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

We’re sorry, something doesn't seem to be working properly.

Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

This is a preview of subscription content, log in to check access.

References

  1. 1.

    Lauby-Secretan B, Scoccianti C, Loomis D, et al. Body fatness and cancer--viewpoint of the IARC Working Group. NEJM. 2016;375(8):794–8. https://doi.org/10.1056/NEJMsr1606602.1.

    Article  PubMed  Google Scholar 

  2. 2.

    Pi-Sunyer X. The medical risks of obesity. Postgrad Med. 2009;121(6):21–33. https://doi.org/10.3810/pgm.2009.11.20742.

    Article  PubMed  PubMed Central  Google Scholar 

  3. 3.

    Wang Y, Beydoun MA. The obesity epidemic in the United States - gender, age, socioeconomic, racial/ethnic, and geographic characteristics: a systematic review and meta-regression analysis. Epidemiol Rev. 2007;29(1):6–28.3.

    CAS  Article  Google Scholar 

  4. 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; 2012.4

    Google Scholar 

  5. 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

  6. 6.

    Nohr EA, Vaeth M, Baker JL, Sorensen T, Olsen J, Rasmussen KM. Combined associations of prepregnancy body mass index and gestational weight gain with the outcome of pregnancy. Am J Clin Nutr. 2008;87:1750–9. https://doi.org/10.1093/ajcn/87.6.17506.

    CAS  Article  PubMed  Google Scholar 

  7. 7.

    Oken E, Kleinman KP, Belfort MB, Hammitt JK, Gillman MW. Associations of gestational weight gain with short- and longer-term maternal and child health outcomes. Am J Epidemiol. 2009;170:173–80. https://doi.org/10.1093/aje/kwp1017.

    Article  PubMed  PubMed Central  Google Scholar 

  8. 8.

    Gilmore LA, Klempel-Donchenko M, Redman LM. Pregnancy as a window to future health: excessive gestational weight gain and obesity. Semin Perinatol. 2015;39:296–303. https://doi.org/10.1053/j.semperi.2015.05.0098.

    Article  PubMed  PubMed Central  Google Scholar 

  9. 9.

    Flegal KM, Carroll MD, Ogden CL, Curtin LR. Prevalence and trends in obesity among US adults, 1999–2008. JAMA. 2010;303(3):235–241.9.

    CAS  Article  Google Scholar 

  10. 10.

    Yau YH, Potenza MN. Stress and eating behaviors. Minerva Endocrinol. 2013;38(3):255–267.10.

    CAS  PubMed  PubMed Central  Google Scholar 

  11. 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 

  12. 12.

    Liu X, Clark J, Siskind D, et al. A systematic review and meta-analysis of the effects of qigong and tai chi for depressive symptoms. Complement Ther Med. 2015;23(4):516–34.12.

    Article  Google Scholar 

  13. 13.

    Herring SJ, Cruice JF, Bennett GG, Rose MZ, Davey A, Foster GD. Preventing excessive gestational weight gain among African American women: a randomized clinical trial. Obesity Silver Spring Md. 2016;24(1):30–6.13.

    Article  Google Scholar 

  14. 14.

    Thornton YS, Smarkola C, Kopacz SM, Ishoof SB. Perinatal outcomes in nutritionally monitored obese pregnant women: a randomized clinical trial. J Natl Med Assoc. 2009;101(6):569–77.14.

    Article  Google Scholar 

  15. 15.

    Shirazian T, Monteith S, Friedman F, Rebarber A. Lifestyle modification program decreases pregnancy weight gain in obese women. Am J Perinatol. 2010;27(5):411–4.15.

    Article  Google Scholar 

  16. 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.

  17. 17.

    Czajkowski SM, Powell LH, Adler N, et al. From ideas to efficacy: the ORBIT model for developing behavioral treatments for chronic diseases. Health Psychol. 2015;34(10):971–82. https://doi.org/10.1037/hea000016117.

    Article  PubMed  PubMed Central  Google Scholar 

  18. 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

  19. 19.

    Vieten C, Astin J. Effects of a mindfulness-based intervention during pregnancy on prenatal stress and mood: results of a pilot study. Arch Womens Ment Health. 2008;11(1):67–74.19.

    CAS  Article  Google Scholar 

  20. 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 

  21. 21.

    Kristeller JL, Wolever RQ. Mindfulness-based eating awareness training for treating binge eating disorder: the conceptual foundation. Eat Disord. 2011;19(1):49–61.21.

    Article  Google Scholar 

  22. 22.

    Daubenmier J, Moran PJ, Kristeller J, et al. Effects of a mindfulness-based weight loss intervention in adults with obesity: a randomized clinical trial. Obesity Silver Spring Md. 2016;24(4):794–804.22.

    CAS  Article  Google Scholar 

  23. 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. 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. 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.

  26. 26.

    Stephenson J, Heslehurst N, Hall J, et al. Before the beginning: nutrition and lifestyle in the preconception period and its importance for future health. Lancet. 2018;391:1830–41.26.

    Article  Google Scholar 

  27. 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.

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Susan M. Czajkowski.

Ethics declarations

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).

Disclaimer

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.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Czajkowski, S.M. 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. Int.J. Behav. Med. 26, 457–460 (2019). https://doi.org/10.1007/s12529-019-09812-4

Download citation