The sedentary behavior reduction in pregnancy intervention (SPRING) pilot and feasibility randomized trial
Abstract Pregnant individuals rarely achieve moderate-to-vigorous intensity physical activity recommendations. Purpose The sedentary behavior reduction in pregnancy intervention (SPRING) pilot and feasibility randomized trial aimed to demonstrate feasibility, acceptability, and initial efficacy of a...
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| Format: | Article |
| Language: | English |
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BMC
2024-04-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-024-06474-3 |
| _version_ | 1797209012407631872 |
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| author | Bethany Barone Gibbs Andrea C. Kozai Shannon N. McAdoo Kelliann D. Davis Meghan B. Savidge Joshua L. Paley Alisse Hauspurg Janet M. Catov |
| author_facet | Bethany Barone Gibbs Andrea C. Kozai Shannon N. McAdoo Kelliann D. Davis Meghan B. Savidge Joshua L. Paley Alisse Hauspurg Janet M. Catov |
| author_sort | Bethany Barone Gibbs |
| collection | DOAJ |
| description | Abstract Pregnant individuals rarely achieve moderate-to-vigorous intensity physical activity recommendations. Purpose The sedentary behavior reduction in pregnancy intervention (SPRING) pilot and feasibility randomized trial aimed to demonstrate feasibility, acceptability, and initial efficacy of a lower intensity intervention targeting reduced sedentary behavior and increased standing and steps. Methods First trimester pregnant individuals at risk for high sedentary behavior and adverse pregnancy outcomes (APO) were randomized 2:1 to a multi-component sedentary behavior reduction intervention or no-contact control. Intervention components included biweekly remote health coaching, wearable activity monitor, height-adjustable workstation, and a private Facebook group. Evidence-based behavioral targets included sedentary time < 9 h/day, increasing standing by 2–3 h/day, and ≥ 7500 steps/day. Participants completed all-remote assessments (baseline, second trimester, third trimester) of sedentary behavior and activity (thigh-worn activPAL) along with exploratory pregnancy health outcomes abstracted from medical records. Intervention effects vs. control were evaluated using generalized mixed models and an intention-to-treat approach. Intervention participants also provided feedback on perceived benefits and acceptability. Results Participants (34 intervention; 17 control) had mean age 32 years, were 83% White, with mean pre-pregnancy BMI 28 kg/m2. Retention was high (90% and 83% at second and third trimester follow-up visits). Intervention participants decreased sedentary time (-0.84 h/day, p = 0.019) and increased standing (+0.77 h/day, p = 0.003), but did not increase steps/day (+710, p = 0.257) compared to controls. Intervention participants reported many perceived benefits and identified the wearable, height-adjustable workstation, and behavioral lessons as most useful. Conclusion For pregnant individuals at risk for high sedentary behavior and APOs, a sedentary behavior reduction intervention is feasible, acceptable, and may offer a viable alternative to more intense physical activity recommendations during pregnancy. Further testing in a fully powered clinical trial is warranted. Trial registration NCT05093842 on clinicaltrials.gov |
| first_indexed | 2024-04-24T09:47:56Z |
| format | Article |
| id | doaj.art-9ea9a0a0b1ed4040966c15f0b2a4b92b |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-04-24T09:47:56Z |
| publishDate | 2024-04-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-9ea9a0a0b1ed4040966c15f0b2a4b92b2024-04-14T11:32:04ZengBMCBMC Pregnancy and Childbirth1471-23932024-04-0124111510.1186/s12884-024-06474-3The sedentary behavior reduction in pregnancy intervention (SPRING) pilot and feasibility randomized trialBethany Barone Gibbs0Andrea C. Kozai1Shannon N. McAdoo2Kelliann D. Davis3Meghan B. Savidge4Joshua L. Paley5Alisse Hauspurg6Janet M. Catov7Department of Epidemiology and Biostatistics, West Virginia University School of Public HealthDepartment of Epidemiology, University of PittsburghDepartment of Health and Human Development, University of PittsburghDepartment of Health and Human Development, University of PittsburghDepartment of Exercise Science, University of South CarolinaDepartment of Health and Human Development, University of PittsburghDepartment of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh, and Magee Women’s Research InstituteDepartment of Epidemiology, University of PittsburghAbstract Pregnant individuals rarely achieve moderate-to-vigorous intensity physical activity recommendations. Purpose The sedentary behavior reduction in pregnancy intervention (SPRING) pilot and feasibility randomized trial aimed to demonstrate feasibility, acceptability, and initial efficacy of a lower intensity intervention targeting reduced sedentary behavior and increased standing and steps. Methods First trimester pregnant individuals at risk for high sedentary behavior and adverse pregnancy outcomes (APO) were randomized 2:1 to a multi-component sedentary behavior reduction intervention or no-contact control. Intervention components included biweekly remote health coaching, wearable activity monitor, height-adjustable workstation, and a private Facebook group. Evidence-based behavioral targets included sedentary time < 9 h/day, increasing standing by 2–3 h/day, and ≥ 7500 steps/day. Participants completed all-remote assessments (baseline, second trimester, third trimester) of sedentary behavior and activity (thigh-worn activPAL) along with exploratory pregnancy health outcomes abstracted from medical records. Intervention effects vs. control were evaluated using generalized mixed models and an intention-to-treat approach. Intervention participants also provided feedback on perceived benefits and acceptability. Results Participants (34 intervention; 17 control) had mean age 32 years, were 83% White, with mean pre-pregnancy BMI 28 kg/m2. Retention was high (90% and 83% at second and third trimester follow-up visits). Intervention participants decreased sedentary time (-0.84 h/day, p = 0.019) and increased standing (+0.77 h/day, p = 0.003), but did not increase steps/day (+710, p = 0.257) compared to controls. Intervention participants reported many perceived benefits and identified the wearable, height-adjustable workstation, and behavioral lessons as most useful. Conclusion For pregnant individuals at risk for high sedentary behavior and APOs, a sedentary behavior reduction intervention is feasible, acceptable, and may offer a viable alternative to more intense physical activity recommendations during pregnancy. Further testing in a fully powered clinical trial is warranted. Trial registration NCT05093842 on clinicaltrials.govhttps://doi.org/10.1186/s12884-024-06474-3Thigh-worn accelerometerAcceptabilityHealth coachingMulti-level intervention |
| spellingShingle | Bethany Barone Gibbs Andrea C. Kozai Shannon N. McAdoo Kelliann D. Davis Meghan B. Savidge Joshua L. Paley Alisse Hauspurg Janet M. Catov The sedentary behavior reduction in pregnancy intervention (SPRING) pilot and feasibility randomized trial BMC Pregnancy and Childbirth Thigh-worn accelerometer Acceptability Health coaching Multi-level intervention |
| title | The sedentary behavior reduction in pregnancy intervention (SPRING) pilot and feasibility randomized trial |
| title_full | The sedentary behavior reduction in pregnancy intervention (SPRING) pilot and feasibility randomized trial |
| title_fullStr | The sedentary behavior reduction in pregnancy intervention (SPRING) pilot and feasibility randomized trial |
| title_full_unstemmed | The sedentary behavior reduction in pregnancy intervention (SPRING) pilot and feasibility randomized trial |
| title_short | The sedentary behavior reduction in pregnancy intervention (SPRING) pilot and feasibility randomized trial |
| title_sort | sedentary behavior reduction in pregnancy intervention spring pilot and feasibility randomized trial |
| topic | Thigh-worn accelerometer Acceptability Health coaching Multi-level intervention |
| url | https://doi.org/10.1186/s12884-024-06474-3 |
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