My Baby, My Move+: feasibility of a community prenatal wellbeing intervention

Abstract Background Excessive gestational weight gain (EGWG), insufficient prenatal physical activity and sleep, and poor psychological wellbeing independently increase risks for adverse maternal and infant outcomes. A novel approach to mitigate these risks is utilizing peer support in a community-b...

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Main Authors: Jenn A. Leiferman, Rachael Lacy, Jessica Walls, Charlotte V. Farewell, Mary K. Dinger, Danielle Symons Downs, Sarah S. Farrabi, Jennifer L. Huberty, James F. Paulson
Format: Article
Language:English
Published: BMC 2023-07-01
Series:Pilot and Feasibility Studies
Subjects:
Online Access:https://doi.org/10.1186/s40814-023-01368-1
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author Jenn A. Leiferman
Rachael Lacy
Jessica Walls
Charlotte V. Farewell
Mary K. Dinger
Danielle Symons Downs
Sarah S. Farrabi
Jennifer L. Huberty
James F. Paulson
author_facet Jenn A. Leiferman
Rachael Lacy
Jessica Walls
Charlotte V. Farewell
Mary K. Dinger
Danielle Symons Downs
Sarah S. Farrabi
Jennifer L. Huberty
James F. Paulson
author_sort Jenn A. Leiferman
collection DOAJ
description Abstract Background Excessive gestational weight gain (EGWG), insufficient prenatal physical activity and sleep, and poor psychological wellbeing independently increase risks for adverse maternal and infant outcomes. A novel approach to mitigate these risks is utilizing peer support in a community-based prenatal intervention. This study assessed the feasibility (acceptability, demand, implementation, and practicality) of a remotely delivered prenatal physical activity intervention called My Baby, My Move + (MBMM +) that aims to increase prenatal physical activity, enhance mood and sleep hygiene, and reduce EGWG. Methods Participants were recruited through community organizations, local clinics, and social media platforms in the Fall of 2020 and Spring of 2021. Eligible pregnant women were randomized to either the MBMM + intervention or the control group. Each group met over Zoom for 16 sessions (twice weekly for 60 min over 8 weeks) to learn either behavioral change and wellbeing knowledge and skills (MBMM +) or knowledge and skills related to parenting (control group). Multiple methods of evaluation to better understand the feasibility of the intervention were conducted. Results A total of 49 women (25 MBMM + intervention, 24 control) completed both pre- and post-survey assessments and were included in the analyses. A subsample of 19 (39%) intervention participants completed a combination of semi-structured interviews/surveys to assess acceptability, demand, implementation, and practicality. Participants expressed positive feedback regarding acceptability (satisfaction and intent to continue use) and were extremely likely or likely to recommend the program to a friend (demand). Implementation metrics were assessed by observation and feedback forms completed by peer leaders and demonstrated high-quality control. Findings suggest that the intervention was practical due to remote sessions and cost-effectiveness. Conclusion The MBMM + intervention was deemed to be a feasible intervention with high acceptability, demand, implementation, and practicality. These findings can be used to inform the scalability of the intervention and implementation of a larger efficacy trial. Trial registration 19–1366, initial date is on January 23, 2020.
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spelling doaj.art-eef14964accc43a1a8a5d62a5b4ed2172023-07-30T11:08:06ZengBMCPilot and Feasibility Studies2055-57842023-07-019111410.1186/s40814-023-01368-1My Baby, My Move+: feasibility of a community prenatal wellbeing interventionJenn A. Leiferman0Rachael Lacy1Jessica Walls2Charlotte V. Farewell3Mary K. Dinger4Danielle Symons Downs5Sarah S. Farrabi6Jennifer L. Huberty7James F. Paulson8Colorado School of Public Health, University of Colorado | Anschutz Medical CampusColorado School of Public Health, University of Colorado | Anschutz Medical CampusColorado School of Public Health, University of Colorado | Anschutz Medical CampusColorado School of Public Health, University of Colorado | Anschutz Medical CampusColorado School of Public Health, University of Colorado | Anschutz Medical CampusDepartment of Kinesiology, College of Health and Human Development, The Pennsylvania State UniversityGoldfarb School of Nursing at Barnes-Jewish CollegeCollege of Health Solutions, Arizona State UniversityDepartment of Psychology, Old Dominion UniversityAbstract Background Excessive gestational weight gain (EGWG), insufficient prenatal physical activity and sleep, and poor psychological wellbeing independently increase risks for adverse maternal and infant outcomes. A novel approach to mitigate these risks is utilizing peer support in a community-based prenatal intervention. This study assessed the feasibility (acceptability, demand, implementation, and practicality) of a remotely delivered prenatal physical activity intervention called My Baby, My Move + (MBMM +) that aims to increase prenatal physical activity, enhance mood and sleep hygiene, and reduce EGWG. Methods Participants were recruited through community organizations, local clinics, and social media platforms in the Fall of 2020 and Spring of 2021. Eligible pregnant women were randomized to either the MBMM + intervention or the control group. Each group met over Zoom for 16 sessions (twice weekly for 60 min over 8 weeks) to learn either behavioral change and wellbeing knowledge and skills (MBMM +) or knowledge and skills related to parenting (control group). Multiple methods of evaluation to better understand the feasibility of the intervention were conducted. Results A total of 49 women (25 MBMM + intervention, 24 control) completed both pre- and post-survey assessments and were included in the analyses. A subsample of 19 (39%) intervention participants completed a combination of semi-structured interviews/surveys to assess acceptability, demand, implementation, and practicality. Participants expressed positive feedback regarding acceptability (satisfaction and intent to continue use) and were extremely likely or likely to recommend the program to a friend (demand). Implementation metrics were assessed by observation and feedback forms completed by peer leaders and demonstrated high-quality control. Findings suggest that the intervention was practical due to remote sessions and cost-effectiveness. Conclusion The MBMM + intervention was deemed to be a feasible intervention with high acceptability, demand, implementation, and practicality. These findings can be used to inform the scalability of the intervention and implementation of a larger efficacy trial. Trial registration 19–1366, initial date is on January 23, 2020.https://doi.org/10.1186/s40814-023-01368-1PrenatalPerinatalPregnancyFeasibilityWellbeingPeer intervention
spellingShingle Jenn A. Leiferman
Rachael Lacy
Jessica Walls
Charlotte V. Farewell
Mary K. Dinger
Danielle Symons Downs
Sarah S. Farrabi
Jennifer L. Huberty
James F. Paulson
My Baby, My Move+: feasibility of a community prenatal wellbeing intervention
Pilot and Feasibility Studies
Prenatal
Perinatal
Pregnancy
Feasibility
Wellbeing
Peer intervention
title My Baby, My Move+: feasibility of a community prenatal wellbeing intervention
title_full My Baby, My Move+: feasibility of a community prenatal wellbeing intervention
title_fullStr My Baby, My Move+: feasibility of a community prenatal wellbeing intervention
title_full_unstemmed My Baby, My Move+: feasibility of a community prenatal wellbeing intervention
title_short My Baby, My Move+: feasibility of a community prenatal wellbeing intervention
title_sort my baby my move feasibility of a community prenatal wellbeing intervention
topic Prenatal
Perinatal
Pregnancy
Feasibility
Wellbeing
Peer intervention
url https://doi.org/10.1186/s40814-023-01368-1
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