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Feasibility of a Digital Intervention to Promote Healthy Weight Management among Postpartum African American/Black Women

The study aim was to implement and evaluate the feasibility of a culturally informed (“BeFAB”) app for African American/Black women to address postpartum weight. Women (n = 136; mean age = 27.8 ± 5.4; mean BMI = 32.5 ± 4.3) were recruited from postpartum units, and randomly assigned to receive BeFAB...

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Autores principales: Napolitano, Melissa A., Harrington, Cherise B., Patchen, Loral, Ellis, Lindsey P., Ma, Tony, Chang, Katie, Gaminian, Azar, Bailey, Caitlin P., Evans, W. Douglas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7927035/
https://www.ncbi.nlm.nih.gov/pubmed/33672229
http://dx.doi.org/10.3390/ijerph18042178
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author Napolitano, Melissa A.
Harrington, Cherise B.
Patchen, Loral
Ellis, Lindsey P.
Ma, Tony
Chang, Katie
Gaminian, Azar
Bailey, Caitlin P.
Evans, W. Douglas
author_facet Napolitano, Melissa A.
Harrington, Cherise B.
Patchen, Loral
Ellis, Lindsey P.
Ma, Tony
Chang, Katie
Gaminian, Azar
Bailey, Caitlin P.
Evans, W. Douglas
author_sort Napolitano, Melissa A.
collection PubMed
description The study aim was to implement and evaluate the feasibility of a culturally informed (“BeFAB”) app for African American/Black women to address postpartum weight. Women (n = 136; mean age = 27.8 ± 5.4; mean BMI = 32.5 ± 4.3) were recruited from postpartum units, and randomly assigned to receive BeFAB (n = 65) or usual care (n = 71) for 12 weeks. App content included didactic lessons delivered via a virtual coach, app-based messages, goal setting and tracking, and edutainment videos. Feasibility outcomes included recruitment, retention and engagement, and self-reported acceptability. Behavioral (i.e., diet, physical activity), psychosocial (i.e., stress, coping, support, self-efficacy) and weight outcomes were also examined. Recruitment goals were met, but attrition was high, with 56% retention at 12 weeks. Approximately half of participants accessed the app and set a goal ≥one time, but <10% reported achieving a nutrition or activity goal. Among study completers, ≥60% found the app content at least somewhat helpful. Within-group changes for BeFAB among completers were found for increased moderate-to-vigorous physical activity and decreased fruit/vegetable intake and weight. Findings indicate initial feasibility of recruiting postpartum women to participate in a digital healthy body weight program but limited use, reflecting low acceptability and challenges in engagement and retention. Future research is needed on strategies to engage and retain participants in postpartum interventions.
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spelling pubmed-79270352021-03-04 Feasibility of a Digital Intervention to Promote Healthy Weight Management among Postpartum African American/Black Women Napolitano, Melissa A. Harrington, Cherise B. Patchen, Loral Ellis, Lindsey P. Ma, Tony Chang, Katie Gaminian, Azar Bailey, Caitlin P. Evans, W. Douglas Int J Environ Res Public Health Article The study aim was to implement and evaluate the feasibility of a culturally informed (“BeFAB”) app for African American/Black women to address postpartum weight. Women (n = 136; mean age = 27.8 ± 5.4; mean BMI = 32.5 ± 4.3) were recruited from postpartum units, and randomly assigned to receive BeFAB (n = 65) or usual care (n = 71) for 12 weeks. App content included didactic lessons delivered via a virtual coach, app-based messages, goal setting and tracking, and edutainment videos. Feasibility outcomes included recruitment, retention and engagement, and self-reported acceptability. Behavioral (i.e., diet, physical activity), psychosocial (i.e., stress, coping, support, self-efficacy) and weight outcomes were also examined. Recruitment goals were met, but attrition was high, with 56% retention at 12 weeks. Approximately half of participants accessed the app and set a goal ≥one time, but <10% reported achieving a nutrition or activity goal. Among study completers, ≥60% found the app content at least somewhat helpful. Within-group changes for BeFAB among completers were found for increased moderate-to-vigorous physical activity and decreased fruit/vegetable intake and weight. Findings indicate initial feasibility of recruiting postpartum women to participate in a digital healthy body weight program but limited use, reflecting low acceptability and challenges in engagement and retention. Future research is needed on strategies to engage and retain participants in postpartum interventions. MDPI 2021-02-23 2021-02 /pmc/articles/PMC7927035/ /pubmed/33672229 http://dx.doi.org/10.3390/ijerph18042178 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Napolitano, Melissa A.
Harrington, Cherise B.
Patchen, Loral
Ellis, Lindsey P.
Ma, Tony
Chang, Katie
Gaminian, Azar
Bailey, Caitlin P.
Evans, W. Douglas
Feasibility of a Digital Intervention to Promote Healthy Weight Management among Postpartum African American/Black Women
title Feasibility of a Digital Intervention to Promote Healthy Weight Management among Postpartum African American/Black Women
title_full Feasibility of a Digital Intervention to Promote Healthy Weight Management among Postpartum African American/Black Women
title_fullStr Feasibility of a Digital Intervention to Promote Healthy Weight Management among Postpartum African American/Black Women
title_full_unstemmed Feasibility of a Digital Intervention to Promote Healthy Weight Management among Postpartum African American/Black Women
title_short Feasibility of a Digital Intervention to Promote Healthy Weight Management among Postpartum African American/Black Women
title_sort feasibility of a digital intervention to promote healthy weight management among postpartum african american/black women
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7927035/
https://www.ncbi.nlm.nih.gov/pubmed/33672229
http://dx.doi.org/10.3390/ijerph18042178
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