Electronic Monitoring of Mom’s Schedule (eMOMSTM): A Qualitative Study of Experiences in a Lifestyle Change Program with Lactation Support

Author:

Jacobson Lisette T.12ORCID,Bakhache Nathalie1,Dowling Jolynn3,Okut Hayrettin14,Zackula Rosey4,Robbins David C.5,Stern Judy E.6,Grainger David A.2,Befort Christie7

Affiliation:

1. Department of Population Health, University of Kansas School of Medicine-Wichita, Wichita, KS, USA

2. Department of Obstetrics and Gynecology, University of Kansas School of Medicine-Wichita, Wichita, KS, USA

3. School of Nursing, Wichita State University, Wichita, KS, USA

4. University of Kansas School of Medicine-Wichita, Wichita, KS, USA

5. Diabetes Institute, University of Kansas Medical Center-Kansas City, Kansas City, KS, USA

6. Department of Obstetrics and Gynecology, Dartmouth-Hitchcock Health and the Geisel School of Medicine, Lebanon, NH, USA

7. Department of Population Health, University of Kansas School of Medicine-Kansas City, Kansas City, KS, USA

Abstract

Purpose To elicit feedback from participants who completed the eMOMSTM study, a feasibility randomized controlled trial (NCT04021602), on their perceptions of program strengths and weaknesses. Study Design Qualitative - Semi-structured, telephone interview guide using open-ended questions. Setting Rural Great Plains state, United States. Participants Of 26 individuals who completed the eMOMSTM study, 24 consented to an interview. Method Interviews were completed between October 2020 and May 2021. Audio-recordings were transcribed verbatim and organized in Microsoft 365. Data were analyzed using an exploratory, inductive thematic analysis. Results Participants’ mean age was 27.5 (± 5.4) years and mean pre-pregnancy BMI was 29.5 kg/m2 (± 2.7). The majority (71%) were non-Hispanic White and 54% had a high school education/some college. Based on specific areas of inquiry, the following themes emerged: convenience of online program access using Facebook, importance of health coach’s support and online interaction, positivity toward improving one’s health, increased consciousness of health behaviors, diverse lactation educational needs, importance of educational materials on depression, and grief over the loss of birth expectations during COVID-19. Conclusion Findings suggest participants’ perceived value of a lifestyle change program coupled with lactation education and support delivered using social media. Findings inform future studies to further adapt lifestyle change programs.

Funder

National Institute of Diabetes and Digestive and Kidney Diseases

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health,Health (social science)

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