A cohort study of a tailored web intervention for preconception care
| dc.contributor.author | Agricola, Eleonora | |
| dc.contributor.author | Pandolfi, Elisabetta | |
| dc.contributor.author | Gonfiantini, Michaela V. | |
| dc.contributor.author | Gesualdo, Francesco | |
| dc.contributor.author | Romano, Mariateresa | |
| dc.contributor.author | Carloni, Emanuela | |
| dc.contributor.author | Mastroiacovo, Pierpaolo | |
| dc.contributor.author | Tozzi, Alberto E. | |
| dc.date.accessioned | 2022-10-20T10:57:09Z | |
| dc.date.available | 2022-10-20T10:57:09Z | |
| dc.date.issued | 2014-04-15 | |
| dc.description.abstract | Background: Preconception care may be an efficacious tool to reduce risk factors for adverse pregnancy outcomes that are associated with lifestyles and health status before pregnancy. We conducted a web-based cohort study in Italian women planning a pregnancy to assess whether a tailored web intervention may change knowledge and behaviours associated with risks for adverse pregnancy outcomes. Methods: The study was entirely conducted on the web on a cohort of Italian women of childbearing age. Data collected at baseline on health status, lifestyles and knowledge of risk factors for adverse pregnancy outcomes were used for generating a tailored document including recommendations for folic acid supplementation, obesity and underweight, smoking, alcohol consumption, vaccinations, chronic and genetic diseases, exposure to medications. Prevalence of risk factors and knowledge was assessed 6 months after the intervention. Logistic regression models were used to explore the factors associated with risk factors after the intervention. Results: Of the 508 enrolled women, 282 (55.5%) completed the study after 6 months since the delivery of tailored recommendations. At baseline, 48% of the participants took folic acid supplementation (95% CI 43.2; 51.9) and 69% consumed alcohol (95% CI 64.7; 72.9). At the follow up 71% of the participants had a preconception visit with a physician. Moreover we observed a decrease of alcohol consumption (−46.5% 95% CI −53.28; −38.75) and of the proportion of women not taking folic acid supplementation (−23.4% 95% CI −31.0; 15.36). We observed an improvement in knowledge of the information about the preconception behaviours to prevent adverse pregnancy outcomes (20.9% 95% CI 14.6%; 27.1%). Having a preconception visit during follow up was significally associated to an increase in folic acid supplementation (OR 2.53 95% CI 1.40; 4.60). Conclusions: Our results suggest that a tailored web intervention may improve general preconception health in women planning a pregnancy. A web preconception intervention may be integrated with classic preconception care by health professionals. Clinical trials should be conducted to confirm these findings. | en_US |
| dc.identifier.citation | Agricola, E., Pandolfi, E., Gonfiantini, M. V., Gesualdo, F., Romano, M., Carloni, E., Mastroiacovo, P., & Tozzi, A. E. (2014). A cohort study of a tailored web intervention for preconception care. BMC medical informatics and decision making, 14, 33. https://doi.org/10.1186/1472-6947-14-33 | en_US |
| dc.identifier.other | DOI: 10.1186/1472-6947-14-33 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14041/2771 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | BMC Medical Informatics and Decision Making | en_US |
| dc.rights | Attribution-NonCommercial-NoDerivs 3.0 United States | * |
| dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/3.0/us/ | * |
| dc.subject | Preconception Care | en_US |
| dc.subject | Preconception Health | en_US |
| dc.subject | Preconception Counselling | en_US |
| dc.subject | Adverse Pregnancy Outcomes | en_US |
| dc.subject | Folic Acid | en_US |
| dc.subject | Web Intervention | en_US |
| dc.subject | Internet | en_US |
| dc.subject | Lifestyles | en_US |
| dc.title | A cohort study of a tailored web intervention for preconception care | en_US |
| dc.type | Article | en_US |