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BMC Medical Informatics and Decision Making
Published in: BMC Medical Informatics and Decision Making 1/2014

Open Access 01-12-2014 | Research article

A cohort study of a tailored web intervention for preconception care

Authors: Eleonora Agricola, Elisabetta Pandolfi, Michaela V Gonfiantini, Francesco Gesualdo, Mariateresa Romano, Emanuela Carloni, Pierpaolo Mastroiacovo, Alberto E Tozzi

Published in: BMC Medical Informatics and Decision Making | Issue 1/2014

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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.
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Metadata
Title
A cohort study of a tailored web intervention for preconception care
Authors
Eleonora Agricola
Elisabetta Pandolfi
Michaela V Gonfiantini
Francesco Gesualdo
Mariateresa Romano
Emanuela Carloni
Pierpaolo Mastroiacovo
Alberto E Tozzi
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Medical Informatics and Decision Making / Issue 1/2014
Electronic ISSN: 1472-6947
DOI
https://doi.org/10.1186/1472-6947-14-33

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