Table 3 Feasibility of MBMM + across cohorts one and two
From: My Baby, My Move+: feasibility of a community prenatal wellbeing intervention
Feasibility constructs | Feasibility outcomes | Supporting data (participant description if qualitative) |
|---|---|---|
Acceptability | Satisfaction and enjoyment | 100% (n = 13) somewhat or very satisfied; 5-item Likert scale (1 = not at all to 5 = very satisfied) -C2 participants |
69% (n = 9) very much or much enjoyed, 31% (n = 3) enjoyed; 5-item Likert scale (1 = very not much to 5 = very much) -C2 participants | ||
4.6/5 overall enjoyment rating of being a peer leader -C2 peer leaders | ||
"I really enjoyed it. I think it was a great experience. It was informative, and honestly, probably the best part of it was the accountability." -C2 VM, overweight | ||
"I liked having time on the calendar to speak with other women experiencing the same things. The pointed questions from the peer leader each session made the discussions more valuable than just chatting with a pregnant friend." -C2, FTM, overweight | ||
"[I enjoyed] The support provided by the ladies and peer leader in my breakout group. It was nice to be able to talk about real concerns, get advice from second time moms and feel supported." -C2, FTM, overweight | ||
"This has been such a wonderful experience. I was hired to be the lead peer leader but I learned so much from these women too! Thank you for your support and confidence throughout the program" -C2 lead peer leader | ||
Intent to continue use | 100% of peer leaders identified facilitating as a learned skill to continue using -C2 peer leaders | |
"I think that whole piece of establishing like smart goals and realistic goals helped me [in the] postpartum." -C1, FTM, normal weight | ||
"I think I'm going to use [relaxation techniques] even after pregnancy because I do have a lot of children, so I tend to get stressed out easily". -C2, VM, normal weight | ||
"I still text our smaller group from time to time and follow-on Instagram! Such a great group of women. Very appreciative for this experience" -C2, peer leader | ||
Perceived appropriateness | "I just think that it's just a really great program to start. It doesn't matter if it's your first baby, your second, your third, your 17th, or whatever, I think that it's a great way to touch on different topics that you're not really thinking about". -C1, VM, obese | |
"I think for the purposes of a wide ability in terms of the group, [the yoga] was appropriate." -C2, VM, overweight | ||
Demand | Actual use | 5.32/8 average tracking log completion -C1 & C2 participants |
"I think the [tracking] log was probably the most helpful thing just for objectively looking at how much exercise I was doing". -C2, FTM, overweight | ||
"I found it really beneficial to have to weigh myself every morning." -C2, FTM, overweight | ||
"Everything was really informative. I really enjoyed the accountability of the small groups." -C2, FTM, overweight | ||
"The yoga mat was really helpful. I use that a lot during the sessions and also [in postpartum]". -C1, FTM, underweight | ||
"I read the [manual], I did have the digital version at first, and on my phone, I can see it and I can move it around, especially when I opened it up on my iPad. It gave me the ability to follow along" -C1, VM, obese | ||
"It was just good to see [the tracking log] as a reminder that I was on track" -C2, FTM, normal weight | ||
"Having the information on the food, like what foods to eat, what foods to stay away from, and having the recipes on there, I was able to make one of them, one of the chicken ones and, and so that's really good to include that information" -C1, FTM, underweight | ||
Perceived demand | 92% (n = 12) likely or extremely likely, 8% (n = 1) unlikely to recommend; 5-item Likert scale (1 = unlikely to 5 = extremely likely) -C2 participants | |
17/25 (68%) of intervention participants completed 10 or more session (i.e., compliant); 16 total sessions -C1 & C2 participants | ||
100% of peer leaders would recommend MBMM + to pregnant women -C1 & C2 peer leaders | ||
Practicality | Quality of implementation | 100% completion of peer leader session feedback forms -C1 & C2 peer leaders |
100% attendance of program sessions by a study team member | ||
“So when we went through [the workbook] together on the calls, it made that resource much more valuable because I was actually using it” -C2, FTM, obese | ||
Positive/negative effects on target participants | The #1 identified barrier to being a peer leader in the future was time constraints | |
"We touched base on [stress management] in the class and I did learn some techniques to [reduce] this….And honestly, I really, really, really think that that is the one of the biggest reasons hy I'm probably not on [anxiety and depression] medication right now" -C1, VM, obese | ||
"Our group developed such a great, comfortable, supportive relationship that was so exciting to watch develop throughout the program." -C2, peer leader | ||
"They [participants] loved the yoga! There was also a discussion about how much they appreciated that the curriculum included postpartum [material]. A few women mentioned that this was not already on their mind and that they were so happy we brought it up to think about and plan for their self-care once baby arrives. Postpartum depression acknowledgement was also appreciated" -C2, peer leader | ||
"I love the body scan activity [relaxation technique] and hope the women find these activities helpful. I have been incorporating them back into my life" -C2 peer leader | ||
Ability of participants to carry out intervention activities | "If the whole thing was in person, and we still tried to meet twice a week, I think that it would decrease participation just because of logistics, like needing a babysitter for the other kids. But a hybrid of having a couple in-person options could be cool. -C2, FTM, overweight | |
"We were just in Las Vegas walking, making sure that I'm still walking like 15 min a day at least" -C2, VM, normal weight | ||
"I still use [relaxation techniques] today. I still sit on the floor, I use my yoga mat. And I still stretch." -C1, VM, obese | ||
"I think, [the program] is definitely applicable for all different types of people and levels [of fitness/knowledge] and all of it and so I absolutely would recommend it to anybody." -C2, FTM, overweight | ||
"Our group chatted quite a bit, sometimes we needed more time, but we were able to stay on. When safe, the in-person walks would be so wonderful! Our group spoke about how we would really all like to do this" -C2, peer leader | ||
Implementation | Success or failure of execution | 85% average attendance rate of compliant intervention (n = 17), 68% average attendance rate of intervention group (n = 25) -C1 & C2 participants |
“And so I think the way to that it's structured, I think, is definitely applicable for all different types of people and [physical ability] levels" -C2, FMT, overweight | ||
“Facilitation went well, was happy to receive advice from the study team during my breakout. I feel like the guide for today's session perfectly outlined what we needed to go over in the amount of time we had.” -C2, peer leader | ||
"I think creating an environment where they didn't feel that they were being reprimanded if they didn't complete a goal, and that we could all talk through goals together helped" -C2 peer leader | ||
Degree of execution | All peer leaders found it "very helpful" for a study team member to attend sessions -C1 and C2 peer leaders | |
"[The study team] meeting me at work at the beginning, and then she dropped stuff off at my house. And I think that was probably the most helpful thing. Just having the supplies coming to me and not having to go drive anywhere." -C1, FTM, normal weight | ||
Amount and type of resources needed to implement | "Having a scale and a yoga mat, those were really huge perks of the program" -C2 FTM, overweight | |
Factors affecting implementation ease or difficulty | "The gift cards help. I mean, I know, it's not a lot, but I think if there's some incentive, it always helps." -C1, FTM, normal weight | |
"I would say maybe an early afternoon session would work for my schedule, I mean, I was working part time in the evenings and then I'm trying to just get my household aligned and try to participate in the group and it was a little difficult" -C1, FTM, obese | ||
“[The session was] really good, it was awesome getting the email from the study team reminding us of today's meeting flow.” -C2, peer leader | ||
“I appreciate having the option to chat [with the study team] if we had a question.” -C2, peer leader |