Abstract
We aimed to determine whether early pregnancy well-being was associated with the stage of behaviour change during an antenatal lifestyle intervention using a secondary analysis of data from the Pregnancy Exercise and Nutrition Research Study (PEARS). Pregnant women (n = 277) with well-being data in early pregnancy were included. Maternal well-being was measured using the World Health Organisation Five-Item Well-Being Index. The intervention consisted of a mobile health (mHealth) phone application, supported by antenatal education and exercise, to prevent gestational diabetes in a population with overweight. Stage of behaviour change was measured in late pregnancy using a five-stage classification. Ordinal logistic regression was used to examine if well-being, the study group, or their interaction, were related to behaviour change. Maternal well-being (OR 1.03, 95% CI 1.01, 1.04, p < 0.01) and the study group (OR 2.25, 95% CI 1.44, 3.51, p < 0.01) both significantly influenced the positive stage of behaviour change. The probability of being at stage 5 increased from 43 to 92% as well-being increased from 0 to 100% and was higher in the intervention (53%) compared to the control (34%) group (p ≤ 0.01 (8.65, 29.27). This study demonstrates the potential importance of well-being in enabling women to engage with a healthy lifestyle, and the role that mHealth technology has in facilitating beneficial behaviour change.
Funder
National Maternity Hospital medical fund
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health
Reference79 articles.
1. General health and psychological symptom status in pregnancy and the puerperium: What is normal?;Otchet;Obstet. Gynecol.,1999
2. Depressive symptomatology during pregnancy: Evidence for an association with decreased fetal growth in pregnancies of lower social class women;Hoffman;Health Psychol.,2000
3. Maternal bonding and risk of depression in late pregnancy: A survey of Italian nulliparous women;Ducceschi;J. Reprod. Infant Psychol.,2011
4. American Psychiatric Association (1980). Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Association.
5. Effects of depression, anxiety, self-esteem, and health behaviour on neonatal outcomes in a population-based Hungarian sample;Gonda;Eur. J. Obstet. Gynecol. Reprod. Biol.,2011
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