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23-04-2016 | Uitgave 5/2016

Journal of Behavioral Medicine 5/2016

Can a health coaching intervention delivered during pregnancy help prevent excessive gestational weight gain?

Tijdschrift:
Journal of Behavioral Medicine > Uitgave 5/2016
Auteurs:
Briony Hill, Helen Skouteris, Matthew Fuller-Tyszkiewicz, Skye McPhie
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Electronic supplementary material

The online version of this article (doi:10.​1007/​s10865-016-9743-9) contains supplementary material, which is available to authorized users.

Abstract

This study evaluated: (1) the efficacy of a health coaching (HC) intervention designed to prevent excessive gestational weight gain (GWG); and (2) whether there were improved psychological, motivational, and behavioural outcomes for women in the HC intervention compared to a “usual care” control group. In this quasi-experimental study, 267 pregnant women ≤18 weeks gestation were recruited between August 2011 and June 2013 from two hospital antenatal clinics in Melbourne, Australia. Intervention women received four individual HC and two group HC/educational sessions informed by theories of behaviour change. Women completed questionnaires assessing psychological, motivational and behavioural outcomes at 16–18 (baseline) and 33 (post-intervention) weeks gestation. Weight measures were collected. Compared to usual care, the intervention did not limit GWG or prevent excessive GWG. However, HC women reported greater use of active coping skills post-intervention. Despite lack of success of the HC intervention, given the risks associated with excessive weight gain in pregnancy, health professionals should continue to recommend appropriate GWG.

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Supplementary material 1 (DOCX 38 kb)
10865_2016_9743_MOESM1_ESM.docx
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