Developing a Digital Health Promotion Program for Pregnancy

制定妊娠期数字健康促进计划

• 批准号: 9464153
• 负责人: LINN GOLDBERG
• 金额: $ 20.49万
• 依托单位: ODYSSEY SCIENCE INNOVATIONS, LLC
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-20 至 2018-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9464153
• 关键词: Accelerometer; Accountability; Adherence; Award; Behavior; Behavior Therapy; Behavior monitoring; Behavioral; Biometry; Birth; Blood Pressure; Breast Feeding; Car Phone; Cellular Phone; Centers for Disease Control and Prevention (U.S.); Child; Childhood; Communities; Computers; Data; Development; Devices; Diet; Educational Curriculum; Electronic Mail; Ensure; Equilibrium; Exercise; Feedback; Fetal Growth; Fetus; Focus Groups; Future; Gestational Diabetes; Goals; Health; Health Personnel; Health Promotion; Health behavior; Home environment; Hygiene; Individual; Instruction; Internet; Intervention; Knowledge; Learning; Life; Life Style; Meditation; Mental Depression; Monitor; Moods; Mothers; Motivation; National Institute of Child Health and Human Development; Notification; Outcome; Participant; Patients; Perception; Perinatology; Personal Behavior; Persons; Phase; Physical activity; Physicians; Physiology; Polysomnography; Postpartum Period; Pre-Eclampsia; Pregnancy; Pregnant Women; Prenatal Nutrition; Provider; Questionnaires; Recipe; Recommendation; Research; Resources; Risk; Risk Factors; Secure; Self-Administered; Sleep; Small Business Innovation Research Grant; Social Network; Socialization; Sphygmomanometers; Stress; Surveys; System; Telefacsimile; Testing; Thinness; Time; Translating; Videoconferencing; Weight; Weight Gain; Wellness Program; Wireless Technology; Woman; Women' s Group; base; commercial application; cooking; curriculum enhancement; dashboard; depression prevention; design; diabetes prevention program; digital; energy balance; evidence base; gestational weight gain; healthy weight; high risk population; improved; laptop; meetings; mobile application; monitoring device; nutrition; offspring; online resource; peer support; pregnancy hypertension; pregnancy prevention; programs; satisfaction; social communication; social networking website; stress management; stressor; tool; uptake; usability; virtual reality; web site

Personal behaviors during pregnancy influence gestational weight gain, gestational diabetes mellitus and preeclampsia, in addition to developmental programming of the offspring. This application is designed to assess the technical merit, feasibility, usability and potential commercial application of a digital platform and wellness curriculum to reduce the health risks of the mother and child during pregnancy and after delivery. Currently, there are no evidence-based, scalable and holistic digital health programs for pregnant women during and post pregnancy, and the CDC's Diabetes Prevention Program is contraindicated for pregnant women. We propose to develop the initial eight sessions (6 during pregnancy, 2 post-pregnancy) of an 18-session digital wellness program implemented during pregnancy and 6-months post-partum when women are likely to be more receptive to engage in healthy behaviors. The program translates our prior research-tested, team-based intervention paradigm from a hardcopy curriculum with multiple in-person sessions to a digital format with interactive sessions administered by the participants via the digital platform, by videoconferencing. Participants will receive a digital scale, activity and sleep tracker and a sphygmomanometer that syncs wirelessly with the digital platform to each participant's personal Dashboard account. The wireless tracking and monitoring will occur across several metrics, tiers of social networking functionality, with time and behavior- based notifications to participants to ensure program adherence. The application will be accessible by mobile phone, smart devices and computer to facilitate participant interaction, motivation, peer support, and biometric and behavior monitoring. Between sessions, women participate in goals and engage in behavioral leaning activities related to the prior session's learning objectives. Messaging to women is based upon online platform utilization, reinforcing activities, long-term goals and social communication. Daily data derived from the digital scale, blood pressure, activity and sleep tracker, when outside recommended parameters, will immediately be seamlessly transferred to the woman's EMR and healthcare provider's secure and confidential fax or email. Curriculum sessions will focus on; a) weight gain and energy balance; b) nutrition during pregnancy; c)physical activity; d) stress reduction; e) sleep hygiene; and f) pregnancy physiology and fetal growth. Postpartum sessions include a) depression prevention; b) breast feeding; c) return to healthy pre-pregnancy weight via diet and physical activity; d) life balance and socialization. All team sessions are reinforced with activities between meetings, post-session goals, educational videogames and other digital resources including, exercise and cooking instruction videos, FAQs, meal and snack recipes and a pregnancy wellness guide. We will assess program feasibility, usability, resources, tools, tier support, relevance and satisfaction of the entire platform, tools and 8 sessions an accompanying weekly activities by six teams of 5 women/team with questionnaires, focus groups, and web analytics. In addition, we will specifically assess participant usage of various application components and monitoring devices. Healthcare providers will be queried about utility, satisfaction and recommendations regarding patient data uploads to the EMR, email or fax and perceptions of the intervention by survey.

怀孕期间的个人行为会影响妊娠体重增加，妊娠糖尿病 除了后代的发展节目外，梅利氏和先兆子痫。此应用程序是 旨在评估数字的技术优点，可行性，可用性和潜在的商业应用 平台和健康课程，以降低怀孕期间和分娩后母亲和儿童的健康风险。目前，在怀孕期间和怀孕期间，没有针对孕妇的循证，可扩展和整体数字健康计划，而疾病预防疾病预防疾病的预防计划是禁忌的。我们建议在怀孕期间在怀孕期间实施的18条经验数字健康计划和产后6个月的最初八个会议（6例，在怀孕后2次），当时女性可能更容易受到健康行为的接受。该计划将我们先前的研究测试，基于团队的干预范式从具有多次面对面会议的硬拷贝课程转化为通过视频会议通过数字平台管理的交互式会话的数字格式，并通过视频会议进行了交互式会议。参与者将获得数字量表，活动和睡眠跟踪器以及一个小动物计，该表可以与每个参与者的个人仪表板帐户无线同步。无线跟踪和监视将发生在几个指标，社交网络功能的层级，以及对参与者的时间和行为的通知，以确保程序依从性。手机，智能设备和计算机可以访问该应用程序，以促进参与者的互动，动机，同伴支持以及生物识别和行为监控。在会议之间，妇女参与目标，并从事与先前会议的学习目标有关的行为倾斜活动。向妇女发出消息是基于在线平台利用，加强活动，长期目标和社会交流。当户外推荐参数时，源自数字量表，血压，活动和睡眠跟踪器的每日数据将立即被无缝转移到女性的EMR和医疗保健提供者的安全和机密传真或电子邮件中。课程会议将集中在课程上； a）体重增加和能量平衡； b）怀孕期间的营养； c）体育锻炼； d）减轻压力； e）睡眠卫生； f）妊娠生理和胎儿生长。产后会议包括a）预防抑郁； b）母乳喂养； c）通过饮食和体育锻炼恢复健康的孕前体重； D）生活平衡与社会化。所有团队会议都通过会议，会议后目标，教育视频游戏和其他数字资源（包括，锻炼和烹饪说明视频，常见问题解答，餐食和小吃食谱以及怀孕健康指南）之间的活动加强了。我们将评估计划的可行性，可用性，资源，工具，层支持，整个平台的相关性和满意度，工具和8次会议，由六支由5名女性/团队的团队伴随的每周活动，其中包括问卷，焦点小组和Web分析。此外，我们将特别评估参与者对各种应用程序组件和监视设备的使用。医疗保健提供者将对有关患者数据上传到EMR，电子邮件或传真以及对干预措施的效用，满意度和建议的疑问。