Health coaching to prevent excessive gestational weight gain: A randomized‐controlled trial

Helen Skouteris; Skye McPhie; Briony Hill; Marita McCabe; Jeannette Milgrom; Bridie Kent; Lauren Bruce; Sharon Herring; Janette Gale; Cathrine Mihalopoulos; Sophy Shih; Glyn Teale; Jennifer Lachal

doi:10.1111/bjhp.12154

Health coaching to prevent excessive gestational weight gain: A randomized‐controlled trial

Helen Skouteris^*, Skye McPhie, Briony Hill, Marita McCabe, Jeannette Milgrom, Bridie Kent, Lauren Bruce, Sharon Herring, Janette Gale, Cathrine Mihalopoulos, Sophy Shih, Glyn Teale, Jennifer Lachal

^*Corresponding author for this work

School of Nursing and Midwifery

Research output: Contribution to journal › Article › peer-review

Abstract

ObjectivesThe objectives of this study were to evaluate the efficacy of a health coaching (HC) intervention designed to prevent excessive gestational weight gain (GWG), and promote positive psychosocial and motivational outcomes in comparison with an Education Alone (EA) group.DesignRandomized‐controlled trial.MethodsTwo hundred and sixty‐one women who were <18 weeks pregnant consented to take part. Those allocated to the HC group received a tailored HC intervention delivered by a Health Coach, whilst those in the EA group attended two education sessions. Women completed measures, including motivation, psychosocial variables, sleep quality, and knowledge, beliefs and expectations concerning GWG, at 15 weeks of gestation (Time 1) and 33 weeks of gestation (Time 2). Post‐birth data were also collected at 2 months post‐partum (Time 3).ResultsThere was no intervention effect in relation to weight gained during pregnancy, rate of excessive GWG or birth outcomes. The only differences between HC and EA women were higher readiness (b = 0.29, 95% CIs = 0.03–0.55, p < .05) and the importance to achieve a healthy GWG (b = 0.27, 95% CIs = 0.02–0.52, p < .05), improved sleep quality (b = −0.22, 95% CIs = −0.44 to −0.03, p < .05), and increased knowledge for an appropriate amount of GWG that would be best for their baby's health (b = −1.75, 95% CI = −3.26 to −0.24, p < .05) reported by the HC at Time 2.ConclusionsWhilst the HC intervention was not successful in preventing excessive GWG, several implications for the design of future GWG interventions were identified, including the burden of the intervention commitment and the use of weight monitoring. Statement of contribution What is already known on the subject? Designing interventions to address gestational weight gain (GWG) continues to be a challenge. To date, health behaviour change factors have not been the focus of GWG interventions. What does this study add? Our health coaching (HC) intervention did not reduce GWG more so than education alone (EA). There was an intervention effect on readiness and importance to achieve healthy GWG. Yet there were no group differences regarding confidence to achieve healthy GWG post‐intervention.

Original language	English
Pages (from-to)	31-51
Number of pages	0
Journal	British Journal of Health Psychology
Volume	21
Issue number	1
Early online date	31 Jul 2015
DOIs	https://doi.org/10.1111/bjhp.12154
Publication status	Published - Feb 2016

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10.1111/bjhp.12154

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@article{a50279a1fcaf44e6a9e63ec88ec40a38,

title = "Health coaching to prevent excessive gestational weight gain: A randomized‐controlled trial",

abstract = "ObjectivesThe objectives of this study were to evaluate the efficacy of a health coaching (HC) intervention designed to prevent excessive gestational weight gain (GWG), and promote positive psychosocial and motivational outcomes in comparison with an Education Alone (EA) group.DesignRandomized‐controlled trial.MethodsTwo hundred and sixty‐one women who were <18 weeks pregnant consented to take part. Those allocated to the HC group received a tailored HC intervention delivered by a Health Coach, whilst those in the EA group attended two education sessions. Women completed measures, including motivation, psychosocial variables, sleep quality, and knowledge, beliefs and expectations concerning GWG, at 15 weeks of gestation (Time 1) and 33 weeks of gestation (Time 2). Post‐birth data were also collected at 2 months post‐partum (Time 3).ResultsThere was no intervention effect in relation to weight gained during pregnancy, rate of excessive GWG or birth outcomes. The only differences between HC and EA women were higher readiness (b = 0.29, 95% CIs = 0.03–0.55, p < .05) and the importance to achieve a healthy GWG (b = 0.27, 95% CIs = 0.02–0.52, p < .05), improved sleep quality (b = −0.22, 95% CIs = −0.44 to −0.03, p < .05), and increased knowledge for an appropriate amount of GWG that would be best for their baby's health (b = −1.75, 95% CI = −3.26 to −0.24, p < .05) reported by the HC at Time 2.ConclusionsWhilst the HC intervention was not successful in preventing excessive GWG, several implications for the design of future GWG interventions were identified, including the burden of the intervention commitment and the use of weight monitoring. Statement of contribution What is already known on the subject? Designing interventions to address gestational weight gain (GWG) continues to be a challenge. To date, health behaviour change factors have not been the focus of GWG interventions. What does this study add? Our health coaching (HC) intervention did not reduce GWG more so than education alone (EA). There was an intervention effect on readiness and importance to achieve healthy GWG. Yet there were no group differences regarding confidence to achieve healthy GWG post‐intervention. ",

author = "Helen Skouteris and Skye McPhie and Briony Hill and Marita McCabe and Jeannette Milgrom and Bridie Kent and Lauren Bruce and Sharon Herring and Janette Gale and Cathrine Mihalopoulos and Sophy Shih and Glyn Teale and Jennifer Lachal",

year = "2016",

month = feb,

doi = "10.1111/bjhp.12154",

language = "English",

volume = "21",

pages = "31--51",

journal = "British Journal of Health Psychology",

issn = "1359-107X",

publisher = "Wiley-Blackwell",

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T1 - Health coaching to prevent excessive gestational weight gain: A randomized‐controlled trial

AU - Skouteris, Helen

AU - McPhie, Skye

AU - Hill, Briony

AU - McCabe, Marita

AU - Milgrom, Jeannette

AU - Kent, Bridie

AU - Bruce, Lauren

AU - Herring, Sharon

AU - Gale, Janette

AU - Mihalopoulos, Cathrine

AU - Shih, Sophy

AU - Teale, Glyn

AU - Lachal, Jennifer

PY - 2016/2

Y1 - 2016/2

N2 - ObjectivesThe objectives of this study were to evaluate the efficacy of a health coaching (HC) intervention designed to prevent excessive gestational weight gain (GWG), and promote positive psychosocial and motivational outcomes in comparison with an Education Alone (EA) group.DesignRandomized‐controlled trial.MethodsTwo hundred and sixty‐one women who were <18 weeks pregnant consented to take part. Those allocated to the HC group received a tailored HC intervention delivered by a Health Coach, whilst those in the EA group attended two education sessions. Women completed measures, including motivation, psychosocial variables, sleep quality, and knowledge, beliefs and expectations concerning GWG, at 15 weeks of gestation (Time 1) and 33 weeks of gestation (Time 2). Post‐birth data were also collected at 2 months post‐partum (Time 3).ResultsThere was no intervention effect in relation to weight gained during pregnancy, rate of excessive GWG or birth outcomes. The only differences between HC and EA women were higher readiness (b = 0.29, 95% CIs = 0.03–0.55, p < .05) and the importance to achieve a healthy GWG (b = 0.27, 95% CIs = 0.02–0.52, p < .05), improved sleep quality (b = −0.22, 95% CIs = −0.44 to −0.03, p < .05), and increased knowledge for an appropriate amount of GWG that would be best for their baby's health (b = −1.75, 95% CI = −3.26 to −0.24, p < .05) reported by the HC at Time 2.ConclusionsWhilst the HC intervention was not successful in preventing excessive GWG, several implications for the design of future GWG interventions were identified, including the burden of the intervention commitment and the use of weight monitoring. Statement of contribution What is already known on the subject? Designing interventions to address gestational weight gain (GWG) continues to be a challenge. To date, health behaviour change factors have not been the focus of GWG interventions. What does this study add? Our health coaching (HC) intervention did not reduce GWG more so than education alone (EA). There was an intervention effect on readiness and importance to achieve healthy GWG. Yet there were no group differences regarding confidence to achieve healthy GWG post‐intervention.

AB - ObjectivesThe objectives of this study were to evaluate the efficacy of a health coaching (HC) intervention designed to prevent excessive gestational weight gain (GWG), and promote positive psychosocial and motivational outcomes in comparison with an Education Alone (EA) group.DesignRandomized‐controlled trial.MethodsTwo hundred and sixty‐one women who were <18 weeks pregnant consented to take part. Those allocated to the HC group received a tailored HC intervention delivered by a Health Coach, whilst those in the EA group attended two education sessions. Women completed measures, including motivation, psychosocial variables, sleep quality, and knowledge, beliefs and expectations concerning GWG, at 15 weeks of gestation (Time 1) and 33 weeks of gestation (Time 2). Post‐birth data were also collected at 2 months post‐partum (Time 3).ResultsThere was no intervention effect in relation to weight gained during pregnancy, rate of excessive GWG or birth outcomes. The only differences between HC and EA women were higher readiness (b = 0.29, 95% CIs = 0.03–0.55, p < .05) and the importance to achieve a healthy GWG (b = 0.27, 95% CIs = 0.02–0.52, p < .05), improved sleep quality (b = −0.22, 95% CIs = −0.44 to −0.03, p < .05), and increased knowledge for an appropriate amount of GWG that would be best for their baby's health (b = −1.75, 95% CI = −3.26 to −0.24, p < .05) reported by the HC at Time 2.ConclusionsWhilst the HC intervention was not successful in preventing excessive GWG, several implications for the design of future GWG interventions were identified, including the burden of the intervention commitment and the use of weight monitoring. Statement of contribution What is already known on the subject? Designing interventions to address gestational weight gain (GWG) continues to be a challenge. To date, health behaviour change factors have not been the focus of GWG interventions. What does this study add? Our health coaching (HC) intervention did not reduce GWG more so than education alone (EA). There was an intervention effect on readiness and importance to achieve healthy GWG. Yet there were no group differences regarding confidence to achieve healthy GWG post‐intervention.

U2 - 10.1111/bjhp.12154

DO - 10.1111/bjhp.12154

M3 - Article

SN - 1359-107X

VL - 21

SP - 31

EP - 51

JO - British Journal of Health Psychology

JF - British Journal of Health Psychology

IS - 1

ER -

Health coaching to prevent excessive gestational weight gain: A randomized‐controlled trial

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