momHealth: A Feasibility Study of a Multi-behavioral Health Intervention for Pregnant and Parenting Adolescent Mothers

Kansas Journal of Medicine

article

Karen Wambach¹  Ann Davis²  Eve Lynn Nelson²  Kelli Snow³  Annie Yungmeyer⁴  Rachel Muzzy²  Karman Romero⁴  Megan Murray² 

[1] University of Kansas School of Nursiing;University of Kansas School of Medicine;Children;University of Kansas School of Nursing

关键词: adolescent pregnancy;    breastfeeding;    healthy behaviors;    healthy nutrition;    depression prevention;    multiple health behavior change;   

DOI  :  10.17161/kjm.vol1414738

学科分类：医学（综合）

来源: The University of Kansas Medical Center

【 摘 要 】

Introduction. In 2016, 209,809 babies were born to mothers 15 -19 years of age, for a live birth rate of 20.3 per 1,000 in this age group. Many health issues surround adolescent mothers and their infants, many  which can be addressed through behavioral change. We examined feasibility and acceptability of momHealth, a Multiple Health Behavior Change (MHBC) intervention focused on breastfeeding, healthy eating/active living, and depression prevention among pregnant and parenting adolescents. Methods. We used a one-group quasi-experimental longitudinal design. Nine iPad-delivered education modules, text messaging, and virtual group and individual support were provided for 12 weeks, beginning at 32 weeks of pregnancy with follow-up to 3 months postpartum. Data were collected at three home visits and ten postpartum weekly and biweekly online surveys. Results. Although recruitment and attrition presented challenges, six participants enrolled; all were pregnant with their first child, single, and had a mean age of 17.7 years (SD = 1.4). Intervention participation ranged from 59% to 91% for intervention components and three peer support groups were held. Intervention feasibility was supported by reports of clear and relevant content, reasonable time burden, iPad ease of use, and acceptable intervention length. Data collection was reported as convenient and non-burdensome, but diet recalls and activity monitoring challenged some.    Conclusions. This was the first MHBC research in adolescent pregnant women to improve breastfeeding outcomes, healthy eating/active living, and depression prevention. Findings demonstrated strengths and challenges of the interventions and methods, support feasibility and acceptability of momhealth, and informed a pilot randomized trial.

【 授权许可】

Unknown