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Impact Evaluation of the Get Healthy in Pregnancy Program: Evidence of Effectiveness.
- Source :
- Healthcare (2227-9032); Sep2023, Vol. 11 Issue 17, p2414, 11p
- Publication Year :
- 2023
-
Abstract
- The efficacy of lifestyle interventions for reduced gestational weight gain (GWG) is established, but evidence of their effectiveness is limited. The Get Healthy in Pregnancy (GHiP) program is a telephone health coaching program supporting healthy GWG delivered state-wide in New South Wales, Australia. This evaluation explores the impact of GHiP on behavioural outcomes and GWG, analysing GHiP participant data (n = 3702 for 2018–2019). We conducted McNamar's tests to explore within-individual change for behavioural outcomes and logistic regression to assess associations between demographic characteristics, participant engagement and behavioural and weight outcomes for women who completed the program. Participants who completed ten coaching calls made significant improvements (all p < 0.001) in more health-related behaviours (walking, vigorous physical activity, vegetable consumption, takeaway meals and sweetened drink consumption) than those who completed fewer calls. Among women with valid weight change data (n = 245), 31% gained weight below, 33% gained weight within, and 36% gained weight above GWG guidelines. Pre-pregnancy BMI was the only factor significantly associated with meeting GWG guidelines. Women with pre-pregnancy overweight and obesity had lower odds than those with a healthy weight of having GWG within the guidelines. The majority of these women did not gain weight above the guidelines. A higher proportion of women with pre-pregnancy obesity gained weight below the guidelines (33.8%) than above the guidelines (28.5%). GHiP has the potential to support all pregnant women, including those with pre-pregnancy obesity, to achieve a healthier pregnancy. [ABSTRACT FROM AUTHOR]
- Subjects :
- WEIGHT gain in pregnancy
HEALTH education
EVALUATION of medical care
INFERENTIAL statistics
EVALUATION of human services programs
PATIENT participation
VEGETABLES
BEVERAGES
FOOD consumption
DRINKING (Physiology)
RETROSPECTIVE studies
PREGNANT women
PHYSICAL activity
WALKING
DESCRIPTIVE statistics
PRENATAL care
LOGISTIC regression analysis
HEALTH promotion
Subjects
Details
- Language :
- English
- ISSN :
- 22279032
- Volume :
- 11
- Issue :
- 17
- Database :
- Complementary Index
- Journal :
- Healthcare (2227-9032)
- Publication Type :
- Academic Journal
- Accession number :
- 171857213
- Full Text :
- https://doi.org/10.3390/healthcare11172414