Effect of Applied Information-Motivation-Behavioral Skills Program for Weight Control on Gestational Weight Gain of Overweight and Obese Pregnant Women
Keywords:
Overweight and obese pregnant women, Weight control, Gestational weight gainAbstract
This randomized controlled trial aimed to the applied information- motivation-behavioral skills program for weight control of overweight and obese pregnant women. The sample consisted of 44 overweight and obese pregnant women, divided into an experimental group (22 cases) and control group (22 cases). Data were collected using a questionnaire on personal data and obstetric history, a weight control behavior questionnaire (with the reliability of the questionnaires being 0.91 respectively), and a pregnant women’s weight record form. Data were analyzed using descriptive statistics, Fisher’s exact test, two-group paired t-test, and two-group independent t-test.The results showed that the mean excessive weight gain in the experimental group after participation in the program increased significantly less than before the program (p < .05) and the mean excessive weight gain in the experimental group was significantly lower than that in the control group receiving standard care (p < .05).
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References
Sagi-Dain L. Obesity in Pregnancy: ACOG Practice Bulletin, Number 230. Obstetrics & Gynecology. 2021;138(3):488-9.
Strauss A, Rochow N, Kunze M, Hesse V, Dudenhausen JW, & Voigt M. Obesity in pregnant women: A 20-year analysis of the German experience. European Journal of Clinical Nutrition. 2021;75(12):1757-823.
Institute of Medicine. Weight gain during pregnancy: Reexamining the guidelines. Washington, DC: National Academy Press; 2009.
Aji AS, Lipoeto NI, Yusrawati Y, Malik SG, Kusmayanti NA, Susanto I, et al. Association between pre-pregnancy body mass index and gestational weight gain on pregnancy outcomes: A cohort study in Indonesian pregnant women. BioMed Central Pregnancy and Childbirth. 2022;22(1):1-12.
D’Souza R, Horyn I, Pavalagantharajah S, Zaffar N, & Jacob CE. Maternal body mass index and pregnancy outcomes: A systematic review and meta-analysis. American Journal of Obstetrics and Gynecology. 2019;1(4):1-9.
Haque R, Keramat SA, Rahman SM, Mustafa MUR, & Alam K. Association of maternal obesity with fetal and neonatal death: Evidence from South and South-East Asian countries. Public Library of Science One. 2021;16(9):1-16.
Liu L, Ma Y, Wang N, Lin W, Liu Y, & Wen D. Maternal body mass index and risk of neonatal adverse outcomes in China: A systematic review and meta-analysis. BioMed Central Pregnancy and Childbirth. 2019;19(1):1-16.
Gettong N, & Rujiraprasert N. The relationships between knowledge about overweight during pregnancy, perceived self-efficacy and health behaviors among pregnant women with overweight. Srinagarind Medical Journal. 2018;33(2):129–35. (in Thai)
Karatbut T, Techasaksri T, & Sirarunrat S. Effects of a self-management program on weight control behaviors and appropriate weight gain in overweight or obese pregnant women. Southern College Network Journal of Nursing and Public Health. 2022;9(2):40–53. (in Thai)
Pinitlertsakul O, & Wayuhrad S. Overweight and obesity in pregnant women: A challenging role for midwives. Journal of Nursing and Health Care. 2021;39(1):29–38. (in Thai)
Siriarunrat S. Excessive weight gain during pregnancy: challenging roles for nursemidwives. Journal of Public Health Nursing. 2016;30(3):156–69. (in Thai)
Levine MD, Tavernier RLE, Conlon RPK, Grace JL, Sweeny GM, & Wang B. Loss of control eating during pregnancy is associated with excessive gestational weight gain among individuals with overweight and obesity. BioMed Central Pregnancy and Childbirth. 2023;23(1):1-11.
Scott J, Oxlad M, Dodd J, Szabo C, Deussen A, & Turnbull D. Creating healthy change in the preconception period for women with overweight or obesity: A qualitative study using the information-motivation-behavioural skills model. Journal of Clinical Medicine. 2020;9(10):1-20.
Somra S. Barriers and strategies of overweight and obese pregnant women to eat healthy: A qualitative study. Amsterdam Public Health Research Institute; 2018.
Saarikko J, Niela-Vilen H, Rahmani AM, & Axelin A. Identifying target behaviors for weight management interventions for women who are overweight during pregnancy and the postpartum period: A qualitative study informed by the behaviour change wheel. BioMed Central Pregnancy and Childbirth. 2021;21(1):1-12.
Sukwanwat W, Saojwutphong R, & Yamanantakul P. Patterns of exercise promotion in pregnant women: A systematic review. Medical Journal of Srisaket Surin Buriram Hospitals. 2021; 36(2):375–89. (In Thai)
Fisher W, Fisher J, & Harman J. The InformationMotivation-Behavioral Skills Model: A General Social Psychological Approach to Understanding and Promoting Health Behavior. In: Social Psychological Foundations of Health and Illness. Elsevier; 2003.
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale, NJ: Lawrence Erlbaum Associates; 1988.
Ponzo V, Pellegrini M, Costelli P, Vázquez-Araújo L, Gayoso L, D’Eusebio C, et al. Strategies for reducing salt and sugar intakes in individuals at increased cardiometabolic risk. Nutrients. 2021;13(1):1-18.
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