Experiences of a multi-ethnic population with obesity receiving dietary interventions and probiotics in pregnancy, from the Healthy Mums and Babies randomised trial

Abstract

Aim To evaluate multi-ethnic participants’ feedback from the Healthy Mums and Babies (HUMBA) trial. Methods In conjunction with the HUMBA trial, a survey of dietary educational preferences (provided by community health workers (CHWs) and supported by text messages) or routine dietary advice with probiotic or placebo capsules was conducted in a multi-ethnic sample of pregnant women with obesity residing in an area of high deprivation in South Auckland, New Zealand (NZ). Results Of 230 participants, median BMI was 38.6 kg/m2, 22% were Māori, 49% Pacific and 64% in highest deprivation quintile. Over 80% completed the survey. Participants reported overall-experience was positive (92%); capsules easy to take (80%); if probiotics improved health, they would recommend to a friend (97%). Participants in dietary intervention reported input by CHWs helped: change their food intake (70%); eat healthy (73%); set goals to change diet (62%); keep to recommended weight-gain (63%); and would recommend intervention to a friend (82%). Participants reported text messages: were read (93%); helped them eat healthy (65%); messages from baby was a good idea (79%) and would recommend to a friend (79%). Satisfaction with CHW was not related to weight-gain or birthweight. Conclusions In this high needs’ population, feedback of participation in the HUMBA trial was very positive. The dietary intervention provided by CHWs was valued.