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Logo of bmcphBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Public Health
 
BMC Public Health. 2012; 12: 78.
Published online Jan 25, 2012. doi:  10.1186/1471-2458-12-78
PMCID: PMC3295699
Protocol for a randomized controlled trial of a specialized health coaching intervention to prevent excessive gestational weight gain and postpartum weight retention in women: the HIPP study
Helen Skouteris,corresponding author1 Marita McCabe,1 Jeannette Milgrom,2 Bridie Kent,3 Lauren J Bruce,1 Cathrine Mihalopoulos,4 Sharon J Herring,5 Malcolm Barnett,6 Denise Patterson,7 Glyn Teale,8 and Janette Gale9
1School of Psychology, Faculty of Health, Deakin University, Melbourne, Australia
2Department of Psychology, School of Behavioral Science, University of Melbourne, Melbourne, Australia
3School of Nursing and Midwifery, Faculty of Health, Deakin University, Melbourne, Australia
4Public Health Cluster, Faculty of Health, Deakin University, Melbourne, Australia
5Center for Obesity Research and Education, Temple University, Philadelphia, PA, USA
6Obstetrics and Gynecology, Eastern Health, Melbourne, Australia
7Women and Children's Services, Box Hill Hospital, Eastern Health, Melbourne, Australia
8Obstetrics and Gynecology, Sunshine Hospital, Western Health and the University of Melbourne, Melbourne, Australia
9Health Coaching Australia, Kangaroo Valley, New South Wales, Australia
corresponding authorCorresponding author.
Helen Skouteris: helen.skouteris/at/deakin.edu.au; Marita McCabe: marita.mccabe/at/deakin.edu.au; Jeannette Milgrom: Jeannette.MILGROM/at/austin.org.au; Bridie Kent: bridie.kent/at/deakin.edu.au; Lauren J Bruce: lauren.bruce/at/deakin.edu.au; Cathrine Mihalopoulos: cathy.mihalopoulos/at/deakin.edu.au; Sharon J Herring: sharon.herring/at/temple.edu; Malcolm Barnett: annmarie.oneill/at/easternhealth.org.au; Denise Patterson: denise.patterson/at/easternhealth.org.au; Glyn Teale: glyn.teale/at/wh.org.au; Janette Gale: j.gale/at/healthcoachingaustralia.com.au
Received December 5, 2011; Accepted January 25, 2012.
Abstract
Background
Pregnancy is a time of significant physiological and physical change for women. In particular, it is a time at which many women are at risk of gaining excessive weight. We describe the rationale and methods of the Health in Pregnancy and Post-birth (HIPP) Study, a study which aims primarily to determine the effectiveness of a specialized health coaching (HC) intervention during pregnancy, compared to education alone, in preventing excessive gestational weight gain and postpartum weight retention 12 months post birth. A secondary aim of this study is to evaluate the mechanisms by which our HC intervention impacts on weight management both during pregnancy and post birth.
Methods/Design
The randomized controlled trial will be conducted with 220 women who have a BMI > 18.5 (American IOM cut-off for normal weight), are 18 years of age or older, English speaking, no history of disordered eating or diabetes and are less than 18 weeks gestation at recruitment. Women will be randomly allocated to either a specialized HC intervention group or an Education Alone group. Our specialized HC intervention has two components: (1) one-on-one sessions with a Health Coach, and (2) two by two hour educational group sessions led by a Health Coach. Women in the Education Alone group will receive two by two hour educational group sessions with no HC components. Body Mass Index, waist circumference, and psychological factors including motivation, readiness to change, symptoms of depression and anxiety, and body dissatisfaction will be assessed at baseline (14-16 weeks gestation), and again at follow-up: 32 weeks gestation, 6 weeks, 6 months and 12 months postpartum.
Discussion
Our study responds to the urgent need to design effective interventions in pregnancy to prevent excessive gestational weight gain and postpartum weight retention. Our pregnancy HC intervention is novel and innovative and has been designed to be easily adopted by health professionals who work with pregnant women, such as obstetricians, midwives, allied health professionals and health psychologists.
Trial registration
Australian New Zealand Clinical Trials Registry ACTRN12611000331932
Keywords: Pregnancy, Postpartum, Gestational weight gain, Weight retention, Health coaching, Randomized controlled trial
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