Moving MobileMums forward: protocol for a larger randomized controlled trial of an improved physical activity program for women with young children

BMC Public Health

Brianna S Fjeldsoe²  Adrian G Barnett³  Nicholas Graves³  Yvette D Miller¹  Alison L Marshall³ 

[1] The University of Queensland, School of Psychology, Brisbane, Australia;The University of Queensland, School of Population Health, Cancer Prevention Research Centre, Brisbane, Australia;Queensland University of Technology, Institute of Health and Biomedical Innovation, School of Public Health and Social Work, Faculty of Health, Brisbane, Australia

关键词: Intervention;    Exercise;    Postnatal women;    Mobile telephone;    SMS;    Text message;   

Others  :  1162089
DOI  :  10.1186/1471-2458-13-593

 received in 2013-04-05, accepted in 2013-06-13,  发布年份 2013

【 摘 要 】

Background

Women with young children (under 5 years) are a key population group for physical activity intervention. Previous evidence highlights the need for individually tailored programs with flexible delivery mechanisms for this group. Our previous pilot study suggested that an intervention primarily delivered via mobile phone text messaging (MobileMums) increased self-reported physical activity in women with young children. An improved version of the MobileMums program is being compared with a minimal contact control group in a large randomised controlled trial (RCT).

Methods/design

This RCT will evaluate the efficacy, feasibility and acceptability, cost-effectiveness, mediators and moderators of the MobileMums program. Primary (moderate-vigorous physical activity) and secondary (intervention implementation data, health service use costs, intervention costs, health benefits, theoretical constructs) outcomes are assessed at baseline, 3-months (end of intervention) and 9-months (following 6-month no contact: maintenance period).

The intervention commences with a face-to-face session with a behavioural counsellor to initiate rapport and gather information for tailoring the 12-week text message program. During the program participants also have access to a: MobileMums Participant Handbook, MobileMums refrigerator magnet, MobileMums Facebook^© group, and a MobileMums website with a searchable, on-line exercise directory. A nominated support person also receives text messages for 12-weeks encouraging them to offer their MobileMum social support for physical activity.

Discussion

Results of this trial will determine the efficacy and cost-effectiveness of the MobileMums program, and the feasibility of delivering it in a community setting. It will inform the broader literature of physical activity interventions for women with young children and determine whether further investment in the translation of the program is warranted.

Trial registration

The trial is registered with the Australian New Zealand Clinical Trials Registry (ACTRN12611000481976).

【 授权许可】

   
2013 Marshall et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A: Physical activity and public health: updated recommendation for adults from the american college of sports medicine and the american heart association. Medicine and Science in Sports and Exercise 2007, 39(8):1423-1434.
• [2]Centers for Disease Control and Prevention: Prevalence of physical activity, including lifestyle activities among adults -United States, 2000–2001. Morb Mortal Wkly Rep 2003, 52(32):764-769.
• [3]Craig R, Mindell J, Hirani V: Health survey for england 2008: physical activity and fitness. Volume 1. London: The NHS Information Centre for health and social care; 2009:395.
• [4]Australian Institute of Health and Welfare: Key indicators of progress for chronic disease and associated determinants: data report. Cat. no. PHE 142. Canberra: AIHW; 2011.
• [5]Brown W, Mishra G, Lee C, Bauman A: Leisure time physical activity in aAustralian women: relationship with well being and symptoms. Res Q Exerc Sport 2000, 71(3):206-216.
• [6]Brown W, Trost S: Life transitions and changing physical activity patterns in young women. American Journal of Preventitive Medicine 2003, 25(2):140-143.
• [7]Brown WJ, Burton NW, Rowan PJ: Updating evidence on physical activity and health in women. Am J Prev Med 2007, 33(5):404-411.
• [8]Nomaguchi KM, Bianchi SM: Exercise time: gender differences in the effects of marriage, parenthood, and employment. J Marriage Fam 2004, 66(2):413-430.
• [9]Collins BS, Marshall AL, Miller YD: Physical activity in women with young children: How can we assess “anything that’s not sitting”? Women Health 2007, 45(2):95-116.
• [10]Miller Y, Trost S, Brown W: Mediators of physical activity behavior change among women with young children. American Journal of Preventitive Medicine 2002, 23(2):98-103.
• [11]Lewis B, Ridge D: Mothers reframing physical activity: family oriented politicism, transgression and contested expertise in Australia. Soc Sci Med 2005, 60:2295-2306.
• [12]Miller Y, Brown W: Determinants of active leisure for women with young children- an “ethic of care” prevails. Leisure Sciences 2005, 27:405-420.
• [13]Clarke KK, Freeland-Graves J, Klohe-Lehman DM, Milani T, Nuss H, Laffrey S: Promotion of physical actvity in low-income mothers using pedometers. J Am Diet Assoc 2007, 107:962-967.
• [14]Cody R, Lee C: Development and evaluation of a pilot program to promote exercise among mothers of preschool children. Int J Behav Med 1999, 6(1):13-29.
• [15]Cramp A, Brawley L: Moms in motion: a group-mediated cognitive-behavioural physical activity intervention. Int J Behav Nutr Phys Act 2006, 3(23):1-9.
• [16]Fahrenwald NL, Atwood JR, Walker SN, Johnson DR, Berg K: A randomized pilot test of “Moms on the Move” a physical activity intervention for WIC Mothers. Ann Behav Med 2004, 27(2):82-90.
• [17]Watson N, Milat AJ, Thomas M, Currie J: The feasibility and effectiveness of pram walking groups for postpartum women in western Sydney. Health Promot J Aust 2005, 16(2):93-99.
• [18]Armstrong K, Edwards H: The effectiveness of a pram-walking exercise programme in reducing depressive symptomatology for postnatal women. Int J Nurs Pract 2004, 10:177-194.
• [19]Daley AJ, Winter H, Grimmett C, McGuinness M, McManus R, MacArthur C: Feasibility of an exercise intervention for women with postnatal depression: a pilot randomised controlled trial. Br J Gen Pract 2008, 58(548):178-183.
• [20]Armstrong K, Edwards H: The effects of exercise and social support on mothers reporting depressive symptoms: a pilot randomized controlled trial. Int J Ment Health Nurs 2003, 12:130-138.
• [21]Currie J: Pramwalking as postnatal exercise and support: an evaluation of the stroll Your Way to Well-Being Program and supporting resources in terms of individual participation rates and community group formation. Australian College of Midwives 2001, 14(2):21-25.
• [22]Rowley C, Dixon L, Palk R: Promoting physical activity: walking programmes for mothers and children. Community Pract 2007, 80(3):28-32.
• [23]Albright CL, Maddock JE, Nigg CR: Increasing physical activity in postpartum multiethnic women in Hawaii: results from a pilot study. BMC Womens Health 2009, 9:4. BioMed Central Full Text
• [24]Reinhardt JA, van der Ploeg HP, Grzegrzulka R, Timperley JG: lmplementing lifestyle change through phone-based motivational interviewing in rural-based women with previous gestational diabetes mellitus. Health Promot J Austr 2012, 23(1):5-9.
• [25]Fjeldsoe BS, Miller YD, O’Brien JL, Marshall AL: Iterative development of MobileMums: a physical activity intervention for women with young children. Int J Behav Nutr Phys Act 2012, 9:151. BioMed Central Full Text
• [26]Fjeldsoe BS, Miller YD, Marshall AL: Social cognitive mediators of the effect of the MobileMums intervention on physical activity. Health Psychol 2012, 2012:2012.
• [27]Fjeldsoe BS, Miller YD, Marshall AL: MobileMums: a randomized controlled trial of an SMS-based physical activity intervention. Ann Behav Med 2010, 39(2):101-111.
• [28]Begg C, Cho M, Eastwood S, Horton R, Moher D, Olkin I, Pitkin R, Rennie D, Schulz KF, Simel D, et al.: Improving the quality of reporting of randomized controlled trials. The CONSORT statement. JAMA 1996, 276(8):637-639.
• [29]Australian Bureau of Statistics: 2011 Census of population and housing: Basic community profile, Caboolture. Cat no. 2001. : ; 2011.
• [30]Freedson P, Melanson E, Sirard J: Calibration of the Computer Science and Applications Inc. accelerometer. Medicine and Science in Sports and Exercise 1998, 30(5):777-781.
• [31]Matthews CE, Hagstromer M, Pober DM, Bowles HR: Best practices for using physical activity monitors in population-based research. Med Sci Sports Exerc 2012, 44(1 Suppl 1):S68-S76.
• [32]Fjeldsoe BS, Marshall AL, Miller YD: Measurement properties of the Australian women’s activity survey. Med Sci Sports Exerc 2009, 41(5):1020-1033.
• [33]Australian Government: Medicare benefits schedule book. Edited by Department of Health and Ageing. Canberra, Australia: Australian Government Department of Health and Ageing; 2012.
• [34]Ware J Jr, Kosinski M, Keller SD: A 12-item short-form health survey: construction of scales and preliminary tests of reliability and validity. Med Care 1996, 34(3):220-233.
• [35]Brazier J, Roberts J, Deverill M: The estimation of a preference-based measure of health from the SF-36. J Health Econ 2002, 21(2):271-292.
• [36]Brazier J, Usherwood T, Harper R, Thomas K: Deriving a preference-based single index from the UK SF-36 Health Survey. J Clin Epidemiol 1998, 51(11):1115-1128.
• [37]Graves N, McKinnon L, Reeves M, Scuffham P, Gordon L, Eakin E: Cost-effectiveness analyses and modelling the lifetime costs and benefits of health-behaviour interventions. Chronic Illn 2006, 2(2):97-107.
• [38]Gordon L, Graves N, Hawkes A, Eakin E: A review of the cost-effectiveness of face-to-face behavioural interventions for smoking, physical activity, diet and alcohol. Chronic Illn 2007, 3(2):101-129.
• [39]Marcus BH, Owen N: Motivational readiness, self-efficacy and decision-making for exercise. J Appl Soc Psychol 1992, 22(1):3-16.
• [40]Rodgers WM, Brawley LR: The role of outcome expectancies in participation motivation. J Sport Exerc Psychol 1991, 13:411-427.
• [41]Williams DM, Anderson ES, Winett RA: A review of the outcome expectancy construct in physical activity research. Ann Behav Med 2005, 29(1):70-79.
• [42]Cramp A, Brawley L: Sustaining self-regulatory efficacy and psychological outcome expectations for postnatal exercise: effects of a group-mediated cognitive behavioural intervention. Br J Health Psychol 2009, 14(Pt 3):595-611.
• [43]Rovniak LS, Anderson ES, Winnett RA, Stephenson RS: Social cognitive determinants of physical activity in young adults: a prospective structual equation analysis. Ann Behav Med 2002, 24(2):149-156.
• [44]Sallis JF, Grossman RM, Pinski RB, Patterson TL, Nader PR: The development of scales to measure social support for diet and exercise behaviors. Prev Med 1987, 16:825-836.
• [45]Hoehner CM, Brennan LK, Elliot MB, Handy SL, Brownson RC: Perceived and objective environmental measures and physical actvity among US adults. Am J Health Promot 2005, 28(2):s105-s116.
• [46]Brownson RC, Chang JJ, Ainsworth BE, Kirtland KA, Saelens BE, Sallis JF: Measuring the environment for friendliness toward physical activity: a comparison of the reliabililty of 3 questionnaires. Am J Public Health 2004, 94(3):473-483.
• [47]Statistics ABo: Census dictionary, 2006 (reissue). ABS, Canberra, ACT: Cat no. 2901.0; 2006.
• [48]Graves N, Barnett AG, Halton KA, Veerman JL, Winkler E, Owen N, Reeves MM, Marshall A, Eakin E: Cost-effectiveness of a telephone-delivered intervention for physical activity and diet. PLoS One 2009, 4(9):e7135.
• [49]Eakin EG, Reeves MM, Marshall AL, Dunstan DW, Graves N, Healy GN, Bleier J, Barnett AG, O’Moore-Sullivan T, Russell A, et al.: Living well with diabetes: a randomized controlled trial of a telephone-delivered intervention for maintenance of weight loss, physical activity and glycaemic control in adults with type 2 diabetes. BMC Public Health 2010, 10(1):452. BioMed Central Full Text
• [50]Preacher KJ, Hayes AF: SPSS and SAS procedures for estimating indirect effects in simple mediation models. Behav Res Methods Instrum Comput 2004, 36(4):717-731.
• [51]Fjeldsoe BS, Neuhaus M, Winkler E, Eakin E: Systematic review of maintenance of behavior change following physical activity and dietary interventions. Health Psychol 2011, 30(1):99-109.