Health Coach Intervention Pilot Study (AHA)
Supporting Healthful Lifestyles During Pregnancy: A Health Coach Intervention Pilot Study
研究概览
详细说明
<Health Coach Intervention > The investigators connected participants at enrollment (median gestation of 12.5 weeks, IQR: 11-15) with a trained health coach who called participants every 2-3 weeks until 36 weeks of gestation. During these phone calls, health coaches helped participants adopt and maintain new healthful lifestyle behaviors that were evidence-based, simple, and easy to track. Goals aimed to promote appropriate gestational weight gain and covered several domains including diet, physical activity, screen time, and sleep.
During the first call, health coaches invited participants to prioritize these goals according to their level of self-efficacy, readiness to change, preferences, and values. Throughout the intervention, health coaches used principles of motivational interviewing that relied on a patient-centered approach to enhance readiness to change by exploring ambivalence and resistance to change. In addition to setting personal goals, health coaches also presented optimal goals for ideal cardiovascular health.
During follow-up calls, health coaches monitored progress and helped adjust goals when necessary (e.g. too many goals, or the goal was too ambitious). Health coaches also addressed barriers and potential solutions with participants, and helped them target higher goal settings or select novel goals when participants attained them. Health coaches sent emails or text messages depending on participant preferences to check-in about progress toward goals or clinical appointments between calls. Research staff (including an MD) met weekly with health coaches to review their conversations with participants, and to address any medical issues to ensure that it would be reported to the primary care provider obstetric team if appropriate.
<Study Design and Sample> Participants completed baseline (N=30) and follow-up (N=26) surveys at the end of the intervention as well as follow-up phone interviews (N=18). Surveys collected information on demographics, attitudes related to weight status and pregnancy, opinions about the intervention, and included food frequency questions . Interviews followed a guide of open-ended questions to determine insights on what helped achieve goals, motivation, opinions of the health coach intervention, and areas for improvement. One study staff member, who has experience with qualitative data collection, conducted all of the individual interviews. This study was approved by the Harvard Pilgrim Health Care Human Studies Committee.
研究类型
注册 (实际的)
阶段
- 不适用
联系人和位置
学习地点
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Massachusetts
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Boston、Massachusetts、美国、02215
- Harvard Pilgrim Health Care Institute
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参与标准
资格标准
适合学习的年龄
接受健康志愿者
有资格学习的性别
描述
Inclusion Criteria:
- pregnant (less than 16 weeks of gestation),
- overweight or obese (pre-pregnancy BMI≥25 kg/m2),
- 18 years of age or older,
- English speaking,
- planned to remain at the same obstetrics clinic for the duration of their pregnancies.
学习计划
研究是如何设计的?
设计细节
- 主要用途:预防
- 分配:不适用
- 介入模型:单组作业
- 屏蔽:无(打开标签)
武器和干预
参与者组/臂 |
干预/治疗 |
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实验性的:Health Coach Intervention
The investigators connected participants at enrollment (median gestation of 12.5 weeks, IQR: 11-15) with a trained health coach who called participants every 2-3 weeks until 36 weeks of gestation.
During these phone calls, health coaches helped participants adopt and maintain new healthful lifestyle behaviors that were evidence-based, simple, and easy to track.
Goals aimed to promote appropriate gestational weight gain and covered several domains including diet, physical activity, screen time, and sleep.
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Please see arm description.
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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Satisfaction with the health coach intervention as assessed by surveys
大体时间:From enrollment until the end of the intervention at 36 weeks of gestation.
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The investigators assessed the feasibility and acceptability of a remote health coach intervention to promote healthful lifestyle behaviors among overweight pregnant women using baseline and follow-up surveys.
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From enrollment until the end of the intervention at 36 weeks of gestation.
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Satisfaction with the health coach intervention as assessed by phone interviews
大体时间:From enrollment until the end of the intervention at 36 weeks of gestation.
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Using an interview guide, the investigators assessed the feasibility and acceptability of a remote health coach intervention to promote healthful lifestyle behaviors among overweight pregnant women.
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From enrollment until the end of the intervention at 36 weeks of gestation.
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合作者和调查者
调查人员
- 首席研究员:Marie-France Hivert, MD, MMSc、Harvard Pilgrim Health Care Institute
出版物和有用的链接
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
与本研究相关的术语
其他研究编号
- PH000523C
- 14CRP20490354 (其他赠款/资助编号:American Heart Association)
计划个人参与者数据 (IPD)
计划共享个人参与者数据 (IPD)?
药物和器械信息、研究文件
研究美国 FDA 监管的药品
研究美国 FDA 监管的设备产品
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Health Coach Intervention的临床试验
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Johns Hopkins UniversityNational Institute of Environmental Health Sciences (NIEHS); Environmental Protection Agency...完全的
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University of Illinois at ChicagoShirley Ryan AbilityLab; Oakland University; Access Living主动,不招人
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Oregon Health and Science UniversityUniversity of Missouri-Columbia; Vanderbilt University Medical Center招聘中
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University of RochesterNational Institute on Aging (NIA)尚未招聘
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University of RochesterUniversity of Pennsylvania; University of Michigan; Zhejiang University完全的
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Johns Hopkins Bloomberg School of Public HealthNational Cancer Institute (NCI)完全的
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Imperial College LondonActegy Ltd.尚未招聘