PMID- 30505631 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231005 IS - 2164-7844 (Print) IS - 2164-7860 (Electronic) IS - 2164-7844 (Linking) VI - 7 IP - 1 DP - 2018 TI - Activity Tracking Devices in Group Prenatal Care: A Feasibility Study. PG - 165-176 LID - 10.1089/biores.2018.0021 [doi] AB - To evaluate the feasibility (adherence to the study protocol and satisfaction) of using an activity tracking device (ATD) in group prenatal care. Women participated if they (1) were in group prenatal care, (2) owned a smartphone, and (3) had no activity restrictions. Women were instructed to wear and sync the ATD daily. Protocol adherence and satisfaction were assessed via surveys. Mixed models assessed the relationship between gestational age and ATD data. Self-reported energy expenditure from the Pregnancy Physical Activity Questionnaire (PPAQ) was compared with ATD-calculated energy expenditure. The baseline characteristics of the 49 women were as follows: 24 years old, prepregnancy body mass index 28, 80% Hispanic, 86% nulliparas, and 21 weeks of gestation. Of the 30 women who completed the follow-up survey, 47% self-reported wearing the ATD daily, 27% reported a lost or broken ATD, and 22% reported technical problems; however, 97% enjoyed wearing it, 100% would recommend it to a pregnant friend, and 77% thought it helped them reach activity goals. According to ATD data, the median active days were 47 (interquartile range [IQR] 21-79) and the median proportion of active days of potential days was 43.7% (IQR 15.4-77.1). For women who wore the ATD for the first 7 days, mean steps/day were 7574 (range 3076-15,828), active minutes/day were 277 (range 145-475), and sedentary hours/day were 12 (range 7.8-16.2). As gestational age increased, mean log steps decreased, mean active minutes decreased, and mean sedentary hours increased in unadjusted and adjusted models (p < 0.001 all comparisons). There were no differences in mean energy expenditure (MET-h/week) by PPAQ or ATD data at 28 weeks of gestation [231 (62-927 range) vs. 238 (212-290 range), p = 0.74] and at 36 weeks of gestation [145 (35-581 range) vs. 222 (196-272 range), p = 0.27]. Most women reported high satisfaction with an ATD in group prenatal care, yet adherence to the study protocol was low and ATD technical problems were common. As gestational age increased, activity decreased while sedentary time increased, suggesting that additional research is needed to find ways to engage women in physical activity during pregnancy. FAU - Kominiarek, Michelle A AU - Kominiarek MA AD - Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois. FAU - Vyhmeister, Heidi AU - Vyhmeister H AD - Department of Women's Health, Erie Family Health Center, Chicago, Illinois. FAU - Balmert, Lauren C AU - Balmert LC AD - Division of Biostatistics, Department of Preventive Medicine, Northwestern University, Chicago, Illinois. FAU - Fairchild, Paige AU - Fairchild P AD - Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois. FAU - Tolo, Hallie AU - Tolo H AD - Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois. FAU - Grobman, William AU - Grobman W AD - Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois. FAU - Simon, Melissa AU - Simon M AD - Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois. LA - eng GR - K23 HD076010/HD/NICHD NIH HHS/United States GR - UG1 HD040512/HD/NICHD NIH HHS/United States GR - UL1 TR001422/TR/NCATS NIH HHS/United States PT - Journal Article DEP - 20181128 PL - United States TA - Biores Open Access JT - BioResearch open access JID - 101579333 PMC - PMC6267286 OTO - NOTNLM OT - activity tracking devices OT - feasibility study OT - group prenatal care OT - physical activity OT - pregnancy COIS- No competing financial interests exist. EDAT- 2018/12/07 06:00 MHDA- 2018/12/07 06:01 PMCR- 2018/11/28 CRDT- 2018/12/04 06:00 PHST- 2018/12/04 06:00 [entrez] PHST- 2018/12/07 06:00 [pubmed] PHST- 2018/12/07 06:01 [medline] PHST- 2018/11/28 00:00 [pmc-release] AID - 10.1089/biores.2018.0021 [pii] AID - 10.1089/biores.2018.0021 [doi] PST - epublish SO - Biores Open Access. 2018 Nov 28;7(1):165-176. doi: 10.1089/biores.2018.0021. eCollection 2018.