The Effects of a Self-Management Program on Weight Control Behaviors and Appropriate Weight Gain among Overweight and Obese Pregnant Women
Keywords:
Overweight/Obesity Pregnant Women, Self–Management Program, Weight Control Behavior, Appropriate Weight GainAbstract
This pretest-posttest quasi-experimental research aimed to evaluate the effects of a self-management program on weight control behaviors, and appropriate weight gain, in overweight or obese pregnant women. Participants consisted of overweight or obese pregnant women who received antenatal care services at Jainad Narendra hospital from September 2020 to January 2021. Samples who met the inclusion criteria were randomly selected into either the experimental group (n = 25) or the control group (n=25). Data were collected by using a self-administered weight control behavior questionnaire. The instrument had a content validity index of 1.00. and a Cronbach’s alpha coefficient of .87. Data were analyzed by using descriptive statistics, chi-square, Fisher’s Exact test, Mann-Whitney U, and t-test.
The results indicated that the experimental group had a significantly higher mean score of weight control behaviors than those in the control group (t48=3.91, p<.001). Additionally, the participants in the experimental group had a proportion of normal weight gain significantly higher than those in the control group (c2=15.71, p<.001).
Therefore, nurses in the antenatal care units could apply this self-management program to modify the weight-control behaviors of overweight or obese pregnant women. This might improve their appropriate weight gain as well, as it is recommended.
References
Al-Hakmani, F. M., Al-Fadhil, F. A., Al-Balushi, L. H., Al-Harthy, N. A., Al-Bahri, Z. A., Al-Rawahi, N. A., et al., (2016). The Effect of Obesity on Pregnancy and Its Outcome in the Population of Oman, Seeb Province. Oman Medical Journal, 31(1), 12-17.
American College of Obstetricians and Gynecologists. (2020). Physical Activity and Exercise During Pregnancy and The Postpartum Period. Committee Opinion No. 804. Obstetrics & Gynecology, 135(4), 178-188.
Antenatal Care Unit Jainad Narendra Hospital. (2019). Antenatal Registration. Chainat: Jainad Narendra Hospital. (in Thai)
Brown, M. J., Sinclair, M., Liddle, D., Hill, A. J., Madden, E., & Stockdale, J. (2012). A Systematic Review Investigating Healthy Lifestyle Interventions Incorporating Goal Setting Strategies for Preventing Excess Gestational Weight Gain. PLoS One, 7(7), 39503-39516. Retrieved https://doi.org/10.1371/journal.pone.0039503
Bureau of Nutrition, Department of Health Ministry of Public Health. (2015). Guidelines for The Implementation of Nutritional Health Promotion in The Antenatal Clinic for Health Personal. Bangkok: The War Veterans Organization of Thailand Under Royal Patronage of His Majesty the King Printing Business Office. (in Thai)
Burn, N., & Grove, S. K. (2009). The Practice of Nursing Research: Appraisal, Synthesis, & Generation of Evidence (6th ed.). St. Louis, MO: Saunders Elsevier.
Cahill, A. G., Haire-Joshu, D., Cade, W. T., Stein, R. I., Woolfolk, C. L., Moley, K., et al. (2018). Weight Control Program and Gestational Weight Gain in Disadvantaged Women with Overweight or Obesity: a Randomized Clinical Trial. Obesity, 26(3), 485-491.
Chen, Cheng, Xu, Xianglong & Yan. (2018). Estimated Global Overweight and Obesity Burden in Pregnant Women based on Panel Data Model. Plos One. https://doi.org/10.1371/journal.pone.0202183.
Chuntharapat, S., Chukumnerd, P., Panchana, S., Jintana, O., & Ungsathaphornphon. S. (2018). Effects of Yoga-Based Self-Efficacy Enhancement Program on Health Behaviors and Body Weight Increasing in Overweight Pregnant Women. Academic Services Journal, Prince of Songkla University, 29(1), 148-163. (in Thai)
Eamtrakul, N. (2013). The Effect of ‘3 Self’ Health Behavior Program to Knowledge, Self-Efficacy, Self-Regulation, Self-Care and the Blood Glucose in Pregnant Women at Risk for Gestational Diabetes Mellitus at the Lerdsin Hospital. Journal of Behavioral Science for Development, 5(1), 129-138.
Gettong, N., & Rujiraprasert, N. (2018). The Relationships Between Knowledge about Overweight During Pregnancy, Perceived Self-Efficacy and Health behaviors among Pregnant Women with Overweight. Srinagarind medical journal, 33(2), 129-135. (in Thai)
Glass, G. V. (1996). Primary, Secondary, and Meta-Analysis of Research. Educational Researcher, 5, 3-8.
Gojuntak, R., Suppaseemanont, W., & Sangin. S. (2018). Effects of a Perceived Self-Efficacy in Nutrition Enhancement Program on Nutrition Health Behavior and Weight Gain of Primigravida Pregnant Women with Pre-Pregnancy Overweight. Nursing Journal of the Ministry of Public Health, 27(3), 80-90. (in Thai)
Institute of Medicine. (2009). Weight Gain During Pregnancy: Reexamining The Guidelines: Report brief MAY.
Izadirad, H., M. Sc., Niknami, S., & Hidarnia, A. (2017). Effects of Social Support and Self-Efficacy on Maternal Prenatal Cares Among the First-Time Pregnant Women, Iranshahr, Iran. Journal of Family and Reproductive Health, 11(2), 67-73.
Kaenphueak, Y., Junprasert, S., & Asawachaisuwikrom. W. (2014). Outcomes of Self-Regulation on Eating Behavior and Brisk Walk for Weight Control in Overweight Women. The Public Health Journal of Burapha University, 9(1), 104-116. (in Thai)
Kennelly, M. A., Ainscough, K., Lindsay, K. L., O'Sullivan, E., Gibney, E. R., McCarthy, M., et al., (2018). Pregnancy Exercise and Nutrition with Smartphone Application Support: A Randomized Controlled trial. Obstetrics & Gynecology, 131(5), 818-826.
Luhar, S., Mallinson, P., Clarke, L., & Kinra, S. (2018). Trends in The Socioeconomic Patterning of Overweight/Obesity in India: a repeated Cross-sectional Study using Nationally Representative Data. The British Medical Journal, 8(10), e023935. https://doi.org/10.1136/bmjopen-2018-023935
Nitirat, P., Aramsin, R., Khaojang, C., Prachanno, W., Lekwong, S., & Ampansiri, A. (2020). Effects of Self-Management Program for People with Over Body Mass Index and High Cholesterol in Chanthaburi: a Study of People at Risk of Chronic Diseases in TumbolThachang, Chanthaburi Province, Thailand. Journal of Health Science, 29(6), 1025-1034. (in Thai)
Pinitlertsakun, O., Limruangrong, P., Sinsuksai, N., & Boriboonhirunsarn, D. (2019). A Self-Regulation Program on Dietary Consumption, Exercise, and Weight Gain for Overweight and Obese Pregnant Women. Nursing Science Journal, 37(2), 26-42. (in Thai)
Plangwan, W., & Wattananukulkiat, S. (2012). Effects of Self-Efficacy Enhancement Program on Nutritional Health Behavior of Pregnant Adolescents. Journal of Nurses Association of Thailand, North-Eastern Division, 30(2), 16-22. (in Thai)
Polit, D. E., & Beck, C. T. (2006). Essentials of Nursing Research. (6th ed. ). Philadelphia: Lippincott.
Ryan, P., & Sawin, K. J. (2009). The Individual and Family Self-Management Theory: Background and Perspectives on Context, Process, and Outcomes. Nursing Outlook, 57(4), 217-225.e216. doi:10.1016/j.outlook.2008.10.004.
Siriarunrat, S., Tachasuksri, T., & Deoisres, W., (2018). Prevalence and Factors Affected to Excessive Gestational Weight Gain among Pregnant Women in the Eastern part of Thailand. Journal of Public Health Nursing, 32(3), 19-36. (in Thai)
Srithongluang, S., Siriarunrat, S., & Tachasuksri, T. (2019). Effects of Self-Regulation Program on Weight Control Behavior and Normal Gestational Weight Gain Based among Pregnant Women with Overweight or Obese before Pregnancy. Journal of Nursing and Health Care, 37(4), 52-61. (in Thai)
Su, X., J, Huang, S., J., Li, X., & Du, Q, (2020). Prepregnancy Overweight and Obesity Are Associated with an Increased Risk of Preterm Birth in Chinese Women. Obesity Facts, 2, 237-244. doi: 10.1159/000506688
Thitiyanviroj, B., Limruangrong, P., Yusamran, C., Vongsirimas, N., & Boriboonhiransarn, D. (2019). Factors Predicting Second Trimester Weight Gain In Overweight and Obese Pregnant Women. Journal of Nursing and Health Care, 37(2), 170-179. (in Thai)
Tielemans, M. J., Erler, N. S., Leermakers, E.T.M., Van Den Broek, M., Jaddoe, V.W.V., Steegers, E.A.P., et al., (2015). A Priori and a Posteriori Dietary Patterns During Pregnancy and Gestational Weight Gain: The Generation R Study. Nutrients, 7(11), 9383-9399.
Willcox, J., Wilkinson, S., Lappas, M., Ball, K., Crawford, D., McCarthy, E., et al., (2017). A Mobile Health Intervention Promoting Healthy Gestational Weight Gain for Women Entering Pregnancy at A High Body Mass Index: the txt4 Two Pilot Randomised Controlled Trial. Royal College of Obstetricians & Gynecologists: An International Journal of Obstetrics & Gynaecology, 124(11), 1718-1728.
Wrottesley, S. V., Pisa, P. T., & Norris, S. A. (2017). The Influence of Maternal Dietary Patterns on Body Mass Index and Gestational Weight Gain in Urban Black South African Women. Nutrients, 9(7), 732-745.
Downloads
Published
Issue
Section
License
Copyright (c) 2022 The Southern College Network Journal of Nursing and Public Health

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
1. บทความหรือข้อคิดเห็นใด ๆ ที่ปรากฏในวารสารเครือข่าย วิทยาลัยพยาบาลและการสาธารณสุขภาคใต้ ที่เป็นวรรณกรรมของผู้เขียน บรรณาธิการหรือเครือข่ายวิทยาลัยพยาบาลและวิทยาลัยการสาธารณสุขภาคใต้ ไม่จำเป็นต้องเห็นด้วย
2. บทความที่ได้รับการตีพิมพ์ถือเป็นลิขสิทธิ์ของ วารสารเครือข่ายวิทยาลัยพยาบาลและการสาธารณสุขภาคใต้

