Smoking Cessation Clinical Trial
Official title:
Promoting Health During Pregnancy: A Multiple Behavior Computer Tailored Intervention
This program of research tested the effectiveness of an iPad delivered multiple behavior intervention grounded in the Transtheoretical Model of Behavior Change for pregnant women. It was hypothesized that the intervention would reduce the number of health behavior risks reported by pregnant women in the treatment group. The target behaviors of the intervention are smoking cessation and relapse prevention, stress management, and fruit and vegetable consumption.
Promoting health behaviors during pregnancy has tremendous public health significance. Poor
health behaviors are associated with pregnancy complications, birth outcomes, and the health
of the child. They influence infant birthweight, premature birth, and infant mortality
rates, all of which continue to be public health concerns, reflected in the goals of Healthy
People 2020.
Pregnant women, particularly those from under-served populations, often have a multitude of
health behavior risks that threaten positive pregnancy and birth outcomes, as well as the
future health of mother and baby. Pregnancy offers a window of opportunity for behavioral
intervention. The immediate health risk for the baby motivates most pregnant women to at
least consider changing their behavior. Furthermore, the regular and continual medical care
that most pregnant women receive allows optimal access for intervention. The circumstance of
pregnancy can be used as a teachable moment to better the future health of women and
children.
The primary goals of this study were to complete and enhance the development of an iPad
delivered intervention and to assess the efficacy in a randomized clinical trial involving
pregnant women from three federally-funded community health centers that treat under-served
populations. Using interactive technology, users complete onscreen assessments and receive
individually tailored feedback messages on key behavior change strategies identified by the
Transtheoretical Model of Behavior Change and matched to their stage of readiness for each
behavior. Supplemental intervention components were created including printed feedback
reports, a multiple behavior stage-based manual, and Spanish versions of all intervention
materials. This intervention offers a cost-effective, science based, and easily deliverable
solution to improve multiple health behaviors, and overall health and well-being, of
populations of pregnant women.
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Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Subject), Primary Purpose: Prevention
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