Skip to main content
Top
Published in: Translational Behavioral Medicine 4/2011

01-12-2011

Translation of the diabetes prevention program lifestyle intervention for promoting postpartum weight loss among low-income women

Authors: Milagros C Rosal, PhD, Stephenie C Lemon, PhD, Oahn H T Nguyen, MS, Nelly E Driscoll, LDN, Lynn DiTaranto, MPH, CLC

Published in: Translational Behavioral Medicine | Issue 4/2011

Login to get access

ABSTRACT

The Women Infants and Children (WIC) program is a promising venue in which to implement weight loss interventions for low-income postpartum women. The goals of this study were to describe formative steps to translate the DPP lifestyle intervention to be delivered to diverse low-income postpartum women who are served by the WIC program, and to present the results of a pilot trial of the intervention. The steps of intervention translation involved were the following: (1) building partnerships, (2) understanding the target setting, (3) understanding the target population, (4) re-designing the intervention, and (5) refining the intervention. The pilot trial was a single group pre/post test comparison among 27 overweight/obese postpartum WIC clients. The intervention resulted in an average weight loss of 4.6 lb at a 4-month follow-up (p = 0.004). A dose–response association between intervention attendance and weight loss was observed. This translation of the DPP for diverse low-income postpartum women has potential for widespread implementation.
Literature
1.
go back to reference Smith, D. E., Lewis, C. E., Caveny, J. L., Perkins, L. L., Burke, G. L., & Bild, D. E. (1994). Longitudinal changes in adiposity associated with pregnancy. The CARDIA Study. Coronary Artery Risk Development in Young Adults Study. JAMA, 271, 1747–1751.PubMedCrossRef Smith, D. E., Lewis, C. E., Caveny, J. L., Perkins, L. L., Burke, G. L., & Bild, D. E. (1994). Longitudinal changes in adiposity associated with pregnancy. The CARDIA Study. Coronary Artery Risk Development in Young Adults Study. JAMA, 271, 1747–1751.PubMedCrossRef
2.
go back to reference Walker, L., Freeland-Graves, J. H., Milani, T., George, G., Hanss-Nuss, H., Kim, M., et al. (2004). Weight and behavioral and psychosocial factors among ethnically diverse, low-income women after childbirth: II. Trends and correlates. Women & Health, 40, 19–34.CrossRef Walker, L., Freeland-Graves, J. H., Milani, T., George, G., Hanss-Nuss, H., Kim, M., et al. (2004). Weight and behavioral and psychosocial factors among ethnically diverse, low-income women after childbirth: II. Trends and correlates. Women & Health, 40, 19–34.CrossRef
3.
go back to reference Chang, M. W., Nitzke, S., & Brown, R. (2010). Design and outcomes of a Mothers In Motion Behavioral Intervention Pilot Study. Journal of Nutrition Education and Behavior, 42, S11–S21.PubMedCrossRef Chang, M. W., Nitzke, S., & Brown, R. (2010). Design and outcomes of a Mothers In Motion Behavioral Intervention Pilot Study. Journal of Nutrition Education and Behavior, 42, S11–S21.PubMedCrossRef
4.
go back to reference Krummel, D., Semmens, E., MacBride, A. M., & Fisher, B. (2010). Lessons learned from the mothers’ overweight management study in 4 West Virginia WIC offices. Journal of Nutrition Education and Behavior, 42, S52–S58.PubMedCrossRef Krummel, D., Semmens, E., MacBride, A. M., & Fisher, B. (2010). Lessons learned from the mothers’ overweight management study in 4 West Virginia WIC offices. Journal of Nutrition Education and Behavior, 42, S52–S58.PubMedCrossRef
5.
go back to reference Knowler, W. C., Barrett-Connor, E., Fowler, S. E., Hamman, R. F., Lachin, J. M., Walker, E. A., et al. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. The New England Journal of Medicine, 346, 393–403.PubMedCrossRef Knowler, W. C., Barrett-Connor, E., Fowler, S. E., Hamman, R. F., Lachin, J. M., Walker, E. A., et al. (2002). Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. The New England Journal of Medicine, 346, 393–403.PubMedCrossRef
6.
go back to reference Michie, S., Abraham, C., Whittington, C., McAteer, J., & Gupta, S. (2009). Effective techniques in healthy eating and physical activity interventions: A meta-regression. Health Psychology, 28, 690–701.PubMedCrossRef Michie, S., Abraham, C., Whittington, C., McAteer, J., & Gupta, S. (2009). Effective techniques in healthy eating and physical activity interventions: A meta-regression. Health Psychology, 28, 690–701.PubMedCrossRef
8.
go back to reference Jackson, L. (2009). Translating the Diabetes Prevention Program into practice: A review of community interventions. The Diabetes Educator, 35, 309–320.PubMedCrossRef Jackson, L. (2009). Translating the Diabetes Prevention Program into practice: A review of community interventions. The Diabetes Educator, 35, 309–320.PubMedCrossRef
9.
go back to reference Gore, S. A., Brown, D. M., & West, D. S. (2003). The role of postpartum weight retention in obesity among women: A review of the evidence. Annals of Behavioral Medicine, 26, 149–159.PubMedCrossRef Gore, S. A., Brown, D. M., & West, D. S. (2003). The role of postpartum weight retention in obesity among women: A review of the evidence. Annals of Behavioral Medicine, 26, 149–159.PubMedCrossRef
10.
go back to reference Bandura, A. (1997). Self-efficacy: The exercise of control. New York: WH Freeman and Company. Bandura, A. (1997). Self-efficacy: The exercise of control. New York: WH Freeman and Company.
11.
go back to reference Stokols, D. (1992). Establishing and maintaining healthy environments: Toward a social ecology of health promotion. The American Psychologist, 47, 6–22.PubMedCrossRef Stokols, D. (1992). Establishing and maintaining healthy environments: Toward a social ecology of health promotion. The American Psychologist, 47, 6–22.PubMedCrossRef
12.
go back to reference Stokols, D. (1996). Translating social ecological theory into guidelines for community health promotion. American Journal of Health Promotion, 10, 282–298.PubMedCrossRef Stokols, D. (1996). Translating social ecological theory into guidelines for community health promotion. American Journal of Health Promotion, 10, 282–298.PubMedCrossRef
13.
go back to reference Torres, M. I., Marquez, D. K., Carbone, E. T., Stacciarini, J. M. R., & Foster, J. W. (2008). Culturally responsive health promotion in Puerto Rican communities: A structuralist approach. Health Promotion Practice, 9, 149–158.CrossRef Torres, M. I., Marquez, D. K., Carbone, E. T., Stacciarini, J. M. R., & Foster, J. W. (2008). Culturally responsive health promotion in Puerto Rican communities: A structuralist approach. Health Promotion Practice, 9, 149–158.CrossRef
14.
go back to reference Chasan-Taber, L., Schmidt, M. D., Roberts, D. E., Hosmer, D., Markenson, G., & Freedson, P. S. (2004). Development and validation of a Pregnancy Physical Activity Questionnaire. Medicine and Science in Sports and Exercise, 36, 1750–1760.PubMedCrossRef Chasan-Taber, L., Schmidt, M. D., Roberts, D. E., Hosmer, D., Markenson, G., & Freedson, P. S. (2004). Development and validation of a Pregnancy Physical Activity Questionnaire. Medicine and Science in Sports and Exercise, 36, 1750–1760.PubMedCrossRef
15.
go back to reference Shannon, J., Kristal, A. R., Curry, S. J., & Beresford, S. A. (1997). Application of a behavioral approach to measuring dietary change: The fat- and fiber-related diet behavior questionnaire. Cancer Epidemiology, Biomarkers & Prevention, 6, 355–361. Shannon, J., Kristal, A. R., Curry, S. J., & Beresford, S. A. (1997). Application of a behavioral approach to measuring dietary change: The fat- and fiber-related diet behavior questionnaire. Cancer Epidemiology, Biomarkers & Prevention, 6, 355–361.
16.
go back to reference Stevens, V. J., Glasgow, R. E., Toobert, D. J., Karanja, N., & Smith, K. S. (2003). One-year results from a brief, computer-assisted intervention to decrease consumption of fat and increase consumption of fruits and vegetables. Preventive Medicine, 36, 594–600.PubMedCrossRef Stevens, V. J., Glasgow, R. E., Toobert, D. J., Karanja, N., & Smith, K. S. (2003). One-year results from a brief, computer-assisted intervention to decrease consumption of fat and increase consumption of fruits and vegetables. Preventive Medicine, 36, 594–600.PubMedCrossRef
17.
go back to reference Cappelleri, J. C., Bushmakin, A. G., Gerber, R. A., Leidy, N. K., Sexton, C. C., Lowe, M. R., et al. (2009). Psychometric analysis of the Three-Factor Eating Questionnaire-R21: Results from a large diverse sample of obese and non-obese participants. International Journal of Obesity, 33, 611–620.PubMedCrossRef Cappelleri, J. C., Bushmakin, A. G., Gerber, R. A., Leidy, N. K., Sexton, C. C., Lowe, M. R., et al. (2009). Psychometric analysis of the Three-Factor Eating Questionnaire-R21: Results from a large diverse sample of obese and non-obese participants. International Journal of Obesity, 33, 611–620.PubMedCrossRef
18.
go back to reference Sallis, J., Pinski, R., Grossman, R., Patterson, T., & Nader, P. (1988). The development of self-efficacy scales for health-related diet and exercise behaviors. Health Education Research, 3, 283–292.CrossRef Sallis, J., Pinski, R., Grossman, R., Patterson, T., & Nader, P. (1988). The development of self-efficacy scales for health-related diet and exercise behaviors. Health Education Research, 3, 283–292.CrossRef
19.
go back to reference Cohen, S., & Williamson, G. M. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The Social Psychology of Health (pp. 31–67). Newbury Park: Sage Publishers. Cohen, S., & Williamson, G. M. (1988). Perceived stress in a probability sample of the United States. In S. Spacapan & S. Oskamp (Eds.), The Social Psychology of Health (pp. 31–67). Newbury Park: Sage Publishers.
20.
go back to reference Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150, 782–786.PubMedCrossRef Cox, J. L., Holden, J. M., & Sagovsky, R. (1987). Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. The British Journal of Psychiatry, 150, 782–786.PubMedCrossRef
21.
go back to reference Kessler, R., & Glasgow, R. E. (2011). A proposal to speed translation of healthcare research into practice: Dramatic change is needed. American Journal of Preventive Medicine, 40, 637–644.PubMedCrossRef Kessler, R., & Glasgow, R. E. (2011). A proposal to speed translation of healthcare research into practice: Dramatic change is needed. American Journal of Preventive Medicine, 40, 637–644.PubMedCrossRef
22.
go back to reference Woolf, S. H. (2008). The meaning of translational research and why it matters. JAMA, 299, 211–213.PubMedCrossRef Woolf, S. H. (2008). The meaning of translational research and why it matters. JAMA, 299, 211–213.PubMedCrossRef
23.
go back to reference Rose, G. A. (2008). Rose’s strategy of preventive medicine (2nd ed.). New York: University Press, Inc.CrossRef Rose, G. A. (2008). Rose’s strategy of preventive medicine (2nd ed.). New York: University Press, Inc.CrossRef
Metadata
Title
Translation of the diabetes prevention program lifestyle intervention for promoting postpartum weight loss among low-income women
Authors
Milagros C Rosal, PhD
Stephenie C Lemon, PhD
Oahn H T Nguyen, MS
Nelly E Driscoll, LDN
Lynn DiTaranto, MPH, CLC
Publication date
01-12-2011
Publisher
Springer-Verlag
Published in
Translational Behavioral Medicine / Issue 4/2011
Print ISSN: 1869-6716
Electronic ISSN: 1613-9860
DOI
https://doi.org/10.1007/s13142-011-0069-4

Other articles of this Issue 4/2011

Translational Behavioral Medicine 4/2011 Go to the issue