Online Program

Promoting health during pregnancy: Outcomes of an iPad delivered multiple behavior change intervention

Tuesday, November 3, 2015 : 1:10 p.m. - 1:30 p.m.

Emma de Aguiar, B.A., Pro-Change Behavior Systems, Inc., South Kingstown, RI
Leanne Mauriello, Ph.D., Pro-Change Behavior Systems, Inc., South Kingstown, RI
Deborah Van Marter, M.P.H., Pro-Change Behavior Systems, Inc., South Kingstown, RI
Cindy Umanzor, M.P.H., Pro-Change Behavior Systems, Inc., South Kingstown, RI
Patricia Castle, Ph.D., Pro-Change Behavior Systems, Inc., South Kingstown, RI
background: Healthy Pregnancy is a multiple behavior change intervention that offers tailored guidance based on the Transtheoretical Model of Change for fruit and vegetable consumption, smoking cessation and relapse prevention, and stress management. The intervention, available in English and Spanish, is delivered on iPads and focuses on adopting these key health behaviors during pregnancy and into the postpartum using best practices of behavior change science.

methods: Pregnant women (n=335) from six federally funded community health centers (65.1% Hispanic; 20.9% White, 9% Black) were recruited into a randomized clinical trial. Women completed up to 3 sessions during pregnancy and 2 assessments at 1 and 4 months postpartum. Special attention to retention of an underserved population produced 70.7% retention.

results: The treatment group significantly reduced their overall behavior risks compared to the usual care group at 1 month (0.85 vs. 1.2 risks; OR=.70) and 4 months (0.72 vs. 0.91 risks; OR=.81) postpartum. The treatment group significantly increased their fruit and vegetable consumption at 1 month (4.3 vs. 3.3 cups; OR=2.7) and 4 months (4.4 vs. 3.7 cups; OR=2.2) and were more likely to progress to eating at least 4.5 cups per day at 1 month (38.1% vs. 20.0%) and 4 months (43.2% vs. 26.4%). Analyses also demonstrated 43% of those who were at-risk at baseline moved to action or maintenance at the second postpartum assessment.

conclusions: Healthy Pregnancy is an evidence-based, engaging, and flexible means by which to engage pregnant women in decreasing behavior risks and sustaining healthy behaviors.

Learning Areas:

Implementation of health education strategies, interventions and programs
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe clinical trial results of an individually tailored iPad delivered multiple behavior change intervention for underserved pregnant women.

Keyword(s): Evidence-Based Practice, Behavioral Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: My work focuses on conducting randomized clinical trials in the area of health behavior change research. I was intimately involved in the development of this program and the execution of the clinical trial. With my background and familiarity with this research, I am qualified to describe and thoroughly present program components and outcomes.
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.