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Culturally adapted lifestyle and mental health intervention for low-income pregnant women: a feasibility study

2025-12-29Artigo de investigação Acesso aberto
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dc.contributor.authorNunes, Maria Arminda
dc.contributor.authorMelnyk, Bernadette
dc.contributor.authorAlmeida, Sofia
dc.contributor.authorVieira, Margarida
dc.contributor.authorCardoso, Alexandrina
dc.date.accessioned2026-01-09T11:51:59Z
dc.date.available2026-01-09T11:51:59Z
dc.date.issued2025-12-29
dc.description.abstractBackground: Low-income pregnant women face challenges in maintaining a healthy lifestyle during pregnancy and protecting their mental health, increasing their risk of adverse perinatal outcomes. The Creating Opportunities for Personal Empowerment (COPE) program, culturally adapted for the Portuguese context, aims to promotes a healthy lifestyle and mental health.Objective: We aimed to assess the feasibility, acceptability, and preliminary effects of the culturally adapted intervention among low-income pregnant women, comparing in-person and online modalities.Methods: This mixed-methods study followed the Medical Research Council framework. Phase I involved cultural and linguistic adaptation of COPE using the ADAPT model. Phase II was a pre-post feasibility study with 45 low-income pregnant women attending in-person or online sessions. Feasibility was assessed through recruitment and retention. Acceptability was evaluated via engagement in skill-building activities, session rescheduling, and qualitative feedback. Preliminary effects were measured at T0 (baseline), T1 (post-intervention), and T2 (4-6 weeks postpartum).Results: Recruitment was 65.2%, with 68.9% retention, higher in the online group. On average, participants completed 3 skill-building activities and rescheduled 2.3 sessions. Qualitative feedback supported the intervention's acceptability. Anxiety and depressive symptoms significantly decreased from T0 to T1, with anxiety reduction sustained at T2. Postpartum depression declined in the in-person group but increased online. Perceived stress remained unchanged, while healthy lifestyle beliefs and behaviors improved significantly.Conclusion: The COPE intervention was feasible and acceptable, demonstrating improvements in lifestyle behaviors and mental health. Its cultural adaptation supports applicability in the Portuguese context and highlights potential for broader international transfer. Trial Registration: Open Science Framework doi.org/10.17605/OSF.IO/SQ5GK).eng
dc.identifier.citationNunes, M. A., Melnyk, B., Almeida, S., & Vieira, M. et al. (in press). Culturally adapted lifestyle and mental health intervention for low-income pregnant women: a feasibility study. Western Journal of Nursing Research. https://doi.org/10.1177/01939459251403005
dc.identifier.doi10.1177/01939459251403005
dc.identifier.eid105026211041
dc.identifier.issn0193-9459
dc.identifier.otherbbdf2bd4-b7ae-4bd3-bd5f-7e2bdaafb641
dc.identifier.pmid41460526
dc.identifier.urihttp://hdl.handle.net/10400.14/56457
dc.identifier.wos001650025800001
dc.language.isoeng
dc.peerreviewedyes
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCulturally adapted intervention
dc.subjectFeasibility study
dc.subjectHealthy lifestyle
dc.subjectLow-income
dc.subjectMental health
dc.subjectPregnancy
dc.titleCulturally adapted lifestyle and mental health intervention for low-income pregnant women: a feasibility studyeng
dc.typeresearch article
dspace.entity.typePublication
oaire.citation.titleWestern Journal of Nursing Research
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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