudutredare:
          • Shiao-Yng Chan, PhD
        • Underutredare:
          • Yung Seng Lee, PhD
        • Underutredare:
          • Yijuan, Yvonne Lim, MMed
        • Underutredare:
          • Anjian, Andrew Sng, MMed
        • Underutredare:
          • Nicholas Beng Hui Ng, MMed
        • Underutredare:
          • Lin Lin Su, MMed
        • Underutredare:
          • Delicia Shu Qin Ooi, PhD
      • Singapore, Singapore, 117456
        • Rekrytering
        • The N.1 Institute for Health (N.1), NUS, Singapore
        • Kontakt:
        • Kontakt:
        • Underutredare:
          • V Vien Lee, PhD
        • Underutredare:
          • Smrithi Vijayakumar, PhD
        • Underutredare:
          • Qiao Ying Leong, BSc
        • Underutredare:
          • Johan Eriksson, Prof
        • Underutredare:
          • Yoann Sapanel, MBA
        • Underutredare:
          • Ni Yin Lau, BSocSci (Hons)
        • Underutredare:
          • Wei Ying Ng, BSocSci (Hons)

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

21 år till 45 år (Vuxen)

Tar emot friska volontärer

Ja

Kön som är behöriga för studier

Kvinna

Testmetod

Icke-sannolikhetsprov

Studera befolkning

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).

Beskrivning

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.

Studieplan

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

Kohorter och interventioner

Grupp / Kohort
Pre-pregnancy
During pregnancy
Post-pregnancy

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Experiences and technology usage among women
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Sponsor

National University of Singapore

Utredare

  • Huvudutredare: Dean Ho, Prof, National University of Singapore

Publikationer och användbara länkar

Den som ansvarar för att lägga in information om studien tillhandahåller frivilligt dessa publikationer. Dessa kan handla om allt som har med studien att göra.

Allmänna publikationer

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

8 november 2021

Primärt slutförande (Förväntat)

8 maj 2022

Avslutad studie (Förväntat)

8 november 2022

Studieregistreringsdatum

Först inskickad

15 september 2021

Först inskickad som uppfyllde QC-kriterierna

28 oktober 2021

Första postat (Faktisk)

29 oktober 2021

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

10 november 2021

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

8 november 2021

Senast verifierad

1 november 2021

Mer information

Termer relaterade till denna studie

Nyckelord

Andra studie-ID-nummer

  • 2021/00034

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

NEJ

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