Using the ORBIT Model to Design an Intervention Promoting Healthy Weight Gain During Pregnancy: the Value of an Iterative and Incremental Approach to Intervention Development
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“Take a method and try it. If it fails, admit it frankly, and try another. But by all means, try something.”—Franklin D. Roosevelt
As behavioral scientists attempting to design behavior change interventions that can prevent or mitigate chronic diseases, we often confront problems that seem to defy our capacity for altering human behavior. Tobacco use, poor diets, sedentary lifestyles, low adherence to life-saving medications—all are behaviors that contribute substantially to the burden of chronic diseases in the USA and worldwide, and all represent continuing challenges that have met with varying degrees of success as we attempt to design effective interventions, especially in medically underserved and high-risk population subgroups. It is tempting to yearn for a “behavioral statin,” a strategy or intervention that can produce dramatic change in these and other behavioral risk factors across a wide variety of contexts and sociodemographic groups. Yet, the key to...
Compliance with Ethical Standards
This commentary does not involve research using human participants and/or animals.
Conflict of Interest
The author served as lead Program Director for the trans-NIH Obesity-Related Behavioral Intervention Trials (ORBIT) Consortium, and was Project Officer for the grant on which this article is based (E. Epel, B. Laraia, N. Adler, PI’s).
The views expressed in this manuscript are those of the author and do not necessarily represent the views of the National Institutes of Health or the US Department of Health and Human Services.
- 4.National Center for Health Statistics. Health, United States. 2011 with special feature on socioeconomic status and health. Hyattsville: US Department of Health and Human Services; 2012.4Google Scholar
- 5.Trust for America’s Health/Robert Wood Johnson Foundation. The state of obesity 2018: better policies for a healthier America. https://www.tfah.org/report-details/the-state-of-obesity-2018/5. Accessed 14 June 2019
- 10.Yau YH, Potenza MN. Stress and eating behaviors. Minerva Endocrinol. 2013;38(3):255–267.10.Google Scholar
- 11.Epel ES, Tomiyama AJ, Dallman MF. Stress and reward: neural networks, eating, and obesity. In: Brownell KD, Gold MS, editors. Food and addiction: a comprehensive handbook. Oxford: Oxford University Press; 2012. p. 11.Google Scholar
- 16.Epel E, Laraia B, Coleman-Phox K, et al. Effects of a mindfulness-based intervention on distress, weight gain, and glucose control for pregnant low-income women: a quasi-experimental trial using the ORBIT model. Int J Beh Med. Published online April. 2019. https://doi.org/10.1007/s12529-019-09779-216.
- 18.Vieten C, Laraia B, Kristeller J, et al. The mindful moms training: development of a mindfulness-based intervention to reduce stress and overeating during pregnancy. BMC Pregnancy Childbirth. 2018;18(1):201. https://doi.org/10.1186/s12884-018-1757-6
- 20.Daubenmier J, Kristeller J, Hecht FM, et al. Mindfulness intervention for stress eating to reduce cortisol and abdominal fat among overweight and obese women: an exploratory randomized controlled study. J Obes. 2011;65:19–36.20.Google Scholar
- 23.Laraia BA, Adler NE, Coleman-Phox K, et al. Novel interventions to reduce stress and overeating in overweight pregnant women: a feasibility study. Matern Child Health J. 2018;22(5):670–8. https://doi.org/10.1007/s10995-018-2435-z.
- 24.Felder JN, Laraia B, Coleman-Phox K, et al. Poor sleep quality, psychological distress, and the buffering effect of mindfulness training during pregnancy. Behav Sleep Med. 2017;6:1–15.24.Google Scholar
- 25.Roubinov DS, Felder JN, Vieten C, et al. Maternal depressive symptoms and infant healthcare utilization: the moderating role of prenatal mindfulness. Gen Hosp Psychiatry [Internet]. 2018 4 [cited 2018 Apr 6]; Available from: http://www.sciencedirect.com/science/article/pii/S016383431730587X25.
- 27.Benediktsson I, McDonald SW, Vekved M, McNeil DA, Dolan SM, Tough SC. Comparing CenteringPregnancy® to standard prenatal care plus prenatal education. BMC Pregnancy Childbirth. 13(Suppl 1):S5. https://doi.org/10.1186/1471-2393-13-S1-S5.