240309 Postpartum Weight Management Study: Low income women's preferences and opinions regarding healthy lifestyle choices in the postpartum period

Tuesday, November 1, 2011

Michelle Levinson, BA , Research Department, Maternity Care Coalition, Philadelphia, PA
Ruth Murray, BA , Department of Research, Maternity Care Coalition, Philadelphia, PA
Marjie Mogul, PhD , Department of Research, Maternity Care Coalition, Philadelphia, PA
Chuka Didigu, BA , University of Pennsylvania School of Medicine, Philadelphia, PA
Gregory Charak, BA , University of Pennsylvania School of Medicine, Philadelphia, PA
Charmaine Smith Wright, MD, MHP , Division of General Internal Medicine, University of Pennsylvania, Philadelphia, PA
Background: Postpartum weight retention (PPWR) leads to increased rates of maternal and childhood obesity. No current guidelines or programs exist to serve high-risk low-income women. Objective: Gain practical insight into low-income women's preferences and opinions regarding a proposed PPWR intervention. Methods: Focus groups composed of staff and clients (n=17) of a community-based organization were conducted at three sites. Women were asked open-ended questions about the four intervention components: 1) motivational text messages 2) baby carriers and pedometers promoting at-home physical activity 3) increased social support 4) healthy eating and breastfeeding education sessions. The discussion was audio recorded, transcribed verbatim, and entered into Nvivo data analysis software for coding by two investigators to identify overarching themes. Results: By self-report, average age (SD) was 26.4 (5.1) years, 76.5% were African American, 23.5% Hispanic, 58.8% multiparous and average BMI 28.1 (4.4) (kg/m2). Forty-seven percent were Medicaid recipients and 29% had no health insurance coverage. The investigators identified ten themes. Most participants commented upon the themes: 1) need for positive social support 2) lack of time and motivation as barriers 3) texting providing a helpful reminder 4) health of the baby and family as motivation 5) need for improved knowledge. Conclusions: Practical insight gained from focus groups together with health-behavior theory strengthens the design of the proposed intervention. As hypothesized, the intervention should focus on providing motivation and positive social support, and tangible tools to help women implement existing knowledge of healthy behaviors and thereby promote sustainable healthy change.

Learning Areas:
Administer health education strategies, interventions and programs
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
1. Identify risk factors of post partum weight retention specific to low-income minority women. 2. Describe how motivational text messaging can be used as a support tool in weight loss intervention. 3. Explain the importance of using both theory and practice when designing interventions for specific high-risk populations.

Keywords: Obesity, Maternal Well-Being

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I coordinate the study discussed in the abstract, which is relevant to the decisions that women make - for themselves and their families - regarding nutrition, lifestyle and general health.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.