scholarly journals Effect of a Short Message Service Intervention on Excessive Gestational Weight Gain in a Low-Income Population: A Randomized Controlled Trial

Nutrients ◽  
2020 ◽  
Vol 12 (5) ◽  
pp. 1428
Author(s):  
Hannah Holmes ◽  
Cristina Palacios ◽  
YanYan Wu ◽  
Jinan Banna
Keyword(s):  
Physical Activity ◽  
Weight Gain ◽  
Low Income ◽  
Short Message Service ◽  
Intervention Group ◽  
Control Group ◽  
Short Message ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain ◽  
Message Service

Objectives: The objective of this trial was to investigate the effect of educational short message service (SMS), or text messages, on excessive gestational weight gain (GWG) in a low-income, predominantly overweight/obese population. Methods: Participants (n = 83) were mostly overweight/obese women recruited at Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) clinics on the island of O’ahu, Hawai’i at 15–20 weeks gestational age. The intervention group received SMS on nutrition and physical activity during pregnancy designed to help them meet Institute of Medicine (IOM) guidelines for GWG and American College of Obstetricians and Gynecologists guidelines for exercise, respectively. The control group received SMS about general health topics during pregnancy, excluding nutrition and physical activity. Both groups received one text message per week for eighteen weeks. GWG was defined as the difference between the last self-reported weight taken before delivery and participants’ self-reported weight before pregnancy. Differences between study groups were examined using t-tests and Chi-square tests. Linear regression models were used to examine association of GWG with study group and other factors. Results: GWG was similar (p = 0.58) in the control group (14.1 ± 11.4 kg) and the intervention group (15.5 ± 11.6 kg). The percentage of participants exceeding IOM guidelines for GWG was similar (p = 0.51) in the control group (50.0%, n = 17) and the intervention group (60.5%, n = 23). Conclusions: GWG was not significantly different between intervention and control groups. Trials that begin earlier in pregnancy or before pregnancy with longer intervention durations and varying message frequency as well as personalized or interactive messages may be needed to produce significant improvements.

scholarly journals Effect of Educational Short Message Service (SMS) on Excessive Gestational Weight Gain (GWG)

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 1004-1004
Author(s):  
Hannah Holmes ◽  
Cristina Palacios ◽  
Yan Yan Wu ◽  
Jinan Banna
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Intervention Group ◽  
Text Messages ◽  
Control Group ◽  
Short Message ◽  
Control Groups ◽  
Gestational Weight ◽  
Message Service ◽  
And Control

Abstract Objectives The objective of this trial was to investigate the effect of educational short message service (SMS), or text messages, on gestational weight gain (GWG) in a low-income population. It was expected that the intervention group, which received text messages on nutrition and physical activity during pregnancy, would experience less GWG when compared to the control group. Methods Participants (n = 83) were recruited at WIC clinics on the island of O‘ahu, Hawai‘i at 15–20 weeks gestational age. Eligibility criteria were: body mass index (BMI) of 25–45 kg/m2 in the first trimester, 18 years of age or older at the time of recruitment, and possession of a cellular phone with the ability to receive text messages. After recruitment, participants were randomized into intervention (n = 42) and control (n = 41) groups. The intervention group received SMS on nutrition and physical activity during pregnancy per the Institute of Medicine and American College of Obstetricians and Gynecologists guidelines, respectively. The control group received SMS about general health topics during pregnancy. Both groups received one text message per week for eighteen weeks. GWG was defined as the difference between the last weight taken before delivery and participants’ self-reported weight before pregnancy. GWG in intervention and control groups was compared using a linear regression model. Results Women were age 27.7 ± 5.3y on average, 65.5% were Native Hawaiian, Pacific Islander or American Indian, 54.8% had some college or more and 37.8% were employed. The average weight before pregnancy was higher in the intervention group (80.6 + 17.7 kg) than that in the control group (76.2 + 15.9 kg), but this difference was not significant (P = 0.24). GWG was lower in the control group (14.1 + 11.4 kg) compared to the intervention group (15.5 + 11.6 kg), but this result was not significant (P = 0.58). Conclusions There was no significant difference in gestational weight gain between the intervention and control groups. Trials that begin earlier in pregnancy or before pregnancy with longer interventions and more frequent messages are needed. Funding Sources Mountain West Clinical Translational Research Infrastructure Network under a grant from the National Institute of General Medicine Sciences of the National Institutes of Health.

Effect of an mHealth-Based Intervention on Excessive Gestational Weight Gain Prevention among Overweight and Obese Women: A Randomized Controlled Trial (Preprint)

2021 ◽  
Author(s):  
Hung Hui Chen ◽  
Ching-Fang Lee ◽  
Jian-Pei Huang ◽  
Li-Kang Chi ◽  
Yvonne Hsiung
Keyword(s):  
Physical Activity ◽  
Weight Gain ◽  
Controlled Trial ◽  
Intervention Group ◽  
Control Group ◽  
Obese Women ◽  
Third Trimester ◽  
Overweight Women ◽  
Mhealth Intervention ◽  
Excessive Gestational Weight Gain

BACKGROUND Excessive gestational weight gain (GWG) is a public health concern since it can lead to adverse consequences and health problems for expecting mothers and their unborn infants. There is a need to evaluate the effects of a GWG management intervention to reduce the burden and risk among overweight and obese women during pregnancy. OBJECTIVE To explore the efficacy of a mobile health (mHealth) intervention to prevent excessive GWG, overweight and obese pregnant women were invited to use an app and wearable activity tracker (WAT). METHODS A randomized controlled trial with an experimental study design. Ninety-two pregnant women were recruited, and all overweight and obese participants from the two prenatal outpatient clinics in northern Taiwan had, at less than 17 weeks gestation, a prepregnancy body mass index (BMI) ≥ 25 kg/m2. These participants were randomly assigned (1:1) by a random number table; the experimental group received an mHealth-based program using the MyHealthyWeight (MHW) app and a WAT to wear during pregnancy. The control group received standard antenatal treatments without any mHealth-based elements. Two hospital follow-up visits were scheduled at 24-26 weeks in the second trimester and 34-36 weeks in the third trimester. Sociodemographic characteristics, pregnancy physical activity questionnaire (PPAQ), a self-efficacy questionnaire and body weight were measures of interest. A generalized estimating equation (GEE) was used to examine the trajectories and the intervention effect on GWG. RESULTS No difference in GWG was found between the intervention and control groups at baseline. The weight gain trajectory in the entire cohort of women with obesity exhibited a quadratic pattern; compared with the control group, a slight increase in the intervention group was found in the second trimester. Throughout the whole pregnancy, the mHealth intervention group had a significantly lower proportion of excessive GWG in total and weekly weight gain. In particular, obese women in the intervention group, compared with obese women in the control group, gained less weight (average difference of 8.76 kg) in the third trimester. The GEE model indicated that obese women who were aged 35 years, had prepregnancy exercise habits, had perceived self-efficacy of diet, and had more physical activity had lower GWG (p<.05). CONCLUSIONS The mHealth program has shown positive results in significantly managing GWG among obese and overweight women. Among obese women, the second semester trajectory of weight gain and the lower proportion of excessive GWG were more notable than those of overweight women. Although the intervention seems to be more effective among women with obesity, our results show the potential to prevent excessive GWG during pregnancy in both overweight and obese women. Guidance may be provided to health-care professionals who wish to promote healthy diet and physical activity behaviors. CLINICALTRIAL The protocol of the study was registered in ClinicalTrials. gov (NCT04553731).

scholarly journals Effectiveness of the eCARE programme: a short message service for asthma monitoring

2019 ◽  
Vol 26 (1) ◽  
pp. e100007
Author(s):  
Lathy Prabhakaran ◽  
Yap Chun Wei
Keyword(s):  
Asthma Control ◽  
Short Message Service ◽  
Intervention Group ◽  
Routine Care ◽  
Controlled Study ◽  
Care Group ◽  
Control Group ◽  
Short Message ◽  
Message Service ◽  
Randomised Controlled

ObjectiveTo evaluate the effectiveness of the upgraded eCARE monitoring system on asthma control in discharged emergency department (ED) patients.MethodsA multicentre randomised controlled study (randomised controlled trial) was done for patients with a primary diagnosis of asthma seen at the EDs in Singapore between 1 March 2013 and 28 February 2015. Those who met the inclusion criteria were randomised into a control group (routine care, n=212) and intervention group (eCARE, n=212). Patients in the intervention group received short message service (SMS) messages according to a structured workflow, while patients in the control group did not receive SMS support.ResultsFor patients with poorly controlled asthma at recruitment, the results at 5 weeks showed no statistical difference in the proportion of patients who attained well-controlled asthma between the eCARE and routine care groups. At 3 months, the routine care group had a higher proportion of patients with well-controlled asthma but this was not statistically significant after adjustment for baseline differences using logistic regression. Approximately 95% of patients under the eCARE programme were satisfied with the SMS service.DiscussionPatients in the eCARE programme did not have better asthma control than those receiving routine care. Conversely, patients in the eCARE programme appeared to have poorer asthma control, though a larger sample size will be required to confirm this finding.

Short Message Service (SMS)-based strategy to improve antipsychotic adherence in schizophrenia

2011 ◽  
Vol 26 (S2) ◽  
pp. 1454-1454 ◽  
Author(s):  
J.M. Montes ◽  
M. Gómez Beneyto ◽  
A. Tesoro ◽  
T. Díez ◽  
J. Maurino
Keyword(s):  
Antipsychotic Medication ◽  
Short Message Service ◽  
Intervention Group ◽  
Absolute Difference ◽  
Adherence Rate ◽  
Control Group ◽  
Antipsychotic Treatment ◽  
Short Message ◽  
Message Service ◽  
Sms Reminders

ObjectivePoor adherence to antipsychotic treatment is a well-recognized challenge among patients with schizophrenia and is associated with increased morbidity and consumption of health care resources.We evaluated the effect of daily Short Message Service (SMS) reminders on patients’ adherence to antipsychotic medication in schizophrenia.MethodsClinically stabilized outpatients with schizophrenia and considered to be poor adherent (at least one affirmative answer of Morisky-Green questionnaire -MAQ) to antipsychotic monotherapy were included in a multicenter, randomized, open-label, controlled trial. Participants were randomized to receive a daily SMS reminder on their cell phone to take their medication during 3 months or current standard of care. The primary outcome measure was improvement in adherence rate (mean MAQ score) after 3 months.Results254 patients were analysed, 66.5% men. Mean age: 39.7 years (SD = 11.03). Baseline socio-demographic and clinical characteristics were similar between the two groups. No significant differences in baseline mean MAQ scores were observed between groups (2.23, SD = 0.94 and 2.23, SD = 0.85, respectively).At month 3, mean MAQ score in the intervention group was 1.2 and 1.53 in the control group. Absolute difference in mean adherence rate between groups was −0.33 (95%CI −0.62, −0.03; p = 0.03). Largest change from baseline was observed in question 4 of the questionnaire “When you feel better, do you sometimes stop taking your medicine?” (percentage of affirmative answers in the SMS group vs control was 45% and 59%, respectively, p = 0.02).ConclusionsSMS reminders, added to standard interventions for schizophrenia management, may help many patients to improve adherence to antipsychotic medication.

scholarly journals Effectiveness of mobile short message service intervention to increase parental socio-demographic knowledge of drowning prevention in Bangladesh

2020 ◽  
Vol 7 (8) ◽  
pp. 2906
Author(s):  
Mosharaf Hossain ◽  
Kulanthayan K. C. Mani
Keyword(s):  
Short Message Service ◽  
Intervention Group ◽  
Developed Countries ◽  
Control Group ◽  
Short Message ◽  
Middle Income ◽  
Drowning Prevention ◽  
Under Five ◽  
Message Service ◽  
Socio Demographic Factors

Background: Drowning is the third leading cause of death for children aged 0–4 years in many Asian countries, and is a serious but neglected health problem in low and middle-income countries (LMICs) like Bangladesh. In Bangladesh, drowning rates are 10 to 20 times more than those in other developed countries. The aim of this study is the efficiency of mobile SMS intervention for increasing parental socio-demographic knowledge of drowning prevention in Bangladesh.Methods: A cluster randomized community trial with 788 parents of children aged under five in a rural community of Bangladesh. The intervention was the mobile short message service (SMS) for parents of children under five years concerning the prevention of drowning. The main outcome of this study was the differences in knowledge of parents with socio-demographic factors concerning the prevention of drowning between the baseline and immediate follow-up after the intervention, and after three months.Results: There was a significant improvement in knowledge in the intervention group compared to the control group at different time points. There is a significant association with parental age, education, gender, and income and to improve childhood drowning prevention knowledge of parents to compare control group of parents.Conclusions: Special programmes and training could be increase knowledge about childhood drowning prevention in Bangladesh and should be broadcast on the radio and television networks.

scholarly journals Focusing on Excessive Gestational Weight Gain through Weight Tracking Among Participants of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in Southern California

2017 ◽  
Vol 15 (3) ◽  
pp. 15-24 ◽  
Author(s):  
Maria Koleilat ◽  
Loan P. Kim ◽  
Shannon E. Whaley
Keyword(s):  
Weight Gain ◽  
Gestational Weight Gain ◽  
Intervention Group ◽  
Infants And Children ◽  
Control Group ◽  
Supplemental Nutrition ◽  
Nutrition Program ◽  
Gestational Weight ◽  
Excessive Gestational Weight Gain ◽  
Supplemental Nutrition Program

Background and Purpose: Studies have shown that maternal obesity and excessive gestational weight gain (GWG) lead to adverse health outcomes for the mother and her offspring. Yet, knowledge of the best way to intervene is still lacking. The objective of this study was to develop, pilot and evaluate a sustainable intervention to prevent excessive GWG among participants of the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) in southern California. Methods: We conducted a prospective cohort study where the intervention group received an individual education program that included a GWG tracker. The historical control group was a group of women from the same WIC site who gave birth before the start of the intervention, therefore did not receive the intervention. Chi-square tests and t-tests were used to compare characteristics of the control and intervention groups and the proportions of women exceeding the Institute of Medicine (IOM) recommendations for GWG. Results: The impact of the intervention was strongest for overweight women. 62.5% of the control group gained more than the recommended amount compared to 48.6% in the intervention group. Conclusion: A simple weight tracking intervention could be a cost-neutral way to help WIC participants avoid excessive GWG.

scholarly journals Pengaruh short message service (SMS) terhadap pengetahuan dan intensi menyusui di Kabupaten Purbalingga Provinsi Jawa Tengah

2017 ◽  
Vol 33 (5) ◽  
pp. 261
Author(s):  
Zly Wahyuni ◽  
Theodola Baning Rahayujati ◽  
Mohammad Hakimi
Keyword(s):  
Short Message Service ◽  
Intervention Group ◽  
T Test ◽  
Control Group ◽  
Short Message ◽  
Breastfeeding Intention ◽  
Message Service ◽  
Quasi Experimental ◽  
Equivalent Control ◽  
Paired T Test

Effect of short message service toward knowledge and breastfeeding intention in Purbalingga district, Central JavaPurposeThis study aimed to determine the effect of short message service on improving mother's knowledge and intention in breastfeeding.MethodsThis study used a quasi-experimental design with non equivalent control group and pretest and posttest conducted with 36 breastfeeding mothers who received a breastfeeding brochure with short message service in the intervention group and 32 breastfeeding mothers who received only the brochure in the control group. The breastfeeding mothers all had an infant less than 2 months old and had a handphone. Data were processed by stata 12.0 using paired t-test, unpaired t-test and linear regression tests.ResultsThe pretest-posttest scores showed increase of knowledge about breastfeeding after delivering information of breastfeeding through short message service (p<0.05). It showed no effect of increasing breastfeeding intention after delivering information of breastfeeding through short message service (p> 0.05).ConclusionShort message service was effective to improve knowledge of breastfeeding mothers, however it had no effect in improving breastfeeding intentions.

Efektivitas Short Message Service Reminderterhadap Kepatuhan Konsumsi Tablet Besi pada Wanita Hamil

1970 ◽  
Vol 2 (3) ◽  
Author(s):  
Ermiati E ◽  
Imas Rafiyah ◽  
Devi Kusnanti
Keyword(s):  
Short Message Service ◽  
Self Report ◽  
Control Group ◽  
Short Message ◽  
Control Groups ◽  
Chi Square ◽  
Purposive Sampling ◽  
Message Service ◽  
Sms Reminder ◽  
Expectant Mothers

Anemia merupakan salah satu penyebab terjadinya perdarahan dan bisa mengakibatkan kematian pada ibu hamil. Suplementasi besi merupakan program pemerintah dalam mengatasi anemia pada wanita hamil dan beberapa wanita hamil masih ada yang belum patuh dalam mengkonsumsi tablet besi. Oleh karena itu, diperlukan sebuah metode yang bisa meningkatkan kepatuhan wanita hamil dalam mengonsumsi tablet besi yaitu dengan short message service (SMS) reminder. Penelitian ini bertujuan untuk mengidentifikasi efektivitas SMS reminderterhadap kepatuhan konsumsi tablet besi pada ibu hamil di (unit pelayanan terpadu) UPT Puskesmas Cibuntu Kota Bandung. Rancangan penelitian quasi experimentaldengan desain posttest-only with control group designdengan teknik pengambilan sampel yang digunakan adalah purposive sampling. Penelitian ini dilaksanakan dari bulan April–Mei tahun 2014 di Puskesmas X Kota Bandung. Sampel berjumlah 40 orang wanita hamil yang tidak patuh dalam mengonsumsi tablet besi yang dibagi menjadi 20 kelompok intervensi dan 20 kelompok kontrol. Data diperoleh melalui kuesioner dalam bentuk self report.Analisis data yang digunakan adalah analisis deskriptif dan uji chi square. Hasil penelitian menunjukkan sebagian besar kelompok intervensi 17 orang (85%) patuh dan sebagian besar kelompok kontrol 16 orang (80%) tidak patuh. Hasil analisis dengan menggunakan chi squaredidapatkan p(0.000) dengan taraf signifikan <0.05 sehingga dapat disimpulkan bahwa SMS reminder efektif terhadap kepatuhan konsumsi tablet besi pada wanita hamil dan bisa dijadikan bahan pertimbangan bagi pihak Puskesmas untuk menjalin kerjasama dengan pihak provideratau mengajukan dana ke Dinas Kesehatan untuk mengaktifkan SMS reminderdi Puskesmas.Kata kunci: Kepatuhan, SMS reminder,tablet besi, wanita hamil AbstractAnemia is one of the leading causes of hemorrhage during pregnancy, and it can cause death to expectant mothers. Iron supplementation is a government program to overcome anemia among expectant mothers, and some of the expectant mothers still do not obediently consume iron tablets. Therefore, to increase the obedience of the expectant mothers on consuming the iron tablets, SMS reminder is the appropriate method needed. This research aims to identify the effectiveness of SMS reminder to the obedience of iron tablets consumption among expectant mothers at UPT Puskesmas Cibuntu , Bandung. The research employed quasi-experimental design with posttest-only control group design using purposive sampling technique. The research was held on April–May 2014 at UPT Puskesmas Cibuntu, Bandung. Forty expectant mothers consuming iron tablets disobediently divided into 20 intervention groups and 20 control groups were taken as the samples. Questionnaire in form of self report was used to obtain data. In addition, descriptive analysis and chi square test were applied to analyze the data. The result of the research showed that 17 persons (85%) of intervention groups were mostly obedient, and 16 persons (80%) of control groups were mostly disobedient. From the analysis using chi square, it was found the difference of the obedience of iron tablets consumption after SMS reminder (p=0.00) had been delivered with significant level <0.05. Based on the result of this research, SMS reminder had an effective impact toward the obedience of iron tablets consumption among the expectant mothers. The result will be a good consideration for Puskesmas to cooperate with provider or proposed some funds to Dinas Kesehatan to activate SMS reminder.Key words:Expectant mothers, obedience, SMS reminder, iron tablets

scholarly journals THE EFFECT OF SHORT MESSAGE SERVICE (SMS) TEXTING ON MEDICATION ADHERENCE AMONG TUBERCULOSIS PATIENTS

2019 ◽  
Vol 13 (1) ◽  
pp. 49
Author(s):  
Yunus Adhy Prasetyo
Keyword(s):  
Medication Adherence ◽  
Short Message Service ◽  
T Test ◽  
Control Group ◽  
Short Message ◽  
Tuberculosis Patients ◽  
The Public ◽  
Significant Difference ◽  
Message Service ◽  
Experimental Group

The study was conducted to examine the effect of Short Message Service (SMS) Texting on medication adherence among tuberculosis patients. 68 persons diagnosed with tuberculosis and registered in the public health center in Klari, Karawang, West Java, Indonesia, were randomly appointed to an experimental or control group; 34 persons assigned to each group. Participants in the experimental group received routine SMS Texting, while those in the control group receive none. Data were analyzed using Dependent t-test and Independent t-test. The results indicated that after participating by receiving SMS texting, there was a significant improvement in medication adherence in TB patients in the experimental group, which was shown by significant difference in mean score of medication adherence. In addition, after participating in the program, there was a meaningful difference in mean scores of medication adherence between the experimental group (X=6.38, SD=0.85) and the control group (X=3.64, SD=1.04), p<0.01. The SMS Texting method appears to be effective in improving medication adherence among TB patients.

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