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Feasibility of a Digital Intervention to Promote Healthy Weight Management among Postpartum African American/Black Women

Bibliographic Data

ID15511339
AuthorsMelissa A Napolitano (0000-0003-2141-6171, Milken Institute, corresponding author), Cherise B Harrington (North Carolina Central University), Loral Patchen (0000-0001-8152-5658, MedStar Washington Hospital Center), Lindsey Ellis (0000-0003-3524-9271, MedStar Washington Hospital Center), Lindsey P Ellis (Women’s and Infants’ Services, Medstar Washington Hospital Center, Washington, DC 20010, USA), Tony Ma (0000-0003-3092-0572, Benten Technologies (United States)), Katie Chang (0000-0002-7948-4065, Benten Technologies (United States)), Azar Gaminian (Milken Institute), Caitlin P Bailey (0000-0001-6141-6673, Milken Institute), W D Evans (0000-0002-7559-1592, Milken Institute)
Year2021
Volume18
Issue4
Pages2178-2178
Publication date2021-02-23
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18042178
PMID33672229
OpenAlexW3132865534
LanguageEN
Citations received2
References cited40

The study aim was to implement and evaluate the feasibility of a culturally informed ("BeFAB") app for African American/Black women to address postpartum weight. Women ( n = 136; mean age = 27.8 ± 5.4; mean BMI = 32.5 ± 4.3) were recruited from postpartum units, and randomly assigned to receive BeFAB ( n = 65) or usual care ( n = 71) for 12 weeks. App content included didactic lessons delivered via a virtual coach, app-based messages, goal setting and tracking, and edutainment videos. Feasibility outcomes included recruitment, retention and engagement, and self-reported acceptability. Behavioral (i.e., diet, physical activity), psychosocial (i.e., stress, coping, support, self-efficacy) and weight outcomes were also examined. Recruitment goals were met, but attrition was high, with 56% retention at 12 weeks. Approximately half of participants accessed the app and set a goal ≥one time, but <10% reported achieving a nutrition or activity goal. Among study completers, ≥60% found the app content at least somewhat helpful. Within-group changes for BeFAB among completers were found for increased moderate-to-vigorous physical activity and decreased fruit/vegetable intake and weight. Findings indicate initial feasibility of recruiting postpartum women to participate in a digital healthy body weight program but limited use, reflecting low acceptability and challenges in engagement and retention. Future research is needed on strategies to engage and retain participants in postpartum interventions

African american · Attrition · Obesity · Physical activity · Physical therapy · Postpartum period · Pregnancy · Psychiatry · Psychological intervention · Psychosocial · Screen time · Stress management · Weight loss · Weight management · Clinical Psychology · Gestational Diabetes Research and Management · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Mobile Health and mHealth Applications · Nursing · Gerontology

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Citations per year1
Citation span2024 - 2025 (2)
Highly citedNo

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