EFFECT OF A SHORT MESSAGE SERVICE INTERVENTION ON EXCESSIVE GESTATIONAL WEIGHT GAIN IN A LOW-INCOME POPULATION
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2020
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Abstract
Socioeconomic disparities exist in many health conditions. Behavioral interventions may promote healthy behaviors and lead to decreased risk of diseases, both communicable and noncommunicable. These interventions may be unable to reach low-income individuals, who may be lacking in time and resources. This thesis consists of two chapters investigating the use of technology for lifestyle interventions in low-income populations. The first chapter, a literature review to be submitted for publication, is entitled “Novel technologies for nutrition interventions in low-income populations” and systematically reviews the literature to characterize such interventions. The second chapter, “Effect of a short message service intervention on gestational weight gain in a low-income population: a randomized, controlled trial”, reports the results an eighteen-week nutrition and physical activity intervention, delivered via short message service (SMS, or text message), on gestational weight gain (GWG) in a sample of participants of the Special Supplemental Program for Women, Infants, and Children (WIC) in Hawaiʻi. The author of this thesis was responsible for drafting the manuscript included as Chapter 2. The author was also responsible for background research, synthesis of the developmental methods of the intervention, organization of results, creation of tables and figures, analysis of study strengths and limitations, and suggestions for future research to fill gaps in the literature. The appendix includes accompanying tables and figures for both chapters. The results reported in this thesis support the need for additional research in nutrition interventions using novel technology methods to reach low-income populations.
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Nutrition, Public health, Gestational weight gain, Low-income, Pregnancy, Text messaging
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58 pages
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