INTER-ACT: prevention of pregnancy complications through an e-health driven interpregnancy lifestyle intervention – study protocol of a multicentre randomised controlled trial

• DOI: 10.1186/s12884-017-1336-2
• Publication Date: 2017-05-26T09:55:16Z
• Authors: Annick Bogaerts; Lieveke Ameye; Margriet Bijlholt; Kelly Amuli; Dorine Heynickx; Roland Devlieger
• Keywords: Adult; Interpregnancy lifestyle intervention; Study Protocol; Young Adult; 03 medical and health sciences; 0302 clinical medicine; Clinical Protocols; Maternal obesity; Behavior Therapy; Pregnancy; Humans; Exercise; Life Style; Gestational diabetes; Pregnancy Outcome; Prenatal Care; Gynecology and obstetrics; Excessive gestational weight gain; Telemedicine; Diet; 3. Good health; Pregnancy Complications; Pregnancy-induced hypertension; RG1-991; Female; Human medicine; Risk Reduction Behavior; RCT

Excessive maternal pre-pregnancy and gestational weight gain are related to pregnancy- birth outcomes. The interpregnancy time window offers a unique opportunity intervene in order acquire healthy lifestyle before the start of new pregnancy. INTER-ACT is an e-health driven multicentre randomised controlled intervention trial targeting women at high risk complications. Eligible recruited for study day 2 or 3 postpartum. At week 6 postpartum, participants into control arm study. focuses on weight, diet, physical activity mental well-being, comprises face-to-face coaching, which behavioural change techniques central, use mobile application, Bluetooth-connected weighing scale tracker. rolled out postpartum (4 coaching sessions between month 6) pregnancy (3 sessions, one each trimester pregnancy); app used throughout two phases. Data collection includes data from medical record (pregnancy outcomes history), anthropometric (height, waist- hip circumferences, skinfold thickness body composition by bio-electrical impedance analysis), (physical weight; group only) questionnaires (socio-demographics, breastfeeding, food intake, activity, lifestyle, psychosocial factors process evaluation). Medical collected inclusion delivery subsequent All other every months until pregnancy, Primary outcome composite endpoint score pregnancy-induced hypertension, diabetes mellitus, caesarean section, large-for-gestational-age infant its implementation pregnancies during with approach. ClinicalTrials.gov Identifier: NCT02989142 . Registered August 2016.