Impact Evaluation of the Get Healthy in Pregnancy Program: Evidence of Effectiveness
The efficacy of lifestyle interventions for reduced gestational weight gain (GWG) is established, but evidence of their effectiveness is limited. The Get Healthy in Pregnancy (GHiP) program is a telephone health coaching program supporting healthy GWG delivered state-wide in New South Wales, Austral...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-08-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/17/2414 |
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| author | Bronwyn McGill Dominic Lees Justine Salisbury Tahlia Reynolds Sandy Davidson Edwina Dorney Sarah Yeun-Sim Jeong Blythe J. O’Hara |
| author_facet | Bronwyn McGill Dominic Lees Justine Salisbury Tahlia Reynolds Sandy Davidson Edwina Dorney Sarah Yeun-Sim Jeong Blythe J. O’Hara |
| author_sort | Bronwyn McGill |
| collection | DOAJ |
| description | The efficacy of lifestyle interventions for reduced gestational weight gain (GWG) is established, but evidence of their effectiveness is limited. The Get Healthy in Pregnancy (GHiP) program is a telephone health coaching program supporting healthy GWG delivered state-wide in New South Wales, Australia. This evaluation explores the impact of GHiP on behavioural outcomes and GWG, analysing GHiP participant data (n = 3702 for 2018–2019). We conducted McNamar’s tests to explore within-individual change for behavioural outcomes and logistic regression to assess associations between demographic characteristics, participant engagement and behavioural and weight outcomes for women who completed the program. Participants who completed ten coaching calls made significant improvements (all <i>p</i> < 0.001) in more health-related behaviours (walking, vigorous physical activity, vegetable consumption, takeaway meals and sweetened drink consumption) than those who completed fewer calls. Among women with valid weight change data (n = 245), 31% gained weight below, 33% gained weight within, and 36% gained weight above GWG guidelines. Pre-pregnancy BMI was the only factor significantly associated with meeting GWG guidelines. Women with pre-pregnancy overweight and obesity had lower odds than those with a healthy weight of having GWG within the guidelines. The majority of these women did not gain weight above the guidelines. A higher proportion of women with pre-pregnancy obesity gained weight below the guidelines (33.8%) than above the guidelines (28.5%). GHiP has the potential to support all pregnant women, including those with pre-pregnancy obesity, to achieve a healthier pregnancy. |
| first_indexed | 2024-03-10T23:22:31Z |
| format | Article |
| id | doaj.art-5b933bd8b9ab4ccfb4f74d3f43f3d063 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-10T23:22:31Z |
| publishDate | 2023-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-5b933bd8b9ab4ccfb4f74d3f43f3d0632023-11-19T08:10:38ZengMDPI AGHealthcare2227-90322023-08-011117241410.3390/healthcare11172414Impact Evaluation of the Get Healthy in Pregnancy Program: Evidence of EffectivenessBronwyn McGill0Dominic Lees1Justine Salisbury2Tahlia Reynolds3Sandy Davidson4Edwina Dorney5Sarah Yeun-Sim Jeong6Blythe J. O’Hara7Prevention Research Collaboration, Charles Perkins Centre, Sydney School of Public Health, The University of Sydney, Camperdown, NSW 2006, AustraliaBiostatistics Training Program, NSW Ministry of Health, St Leonards, NSW 2065, AustraliaCentre for Population Health, NSW Ministry of Health, St Leonards, NSW 2065, AustraliaCentre for Population Health, NSW Ministry of Health, St Leonards, NSW 2065, AustraliaCentre for Population Health, NSW Ministry of Health, St Leonards, NSW 2065, AustraliaCentre for Population Health, NSW Ministry of Health, St Leonards, NSW 2065, AustraliaCentre for Population Health, NSW Ministry of Health, St Leonards, NSW 2065, AustraliaPrevention Research Collaboration, Charles Perkins Centre, Sydney School of Public Health, The University of Sydney, Camperdown, NSW 2006, AustraliaThe efficacy of lifestyle interventions for reduced gestational weight gain (GWG) is established, but evidence of their effectiveness is limited. The Get Healthy in Pregnancy (GHiP) program is a telephone health coaching program supporting healthy GWG delivered state-wide in New South Wales, Australia. This evaluation explores the impact of GHiP on behavioural outcomes and GWG, analysing GHiP participant data (n = 3702 for 2018–2019). We conducted McNamar’s tests to explore within-individual change for behavioural outcomes and logistic regression to assess associations between demographic characteristics, participant engagement and behavioural and weight outcomes for women who completed the program. Participants who completed ten coaching calls made significant improvements (all <i>p</i> < 0.001) in more health-related behaviours (walking, vigorous physical activity, vegetable consumption, takeaway meals and sweetened drink consumption) than those who completed fewer calls. Among women with valid weight change data (n = 245), 31% gained weight below, 33% gained weight within, and 36% gained weight above GWG guidelines. Pre-pregnancy BMI was the only factor significantly associated with meeting GWG guidelines. Women with pre-pregnancy overweight and obesity had lower odds than those with a healthy weight of having GWG within the guidelines. The majority of these women did not gain weight above the guidelines. A higher proportion of women with pre-pregnancy obesity gained weight below the guidelines (33.8%) than above the guidelines (28.5%). GHiP has the potential to support all pregnant women, including those with pre-pregnancy obesity, to achieve a healthier pregnancy.https://www.mdpi.com/2227-9032/11/17/2414pregnancygestational weight gainpreventionlifestyle interventionphysical activityhealthy eating |
| spellingShingle | Bronwyn McGill Dominic Lees Justine Salisbury Tahlia Reynolds Sandy Davidson Edwina Dorney Sarah Yeun-Sim Jeong Blythe J. O’Hara Impact Evaluation of the Get Healthy in Pregnancy Program: Evidence of Effectiveness Healthcare pregnancy gestational weight gain prevention lifestyle intervention physical activity healthy eating |
| title | Impact Evaluation of the Get Healthy in Pregnancy Program: Evidence of Effectiveness |
| title_full | Impact Evaluation of the Get Healthy in Pregnancy Program: Evidence of Effectiveness |
| title_fullStr | Impact Evaluation of the Get Healthy in Pregnancy Program: Evidence of Effectiveness |
| title_full_unstemmed | Impact Evaluation of the Get Healthy in Pregnancy Program: Evidence of Effectiveness |
| title_short | Impact Evaluation of the Get Healthy in Pregnancy Program: Evidence of Effectiveness |
| title_sort | impact evaluation of the get healthy in pregnancy program evidence of effectiveness |
| topic | pregnancy gestational weight gain prevention lifestyle intervention physical activity healthy eating |
| url | https://www.mdpi.com/2227-9032/11/17/2414 |
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