IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v20y2022i1p34-d1009339.html
   My bibliography  Save this article

Maternal Well-Being and Stage of Behaviour Change during Pregnancy: A Secondary Analysis of the PEARS Randomised Controlled Trial

Author

Listed:
  • Doireann Roche

    (UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, D02 YH21 Dublin, Ireland)

  • Anthony Rafferty

    (UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, D02 YH21 Dublin, Ireland)

  • Sinead Holden

    (UCD School of Mathematics and Statistics, University College Dublin, D04 V1W8 Dublin, Ireland)

  • Sarah Louise Killeen

    (UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, D02 YH21 Dublin, Ireland)

  • Maria Kennelly

    (UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, D02 YH21 Dublin, Ireland)

  • Fionnuala M. McAuliffe

    (UCD Perinatal Research Centre, School of Medicine, University College Dublin, National Maternity Hospital, D02 YH21 Dublin, Ireland)

Abstract

We aimed to determine whether early pregnancy well-being was associated with the stage of behaviour change during an antenatal lifestyle intervention using a secondary analysis of data from the Pregnancy Exercise and Nutrition Research Study (PEARS). Pregnant women ( n = 277) with well-being data in early pregnancy were included. Maternal well-being was measured using the World Health Organisation Five-Item Well-Being Index. The intervention consisted of a mobile health (mHealth) phone application, supported by antenatal education and exercise, to prevent gestational diabetes in a population with overweight. Stage of behaviour change was measured in late pregnancy using a five-stage classification. Ordinal logistic regression was used to examine if well-being, the study group, or their interaction, were related to behaviour change. Maternal well-being (OR 1.03, 95% CI 1.01, 1.04, p < 0.01) and the study group (OR 2.25, 95% CI 1.44, 3.51, p < 0.01) both significantly influenced the positive stage of behaviour change. The probability of being at stage 5 increased from 43 to 92% as well-being increased from 0 to 100% and was higher in the intervention (53%) compared to the control (34%) group ( p ≤ 0.01 (8.65, 29.27). This study demonstrates the potential importance of well-being in enabling women to engage with a healthy lifestyle, and the role that mHealth technology has in facilitating beneficial behaviour change.

Suggested Citation

  • Doireann Roche & Anthony Rafferty & Sinead Holden & Sarah Louise Killeen & Maria Kennelly & Fionnuala M. McAuliffe, 2022. "Maternal Well-Being and Stage of Behaviour Change during Pregnancy: A Secondary Analysis of the PEARS Randomised Controlled Trial," IJERPH, MDPI, vol. 20(1), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:34-:d:1009339
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/20/1/34/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/20/1/34/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Bruno S. Frey & Alois Stutzer, 2010. "Happiness: A New Approach in Economics," ifo DICE Report, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 8(4), pages 3-7, 01.
    2. Elizabeth N Emmanuel & Jing Sun, 2014. "Health related quality of life across the perinatal period among Australian women," Journal of Clinical Nursing, John Wiley & Sons, vol. 23(11-12), pages 1611-1619, June.
    3. Jan-Emmanuel De Neve & James H. Fowler & Bruno S. Frey, 2010. "Genes, economics, and happiness," IEW - Working Papers 475, Institute for Empirical Research in Economics - University of Zurich.
    4. repec:ces:ifodic:v:8:y:2010:i:4:p:14994781 is not listed on IDEAS
    5. Lasse Steiner & Lisa Leinert & Bruno S. Frey, 2010. "Economics, Religion and Happiness," Zeitschrift für Wirtschafts- und Unternehmensethik - Journal for Business, Economics & Ethics, Rainer Hampp Verlag, vol. 11(1), pages 9-24.
    6. Bruno S. Frey & Alois Stutzer, 2010. "Happiness: A New Approach in Economics," ifo DICE Report, ifo Institute - Leibniz Institute for Economic Research at the University of Munich, vol. 8(04), pages 3-7, January.
    7. Sheehan, T. Joseph, 1998. "Stress and low birth weight: A structural modeling approach using real life stressors," Social Science & Medicine, Elsevier, vol. 47(10), pages 1503-1512, November.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Yu-Chuan Chen & Yung-Ho Chiu & Tzu-Han Chang & Tai-Yu Lin, 2023. "Sustainable Development, Government Efficiency, and People’s Happiness," Journal of Happiness Studies, Springer, vol. 24(4), pages 1549-1578, April.
    2. Jing Zou & Xiaojun Deng, 2021. "The complex association between migrants’ residential community choice and subjective well‐being: Evidence from urban China," Growth and Change, Wiley Blackwell, vol. 52(3), pages 1652-1679, September.
    3. Christoph K. Becker & Stefan T. Trautmann, 2022. "Does Happiness Increase in Old Age? Longitudinal Evidence from 20 European Countries," Journal of Happiness Studies, Springer, vol. 23(7), pages 3625-3654, October.
    4. Feiwei Shen & Jing Zou & Xianhong Huang & Cong Wang & Mingjie Zhao, 2022. "Career Development, Institutional Factors, Social Factors and Urban Young Returnees’ Happiness in the Context of Healthy China," IJERPH, MDPI, vol. 19(15), pages 1-20, July.
    5. Bax, Karoline, 2023. "Do diverse and inclusive workplaces benefit investors? An Empirical Analysis on Europe and the United States," Finance Research Letters, Elsevier, vol. 52(C).
    6. Liu, Yan & Chen, Minjie & Yu, Jianyu & Wang, Xiaobing, 2024. "Being a happy farmer: Technology adoption and subjective well-being," Journal of Economic Behavior & Organization, Elsevier, vol. 221(C), pages 385-405.
    7. Gabriela-Mihaela Mureșan & Viorela-Ligia Văidean & Codruța Mare & Monica Violeta Achim, 2023. "Were we happy and we didn’t know it? A subjective dynamic and financial assessment pre-, during and post-COVID-19," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 24(5), pages 749-768, July.
    8. Juan Lucio & Marco Palomeque, 2023. "Music preferences as an instrument of emotional self-regulation along the business cycle," Journal of Cultural Economics, Springer;The Association for Cultural Economics International, vol. 47(2), pages 181-204, June.
    9. Karoline Bax, 2022. "Do diverse and inclusive workplaces benefit investors? An Empirical Analysis on Europe and the United States," Papers 2208.10435, arXiv.org, revised Nov 2022.
    10. Cosimato, Silvia & Faggini, Marisa & Prete, Marzia del, 2021. "The co-creation of value for pursuing a sustainable happiness: The analysis of an Italian prison community," Socio-Economic Planning Sciences, Elsevier, vol. 75(C).
    11. Anna Matysiak & Letizia Mencarini & Daniele Vignoli, 2016. "Work–Family Conflict Moderates the Relationship Between Childbearing and Subjective Well-Being," European Journal of Population, Springer;European Association for Population Studies, vol. 32(3), pages 355-379, August.
    12. Violeta Misheva, 2016. "What Determines Emotional Well-Being? The Role of Adverse Experiences: Evidence Using Twin Data," Journal of Happiness Studies, Springer, vol. 17(5), pages 1921-1937, October.
    13. Eugenio Proto & Andrew J. Oswald, 2017. "National Happiness and Genetic Distance: A Cautious Exploration," Economic Journal, Royal Economic Society, vol. 127(604), pages 2127-2152, September.
    14. Justyna Krzepota & Dorota Sadowska & Elżbieta Biernat, 2018. "Relationships between Physical Activity and Quality of Life in Pregnant Women in the Second and Third Trimester," IJERPH, MDPI, vol. 15(12), pages 1-12, December.
    15. Eric Morris & Erick Guerra, 2015. "Mood and mode: does how we travel affect how we feel?," Transportation, Springer, vol. 42(1), pages 25-43, January.
    16. Bruno S. Frey, 2011. "Subjective Well-Being, Politics and Political Economy," Swiss Journal of Economics and Statistics (SJES), Swiss Society of Economics and Statistics (SSES), vol. 147(IV), pages 397-415, December.
    17. Richard Layard & Andrew E. Clark & Francesca Cornaglia & Nattavudh Powdthavee & James Vernoit, 2014. "What Predicts a Successful Life? A Life‐course Model of Well‐being," Economic Journal, Royal Economic Society, vol. 124(580), pages 720-738, November.
    18. De Neve, Jan-Emmanuel & Diener, Ed & Tay, Louis & Xuereb, Cody, 2013. "The objective benefits of subjective well-being," LSE Research Online Documents on Economics 51669, London School of Economics and Political Science, LSE Library.
    19. Padilla, Yolanda C. & Reichman, Nancy E., 2001. "Low birthweight: Do unwed fathers help?," Children and Youth Services Review, Elsevier, vol. 23(4-5), pages 427-452.
    20. Otrachshenko, Vladimir & Popova, Olga, 2014. "Life (dis)satisfaction and the intention to migrate: Evidence from Central and Eastern Europe," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 48(C), pages 40-49.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:20:y:2022:i:1:p:34-:d:1009339. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.