RecruitingACTRN12619000004167

Mater Mothers Hospital implementation of txt4two

Implementation and evaluation of an mHealth (mobile health) antenatal weight management and healthy lifestyle program

Sponsor

Mater Misericordiae Limited

Enrollment

300 participants

Start Date

Jul 22, 2019

Study Type

Interventional

Conditions

excess gestational weight gain

Summary

Unhealthy pregnancy lifestyle behaviours and excessive gestational weight gain are associated with negative pregnancy-related and long-term health outcomes for both mothers and infants. The present study is an evaluation of a mHealth (mobile health) intervention called txt4two, an evidence based strategy for promoting healthy nutrition, physical activity and gestational weight gain in pregnancy through the use of interactive mobile phone text messages, video messages and an information website. Participation in this evaluation study will be offered to pregnant women with BMI’s >25 and own a mobile phone. The primary aim of this study is to assess whether participants receiving the txt4two program in combination with routine dietetic care have better fruit and vegetable intake and diet quality, physical activity levels, and appropriate gestational weight gain than participants who receive routine dietetic care alone. Surveys measuring these health parameters will be collected at participant registration to the study (first booking into hospital), and again at 36 weeks gestation.

Eligibility

Sex: FemalesMin Age: 18 Yearss

Plain Language Summary

Simplified for easier understanding

Gaining too much weight during pregnancy can increase the risk of complications for both mother and baby, both during pregnancy and long-term. This study evaluates a text message and video-based health program called txt4two, which aims to encourage healthier eating habits, more physical activity, and appropriate weight gain during pregnancy. The program is delivered via mobile phone messages and a supporting website. Pregnant women at Mater Mothers Hospital who are carrying a single baby and have a BMI above 25 are invited to participate. Half receive the txt4two program alongside their usual dietitian care, while the other half receive dietitian care alone. Researchers measure fruit and vegetable intake, overall diet quality, physical activity levels, and gestational weight gain at the start of the study and again at 36 weeks of pregnancy. You may be eligible if you are pregnant with a single baby, between 10 and 17 weeks and 6 days of gestation, receiving publicly funded antenatal care at Mater Mothers Hospital in Brisbane, have a BMI above 25, and own a mobile phone. Women with multiple pregnancies or a BMI below 25 are not eligible.

This summary was AI-generated to explain the trial in plain language. It is not medical advice. Always discuss eligibility with your doctor before enrolling in a clinical trial.

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Interventions

The intervention group will receive the txt4two program. Txt4two is an evidence based program that incorporates mobile phone text-based messages, video messages and an information website following a

The intervention group will receive the txt4two program. Txt4two is an evidence based program that incorporates mobile phone text-based messages, video messages and an information website following a goal setting appointment with a dietitian. Txt4two texts (messages, website and video links) will be sent automatically by text message. Certain text messages will be tailored based on the goals that women indicate in their goal-setting appointment. Some of these messages will also be interactive. Women will receive messages about the developmental stages of their fetus, diet and physical activity information and behaviour change encouragement, weight self-monitoring, weight reporting, and individual goal review. There will be a number of links also sent to videos that women may choose to watch (this will be sent within the content of some text messages). Participants will be able to indicate their preferred frequency of text messages. A maximum of 11 messages may be received in a week (this maximum is fewer in all but one week). This will occur for a maximum of 20 weeks. How long participants are involved in the program is dependent on what gestational age they are when they join the program. The txt4two text messaging program is not currently available to the public. This has previously been piloted. https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/1471-0528.14552 Dietetic goal setting appointments will be provided in three different modes - Telehealth (a skype-type call with a dietitian), Face to Face (one on one with a dietitian), or in a dietitian-led workshop setting with other expectant mothers. Both the group and face to face appointment are held in the usual location of dietetic care in the hospital’s antenatal clinic. The telehealth appointment will be ‘hosted’ in the same room, but via a skype-like platform endorsed for use in the clinical setting. Women may be at home during this call. The current website is www.matermothers.org.au/diet and this will be populated with more nutrition in pregnancy related information, including the videos that will be re-recorded for this site. . The nutrition content will be based on the recommendations of the Australian Dietary Guidelines for pregnancy with emphasis on replacement of sugar sweetened beverages, increased fruit and vegetable intake, reduction of discretionary food groups and consumption of regular meals. (The website will be adapted and localised from the study website which is archived at: http://www.webcitation.org/6QR3k6uaM )

Locations(1)

Mater Mother's Hospital - South Brisbane

QLD, Australia

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ACTRN12619000004167