Extrait

Background and study aims In 2012, it was found that 36% of Swedish pregnant women were overweight or obese at their first visit to their antenatal care clinic. Being overweight during pregnancy increases the risk of complications occurring both before and after childbirth and can lead to health problems in the longer term. Antenatal care is free of charge in Sweden and almost all pregnant women visit a midwife. Motivational Interviewing (MI) is a patient-centred counselling session. There is a lot of evidence to suggest that MI works well as getting people to change their behaviour patterns, but more evidence is needed on whether it can successfully promote good eating and exercise habits. Here, we want to see whether antenatal care MI sessions will promote good diet and exercise habits in pregnant woman. We will investigate whether MI prevents pregnant woman from becoming overweight or help them to lose any weight gained during pregnancy once their child is born. Who can participate? Women aged between 18-39, pregnant with their first child and with a BMI 27.0-33.9 kg/m2. They should also be living in Stockholm County and fluent in Swedish. What does the study involve? First of all, all participants are weighed and their diet and physical activity assessed. They are then randomly allocated into one of four groups. Those in group 1 attend four MI sessions during their pregnancy. Those in group 2 attend four MI sessions 3-5 months after they have given birth. Those in group 3 have two MI sessions during pregnancy and two MI sessions after they have given birth. Those in group 4 are in a control group and are given their usual standard of care. The MI sessions are given by suitably trained counsellors and focus on eating and exercise habits. Weight, dietary and exercise habits, blood pressure and general quality of life are assed for all participants 52 weeks after giving birth. What are the possible benefits and risks of participating? Possible benefits include improvements in health for both mothers and their children. There are no risks for participants. Where is the study run from? 1. Stockholm County Council (Centre for Epidemiology and Community Medicine) (Sweden) 2. Karolinska Institutet (Child and Adolescent Public Health Epidemiology, Department of Public Health Sciences), Stockholm, (Sweden) When is the study starting and how long is it expected to run for? November 2014 to December 2020 Who is funding the study? 1. Stockholm County Council (Sweden) 2. Karolinska Institutet (Sweden) Who is the main contact? Professor Finn Rasmussen [email protected]

Critère d'inclusion

• Prevention of obesity and promotion of healthy eating and physical activity habits

Liens

• isrctn
• ictrp