Acceptability and Feasibility of a Multiple-Behavior, Computer-Tailored Intervention for Underserved Pregnant Women


  • Leanne Mauriello PhD,

  • Sharon Dyment MPH,

  • Janice Prochaska PhD,

  • Amy Gagliardi MA, IBCLC,

  • Jan Weingrad-Smith CNM, MS, MPH

Address correspondence to Leanne M. Mauriello, PhD, Vice President of Research and Product Development, Pro-Change Behavior Systems, Inc, P.O. Box 755, West Kingston, RI 02892. E-mail:


Introduction: A pilot test of a computer-tailored intervention designed to promote positive health behaviors during pregnancy among a low-income population across multiple ethnic groups was conducted.

Methods: Intervention content, based on the transtheoretical model, offered pregnant women assistance with smoking cessation, stress management, and increasing fruit and vegetable consumption. Pregnant women (N = 87) were recruited from federally qualified health centers. After completing the intervention, women answered a 16-item evaluation.

Results: Participants rated the program very positively, with 89.7% to 95.5% of participants agreeing or strongly agreeing with all evaluation items. For example, 95.4% of respondents reported that the program could help them be healthier, that they learned new information, and that the program was designed for pregnant women like themselves. Additionally, the majority of participants (92%) reported that they would recommend the program to a friend. There were no significant differences in the ratings based on demographic characteristics of the participants. Qualitative responses support acceptability for the program. Further, assessments before and after completion of the program indicated an increase in intention to make behavioral changes.

Discussion: With acceptability and feasibility confirmed, the next steps are to test efficacy and consequently to distribute the program to populations of underserved pregnant women.