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Research Project: Impact of Maternal Influence and Early Dietary Factors on Child Growth, Development, and Metabolic Health

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Title: Adaptation of an exercise intervention for pregnant women to community-based delivery: A study protocol

item SWINDLE, TAREN - University Arkansas For Medical Sciences (UAMS)
item CHANDLER/MARTINEZ, AUDREY - Arkansas Children'S Nutrition Research Center (ACNC)
item BORSHEIM, ELISABET - University Arkansas For Medical Sciences (UAMS)
item ANDRES, ALINE - University Arkansas For Medical Sciences (UAMS)

Submitted to: BMJ Open
Publication Type: Peer Reviewed Journal
Publication Acceptance Date: 8/3/2020
Publication Date: 9/6/2020
Citation: Swindle, T., Martinez, A., Borsheim, E., Andres, A. 2020. Adaptation of an exercise intervention for pregnant women to community-based delivery: A study protocol. BMJ Open. 10:e038582.

Interpretive Summary: Most pregnant women do not meet the recommended level of physical activity. This study protocol summarizes an intervention that has promising preliminary results in a clinical setting, and adapt it for delivery in community settings. A key element of the work will be working with community leaders and stakeholders to advise us as to feasible ways to make the adaptation work best. This study will provide important data on what works in the community to increase access to opportunities for safe physical activity to expecting women.

Technical Abstract: Despite well-established guidelines and benefits to exercise, the majority of pregnant women in the U.S. fail to meet recommended activity levels. Studies need to determine feasible ways to translate clinical interventions to community-settings by engaging pregnant women in widely accessible locations to ensure benefits to more women. The aim of this study is to adapt and determine acceptability, feasibility and fidelity of the research clinic-based Expecting intervention (NCT02125149) with pregnant women with obesity in community settings. We will use the Replicating Effective Programs (REP) to guide the adaptation and implementation of the research clinic-based intervention into the community. REP provides a four-phase process for implementing evidence-based interventions including collection of feedback from community stakeholders, iterative piloting of the intervention in the community, and a process for standardizing the intervention across community settings. Following adaptation, the updated intervention will be piloted. The pilot study will include 60 expecting women. We will randomize half to receive the community-adapted Expecting intervention (Intervention, N=30) and half to receive standard of care (Control, N=30).