Dionne V. Gootjes|Matthijs R. van Dijk|Maria Köster|Sten P. Willemsen|Eric A.P. Steegers|Régine P.M. Steegers?Theunissen
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
Erasmus MC|Erasmus MC|Erasmus MC|Erasmus MC|Erasmus MC|Erasmus MC
backgroundin 2011 launched smarter pregnancy mobile health mhealth coaching program shown effectively improve inadequate nutrition lifestyle behaviors women pregnancyit known deprived neighborhoods risk factors adverse pregnancy outcomes like inadequate nutrition lifestyle behaviors accumulatehowever yet investigated whether smarter pregnancy program equally effective women living deprived neighborhoodsobjective paper aimed study associations neighborhood deprivation improvement inadequate nutrition lifestyle behaviors women either contemplating pregnancy already pregnant subscribed smarter pregnancy program methodswe performed additional analysis data women used smarter pregnancy program 2011 2016the program comprised 24 weeks coaching 5 nutrition lifestyle behaviors adequate intakes lifestyle behaviors defined intake 200 grams vegetables 2 pieces fruit daily folic acid supplement use 400 g per day smoking alcohol consumptionneighborhood deprivation determined according status scores netherlands institute social researchlogistic regression analyses generalized estimating equation models used assess associations neighborhood status score nss improvement inadequate nutrition lifestyle behaviors taking account behaviors baselinewe adjusted analyses maternal age body mass index geographic origin pregnancy status participation coupleresults 2554 women included 521 participated male partneroverall daily vegetable intake frequently inadequate start program 7772 19852554women higher nss ie nondeprived neighborhood smoked less often adjusted odds ratio 085 95 ci 077093consumed alcohol often adjusted 114 95 ci 104124and less likely complete 24 weeks coaching 091 95 ci 088095compared women lived neighborhood low nss ie deprivedin total group relative improvement inadequate nutrition lifestyle behaviors 24 weeks coaching 26 64nss negatively associated improvement indicating women higher nss less likely improve inadequate nutrition lifestyle behaviors especially vegetable intake adjusted 089 95 ci 082097 conclusionsthe smarter pregnancy mhealth coaching program empowers women improve inadequate nutrition lifestyle behaviorsunexpectedly program seemed effective women living deprived neighborhoodsit important