Uygun Gestasyonel Kilo Alımını Sağlamada Whatsapp Mesajlarının Etkinliği
Project no. 23353 · Status: Kapanmış (Yayın bekleniyor) · 2021
Summary
<p> <strong>Effectiveness of Whatsapp Messages in Providing Appropriate Gestational Weight Gain</strong></p><p><strong>Purpose:</strong> This study was conducted to investigate the effectiveness of smartphone-based healthy nutrition and physical activity messages on appropriate gestational weight gain (GWG).</p><p><strong>Materials and Methods:</strong> The study is a randomized controlled experimental study. The study was conducted with 90 pregnant women (Intervention: 45, Control: 45) between June 2021 and June 2022. Groups were determined by stratified randomization according to the body mass index of the pregnant women. In the study, individual identification form, Healthy Living Behaviors in Pregnancy Scale (HLBPS), and maternal questionnaire were used. The initiative program was carried out via WhatsApp messages on a smartphone. Messages regarding routine prenatal care were sent to the intervention group three times a week, and to the control group once a month, about appropriate weight gain, nutrition, and physical activity via WhatsApp. The analysis of the data R Foundation for Statistical Computing statistical program. The results were evaluated according to the p<0.05 significance level.</p><p><strong>Results:</strong> The mean age of the pregnant women participating in the study was 29.2±3.7. The initial BMI value of the pregnant women was 26.2±4.4. 45.6% of the pregnant women who participated in the study did not have gestational weight gain information. The mean gestational weight gain was 13.1±4.3 in the intervention group and 14.6±4.2 in the control group, and no significant difference was found between the groups (p>0.05). According to the IOM guideline, there was a significant difference between the groups in terms of appropriate GWG (intervention 48.9%, control 22.2%) (p<0.05), while no significant difference was found between excessive GWG(intervention 48.9%, control 68.9%) (p>0.05). HLBPS scale total score, nutrition and physical activity post-test mean scores increased significantly in the intervention group compared to the control group (p<0.05). In the intervention group, the group/time interaction in the scale total score, nutrition and physical activity scores of the pregnant women who gained appropriate weight according to the IOM guideline was significant, and the intervention was effective (p<0.05). Significant differences were found between the groups in the pretest-posttest score differences in the HLBPS total score, nutrition and physical activity sub-dimensions of the pregnant women (p<0.05). It was found that it was significantly beneficial in the intervention group compared to the control group in terms of sending messages via smartphone and the effectiveness of the messages (p<0.05).</p><p><strong>Conclusion:</strong> Healthy nutrition and physical activity short message intervention with a smart phone increased the appropriate gestational weight gain rates of pregnants in the intervention group according to the IOM guideline, and the intervention was effective (p<0.05). However, there was no difference between the groups in terms of excessive gestational weight gain (p>0.05). It is recommended to conduct studies with a high level of evidence, including internet and social media applications, with larger samples.</p><p><strong>Keywords: </strong>Smartphone; nutrition; physical activity; gestational weight gain; intervention ; text message</p><p><strong>Trial registration:</strong> This study is registered at www.clinicaltrials.gov NCT05590832.</p>