Acceptability of a theory-based app to manage gestational weight gain for overweight and obese pregnant women- A mixed-methods study

黃建霈; 季力康; 熊誼芳; 李靜芳; 張君威; 張建玫

doi:10.6222/pej.202412_57(4).0002

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P345 - 359

社会科学 > 体育学

DOI： 10.6222/pej

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Acceptability of a theory-based app to manage gestational weight gain for overweight and obese pregnant women- A mixed-methods study

以理论为基础的应用程式於过重及肥胖孕妇在管理妊娠体重增加的可接受性－混合研究法

Jian-Pei Huang(黄建霈) ； Li-Kang Chi(季力康) ； Yvonne Hsiung(熊谊芳) ； Ching-Fang Lee(李静芳) ； Chun-Wei Chang(张君威) ； Kian-Mei Chong(张建玫)

体育学报； 57 卷 4 期 (2024 / 12 / 01) ， P345 - 359

英文;繁体中文 DOI： 10.6222/pej.202412_57(4).0002

weight control ； app ； gestational weight gain ； obese ； overweight ；体重控制；应用程式；孕期体重增加；肥胖；过重

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摘要 │ 参考文献 (33)

摘要〈TOP〉

Introduction: Overweight and obese women's excessive gestational weight gain presents a health risk for both mothers and fetuses, resulting in postpartum weight retention and long-term obesity. Despite the abundance of existing applications for pregnant women, there is a lack of methodological guidelines for integrating theory and clinical evidence to assist Taiwanese overweight and obese women in managing their gestational weight gain (GWG). This study aims to develop an mHealth application based on social-cognitive theory and assess its acceptability, focusing on the enhanced self-efficacy. Additionally, it seeks to investigate the prelimliary effects of this app on GWG management in overweight and obese women during pregnancy. Methods: Using a mixed-method approach, a pretest/posttest experimental design employing questionnaires and qualitative interviews was used to assess the preliminary effects (self-efficacy and managing gestational weight gain) and acceptability of the interventions. The quantitative data analyses were performed using SPSS for Windows, version 20.0, and the qualitative data were thematically analyzed. Results: Compared to the pretest scores, participants exhibited increased posttest scores in categories of overall-, diet-, and exercise-efficacy, as well as increased step counts. However, these improvements were not statistically significant (p > .05) even though all participants subsequently achieved optimal GWG (100%). By utilizing this app, they could set goals, self-monitoring, self-evaluation, and self-regulation to promote self-efficacy in managing gestational weight gain: the user-centered feature and short message service to adhere to gestational weight gain management. Conclusion: This theory-based app showed potential efficacy for weight management and was accepted by individuals in the overweight and obese subgroup. Its potential usefulness for healthcare professionals to assist overweight and obese pregnant women in preventing excessive gestational weight gain by promoting healthy behavior.

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参考文献 ( 33 ) 〈TOP〉

Chiou, C. J.,Kai, J. K.(2000).Reliability and validity assessment of self-efficacy scales for health-related diet and exercise behavior.Nursing Research,8(3),301-312.
连结：
Ainscough, K. M.,O'Brien, E. C.,Lindsay, K. L.,Kennelly, M. A.,O'Sullivan, E. J.,O'Brien, O. A.,McCarthy, M.,De Vito, G.,McAuliffe, F. M.(2019).Nutrition, behavior change and physical activity outcomes from the PEARS RCT-an mHealth-supported, lifestyle intervention among pregnant women with overweight and obesity.Front Endocrinol,10,938.
Ang, S. M.,Chen, J.,Liew, J. H.,Johal, J.,Dan, Y. Y.,Allman-Farinelli, M.,Lim, S. L.(2021).Efficacy of interventions that incorporate mobile apps in facilitating weight loss and health behavior change in the Asian population: Systematic review and meta-analysis.Journal of Medical Internet Research,23(11),28185.
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Bandura, A.(1991).Social cognitive theory of self-regulation.Organizational Behavior and Human Decision Processes,50(2),248-287.

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