关键词: App-based health literacy maternal weight gain obesity patient counseling patient satisfaction

Mesh : Pregnancy Infant, Newborn Female Humans Gestational Weight Gain Prospective Studies Weight Gain Patient Compliance Body Mass Index Pregnancy Outcome

来  源:   DOI:10.1080/14767058.2023.2166400

Abstract:
UNASSIGNED: We aim to assess if implementation of an educational video module can improve patient adherence to recommended weight gain guidelines. Secondarily, we investigated if patients\' knowledge about gestational weight gain was improved with use of the video, as well as if there was a difference in maternal and neonatal outcomes, and patient satisfaction.
UNASSIGNED: This was an IRB-approved, prospective cohort study conducted from February 2019 to October 2019. Patients were recruited from a large academic practice during their first trimester of pregnancy. Patients in the control cohort received routine care. Patients in the video cohort watched a 5-min educational video module about gestational weight gain. Pre-pregnancy weight and baseline demographics were recorded. All patients took a baseline questionnaire assessing gestational weight gain knowledge upon enrollment, and again 4 weeks later. Pre and post score differences were calculated. On admission to the hospital for delivery, all patients\' gestational weight gain was calculated, and the overall gestational weight gain differences between the two groups were calculated. Maternal and neonatal delivery outcomes were also collected. T-tests, Mann-Whitney U tests, and Chi-square analyses were used to compare groups, and a p-value of <.05 was deemed statistically significant.
UNASSIGNED: During the study period, 155 patients were recruited, with 79 in control cohort and 76 in video cohort, respectively. There was no significant difference in the percentage of patients who gained the appropriate amount of weight between the two groups; 25% (18/74) of patients in the control vs. 25% (17/68) of patients in video cohort (p = .926). There was no difference in the improvement of the pre and post assessment scores when compared between the two cohorts; the average score improvement was 1.72 ± 15.09% for the control, vs. 6.20 ± 12.51% for video cohort (p = .129). There was no difference in maternal or neonatal outcomes between the two groups. Patients were overall satisfied with the video module, with 67.6% (n = 45) reporting the video to be very educational.
UNASSIGNED: Use of a video module did not improve GWG outcomes or knowledge in our study. Future work can focus on use of a recurring intervention throughout pregnancy, either with app-based technology or multiple videos.
摘要:
UNASSIGNED:我们旨在评估实施教育视频模块是否可以提高患者对推荐的体重增加指南的依从性。其次,我们调查了使用视频是否改善了患者对妊娠体重增加的知识,以及产妇和新生儿结局是否有差异,患者满意度。
未经批准:这是IRB批准的,前瞻性队列研究于2019年2月至2019年10月进行。患者在怀孕的前三个月从大型学术实践中招募。对照组患者接受常规护理。视频队列中的患者观看了有关妊娠体重增加的5分钟教育视频模块。记录孕前体重和基线人口统计学。所有患者在入组时进行基线问卷调查,评估妊娠期体重增加知识,4周后又来了。计算前后得分差异。入院分娩时,计算所有患者的妊娠体重增加,并计算两组之间的总体妊娠体重增加差异。还收集了产妇和新生儿分娩结果。T-tests,Mann-WhitneyU测试,和卡方分析用于比较组,P值<.05被认为具有统计学意义。
未经评估:在研究期间,招募了155名患者,对照组79人,视频队列76人,分别。两组之间增加适当体重的患者百分比没有显着差异;对照组中25%(18/74)的患者与视频队列中25%(17/68)的患者(p=.926)。两组之间比较,评估前后得分的改善没有差异;对照组的平均得分改善为1.72±15.09%,vs.视频队列为6.20±12.51%(p=0.129)。两组产妇或新生儿结局无差异。患者对视频模块总体满意,67.6%(n=45)的人报告视频非常有教育意义。
UNASSIGNED:在我们的研究中,使用视频模块并没有改善GWG结果或知识。未来的工作可以专注于在整个怀孕期间使用反复的干预措施,使用基于应用程序的技术或多个视频。
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