Development and Modification of a Mobile Health Program to Promote Postpartum Weight Loss in Women at Elevated Risk for Cardiometabolic Disease: Single-Arm Pilot Study

Jacinda M Nicklas; Jenn A Leiferman; Steven Lockhart; Kristen M Daly; Sheana S Bull; Linda A Barbour

doi:10.2196/16151

Development and Modification of a Mobile Health Program to Promote Postpartum Weight Loss in Women at Elevated Risk for Cardiometabolic Disease: Single-Arm Pilot Study

JMIR Form Res. 2020 Apr 9;4(4):e16151. doi: 10.2196/16151.

Authors

Jacinda M Nicklas¹, Jenn A Leiferman², Steven Lockhart³, Kristen M Daly², Sheana S Bull², Linda A Barbour^{4

5}

Affiliations

¹ Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, CO, United States.
² Community and Behavioral Health, Colorado School of Public Health, Aurora, CO, United States.
³ Adult and Child Consortium for Health Outcomes Research and Delivery Science, University of Colorado School of Medicine, Aurora, CO, United States.
⁴ Division of Endocrinology, Metabolism and Diabetes, University of Colorado School of Medicine, Aurora, CO, United States.
⁵ Division of Maternal Fetal Medicine, University of Colorado School of Medicine, Aurora, CO, United States.

PMID: 32271149
PMCID: PMC7180508
DOI: 10.2196/16151

Abstract

Background: Pregnancy complications in combination with postpartum weight retention lead to significant risks of cardiometabolic disease and obesity. The majority of traditional face-to-face interventions have not been effective in postpartum women. Mobile technology enables the active engagement of postpartum women to promote lifestyle changes to prevent chronic diseases.

Objective: We sought to employ an interactive, user-centered, and participatory method of development, evaluation, and iteration to design and optimize the mobile health (mHealth) Fit After Baby program.

Methods: For the initial development, a multidisciplinary team integrated evidence-based approaches for health behavior, diet and physical activity, and user-centered design and engagement. We implemented an iterative feedback and design process via 3 month-long beta pilots in which postpartum women with cardiometabolic risk factors participated in the program and provided weekly and ongoing feedback. We also conducted two group interviews using a structured interview guide to gather additional feedback. Qualitative data were recorded, transcribed, and analyzed using established qualitative methods. Modifications based on feedback were integrated into successive versions of the app.

Results: We conducted three pilot testing rounds with a total of 26 women. Feedback from each pilot cohort informed changes to the functionality and content of the app, and then a subsequent pilot group participated in the program. We optimized the program in response to feedback through three iterations leading to a final version.

Conclusions: This study demonstrates the feasibility of using an interactive, user-centered, participatory method of rapid, iterative design and evaluation to develop and optimize a mHealth intervention program for postpartum women.

Trial registration: ClinicalTrials.gov NCT02384226; https://www.clinicaltrials.gov/ct2/show/NCT02384226.

Keywords: chronic disease; mobile health; postpartum; prevention; weight loss.

©Jacinda M Nicklas, Jenn A Leiferman, Steven Lockhart, Kristen M Daly, Sheana S Bull, Linda A Barbour. Originally published in JMIR Formative Research (http://formative.jmir.org), 09.04.2020.

Associated data

ClinicalTrials.gov/NCT02384226

Abstract

Associated data

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