Feasibility and Acceptability of Guided Imagery to Sequentially Address Multiple Health Behaviors During Pregnancy

Details

• Alternative Title:
  J Midwifery Womens Health
• Personal Author:
  Giacobbi, Peter ; Symons-Downs, Danielle ; Haggerty, Treah ; Pidhorskyi, Stanislav ; Long, D. Leann ; Clemmer, Melanie ; Steinman, Shari ; Olfert, Melissa D. ; Kinnamon, Kelsey ; Rao, Neel ; Staggs, Hannah ; Adjeroh, Donald
• Description:
  Introduction:
  
  Pregnancy presents health challenges related to well-being, physical activity, dietary regulation, and body image. There is evidence to support the use of guided imagery to address these concerns during pregnancy. The purpose of this study was to analyze the use and short-term outcomes of a multi-behavior guided imagery intervention delivered through a mobile health (mHealth) application for pregnant women.
  
  Methods:
  
  A single-arm, five-week feasibility trial was conducted and participants were instructed to listen to an audio file every day for 35 days on a mHealth application. Measurements included ongoing assessments of the participants’ use of the guided imagery audio files, pre- and post-test measures of depression, anxiety, stress, physical activity, food cravings, and body image. Post-intervention qualitative interviews were conducted to assess whether participants would continue to use guided imagery.
  
  Results:
  
  58 participants (Mean age, 28.5 years) were enrolled from January to June of 2018. Cloud analytics data showed an average of 4.96 audio downloads per week with the Sleep and Relaxation file being the most widely used (Mean weekly usage, 5.67) and reported favorite during follow-up interviews. Paired t-tests from pre- to post-test showed significant reductions in depression, anxiety, and stress, increased physical activity, and sedentary behavior along with some changes in body image.
  
  Discussion:
  
  Future scalable guided imagery interventions are justified to test for efficacy. Guided imagery may also be delivered in person by health care providers or by using widely available technologies.
  
  
• Subjects:
  Adult Article Diet Exercise Feasibility Studies Female Guided Imagery Health Behavior Humans Imagery, Psychotherapy Perinatal Depression Physical Exercise Pregnancy Pregnancy Related Anxiety

  More +
• Source:
  J Midwifery Womens Health. 66(5):664-670
• Pubmed ID:
  34510697
• Pubmed Central ID:
  PMC8516666
• Document Type:
  Journal Article
• Funding:
  U48 DP005004/DP/NCCDPHP CDC HHSUnited States/ ; U48DP005004/ACL HHSUnited States/ ; U54 GM104942/GM/NIGMS NIH HHSUnited States/
• Volume:
  66
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:576b08520d04f7e323e32539f622ccec0caa5b7b711426f7ee7d41414686f1ff
• Download URL:
  https://stacks.cdc.gov/view/cdc/110846/cdc_110846_DS1.pdf
• File Type:
  [PDF - 391.34 KB ]