Neighborhood Deprivation and the Effectiveness of Mobile Health Coaching to Improve Periconceptional Nutrition and Lifestyle in Women: Survey in a Large Urban Municipality in the Netherlands (Preprint)

• DOI: 10.2196/preprints.11664
• Publication Date: 2018-07-26T10:57:16Z
• Authors: Dionne V Gootjes; Matthijs R van Dijk; Maria PH Koster; Sten P Willemsen; Eric AP Steegers; Régine PM Steeger...
• Keywords: Adult; Urban Population; Nutritional Sciences; EMC NIHES-01-66-01; Information technology; 03 medical and health sciences; 0302 clinical medicine; Pregnancy; Residence Characteristics; Surveys and Questionnaires; Odds Ratio; Humans; Program Development; Netherlands; 2. Zero hunger; Original Paper; 1. No poverty; Mentoring; T58.5-58.64; EMC MGC-02-52-01-A; Telemedicine; 3. Good health; Female; Public aspects of medicine; RA1-1270; Preconception Care

<sec> <title>BACKGROUND</title> In 2011, we launched the Smarter Pregnancy mobile health (mHealth) coaching program, which has shown to effectively improve inadequate nutrition and lifestyle behaviors in women before during pregnancy. It is known that deprived neighborhoods, risk factors for adverse pregnancy outcomes like accumulate. However, it not yet been investigated whether program equally effective living neighborhoods. </sec> <title>OBJECTIVE</title> This paper aimed study associations between neighborhood deprivation improvement of who were either contemplating or already pregnant subscribed program. <title>METHODS</title> We performed an additional analysis on data from used 2011 2016. The comprised 24 weeks 5 behaviors, adequate intakes defined as intake 200 grams above vegetables, 2 pieces fruit, daily folic acid supplement use 400 µg per day, no smoking alcohol consumption. Neighborhood was determined according status scores Netherlands Institute Social Research. Logistic regression analyses generalized estimating equation models assess score (NSS) taking into account at baseline. adjusted maternal age, body mass index, geographic origin, status, participation a couple. <title>RESULTS</title> Of 2554 included, 521 participated with their male partner. Overall, vegetable most frequently start (77.72, 1985/2554). Women higher NSS (ie, nondeprived neighborhood) smoked less often (adjusted odds ratio [OR] 0.85; 95% CI 0.77-0.93), consumed more OR 1.14, 1.04-1.24), likely complete (OR 0.91, 0.88-0.95) compared lived low deprived). total group, relative after 26% 64%. negatively associated this improvement, indicating especially 0.89, 0.82-0.97). <title>CONCLUSIONS</title> mHealth empowers behaviors. Unexpectedly, seemed important unravel differences needs specific target groups further tailor basis demographic characteristics deprivation.