The final intervention protocol
anxiety, ’, gestational diabetes, weight gain, GDM, depression
GDM, GESTATIONAL DIABETES
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The final intervention protocol(1) What is GDM?(2) Adverse health outcomes of GDM?(3) Physical activity could prevent GDM.(4) The frequence, intensity,type, time of physical activity during pregnancy(5) Saftey precautions when doing physical activity(6) Healthy pregnancy weight gain13–14weeks’ gestation(1) the coach teach pregnant women how to exercise safely(2) the coach guide the participants to do physical activity together following the exercise video.(3) uploaded the exercise video to WeChat platform(4)teach the participants how to keep exercise diary and record everyday’s weight13–14weeks’ gestationpregnancy-related symptommanagement(1) Assessing and explaining the participant’s pregnancy-related symptoms,(2) strategies for managing symptoms such as muscle relaxation15–16weeks’ gestation(1) Checking behavioral tracking, review, and feedback in the prior 2 weeks(2) Sharing self-management strategies from successful pregnant women(3) recalling previous successful experience, problem solving, and encouraging(1)Assessing and explaining the participant’s pregnancy-related negative emotions(2)strategies for managing anxiety, or depression, such as positive self-talk17–18weeks’ gestationonline group discussion with 15–20 participants via TencentMeeting(1) Checking behavioral tracking, review, and feedback in the prior 2 weeks(2) Sharing self-management strategies from successful pregnant women(3) recalling previous successful experience, problem solving, and encouraging(1) positive feedback on gestational weight gain and physical activity in the prior 2 weeks(2) role model: sharing self-management strategies from successful pregnant women(3) problem solving, discuss the problems that arise when doing exercise and share solutions on how to keep active with each other(4) recall previous successful experience, guiding participants to recall previous successful behavior-change situations, discuss context and factors associated with success(5) Encourage:confirming participants have the capability for exercise and weight self-managementface to face discussion at the antenatal clinicor online discussion via TencentMeeting in groups with 8–10 participantsNote: GDM, gestational diabetes mellitusPrevious studies indicated that interventions delivered face-to-face were significantly associated with larger effect sizes in both post-intervention changes and maintained changes in physical activity self-efficacy [Safety precautions including exercises to avoid during pregnancy, safety considerations, and warning signs to discontinue exercise during pregnancy were added to the first session of knowledge education. Furthermore, safety concerns will be emphasized in each intervention session. In addition, information about healthy pregnancy weight gain was provided in the first session of knowledge education. The participants were asked to record every day’s weight in the exercise diary.During the group discussion sessions, the intervener will be responsible for analyzing the participants’ weight gain and physical activity in the prior 2 weeks. Then 2 pregnant women will be invited as role models to share their successful self-management strategies to achieve physical activity goals. To make more pregnant women stand out to be models, the 2 role models are different in each group discussion session. Then the intervener will guide participants to discuss the problems that arise when doing exercise, share solutions on how to keep active with each other, recall the previous successful experience, and discuss the context and factors associated with success. Finally, the intervener will encourage participants to confirm their capability for exercise and weight self-management.