{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T12:30:11Z","timestamp":1790857811707,"version":"4.1.0"},"reference-count":45,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T00:00:00Z","timestamp":1721692800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["R01HL130816"],"award-info":[{"award-number":["R01HL130816"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of this study was to evaluate the efficacy of a mobile health (mHealth)\u2010delivered behavioral intervention on changes in postpartum weight and cardiometabolic risk factors (blood pressure [BP], lipids, and hemoglobin A1c) over 12\u2009months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A randomized controlled trial of 300 African American postpartum people\u00a0with overweight and obesity enrolled in Philadelphia Women, Infants, and Children (WIC) clinics was conducted. Participants were randomized to usual WIC care (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009151) or a 12\u2010month mHealth\u2010delivered intervention (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009149) comprising behavior change goals, interactive self\u2010monitoring text messages, and counseling support.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Intervention and usual\u2010care participants did not significantly differ in 12\u2010month mean postpartum weight change (1.1 vs. 1.6\u2009kg,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.5; difference \u22120.6\u2009kg, 95% CI: \u22122.3 to 1.2). However, high intervention engagement led to weight loss compared with weight gain among those who were less engaged (\u22120.6 vs. 2.4\u2009kg,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.01; difference \u22123.0\u2009kg, 95% CI: \u22125.4 to \u22120.6). The intervention reduced systolic BP relative to usual care (\u22121.6 vs. 2.4\u2009mm Hg,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.02; difference \u22124.0\u2009mm Hg, 95% CI: \u22127.5 to \u22120.5), but this effect did not extend to other cardiometabolic risk factors.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Among African American postpartum people enrolled in WIC, an mHealth\u2010delivered intervention reduced systolic BP but not additional cardiometabolic risk factors or weight. Intervention participants with high engagement had significantly better postpartum weight outcomes, and thus, next steps include addressing barriers to engagement.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/oby.24091","type":"journal-article","created":{"date-parts":[[2024,7,23]],"date-time":"2024-07-23T06:54:49Z","timestamp":1721717689000},"page":"1646-1657","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Efficacy of an mHealth\u2010delivered behavioral intervention on weight loss and cardiometabolic risk in African American postpartum people with overweight or obesity: the SnapBack randomized controlled trial"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6136-521X","authenticated-orcid":false,"given":"Sharon J.","family":"Herring","sequence":"first","affiliation":[{"name":"Program for Maternal Health Equity, Center for Urban Bioethics, Department of Urban Health and Population Science Lewis Katz School of Medicine at Temple University  Philadelphia Pennsylvania USA"},{"name":"Center for Obesity Research and Education, College of Public Health Temple University  Philadelphia Pennsylvania USA"},{"name":"Department of Medicine Lewis Katz School of Medicine at Temple University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daohai","family":"Yu","sequence":"additional","affiliation":[{"name":"Center for Biostatistics &amp; Epidemiology, Department of Biomedical Education and Data Science Lewis Katz School of Medicine at Temple University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niesha","family":"Darden","sequence":"additional","affiliation":[{"name":"Division of Neonatology Children's Hospital of Philadelphia  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brooke","family":"Bailer","sequence":"additional","affiliation":[{"name":"Program for Maternal Health Equity, Center for Urban Bioethics, Department of Urban Health and Population Science Lewis Katz School of Medicine at Temple University  Philadelphia Pennsylvania USA"},{"name":"Center for Obesity Research and Education, College of Public Health Temple University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Cruice","sequence":"additional","affiliation":[{"name":"Program for Maternal Health Equity, Center for Urban Bioethics, Department of Urban Health and Population Science Lewis Katz School of Medicine at Temple University  Philadelphia Pennsylvania USA"},{"name":"Center for Obesity Research and Education, College of Public Health Temple University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica J.","family":"Albert","sequence":"additional","affiliation":[{"name":"Program for Maternal Health Equity, Center for Urban Bioethics, Department of Urban Health and Population Science Lewis Katz School of Medicine at Temple University  Philadelphia Pennsylvania USA"},{"name":"Center for Obesity Research and Education, College of Public Health Temple University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Santoro","sequence":"additional","affiliation":[{"name":"Program for Maternal Health Equity, Center for Urban Bioethics, Department of Urban Health and Population Science Lewis Katz School of Medicine at Temple University  Philadelphia Pennsylvania USA"},{"name":"Center for Obesity Research and Education, College of Public Health Temple University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Veronica","family":"Bersani","sequence":"additional","affiliation":[{"name":"LoveLife Nutrition and Wellness, LLC  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chantelle N.","family":"Hart","sequence":"additional","affiliation":[{"name":"Center for Obesity Research and Education, College of Public Health Temple University  Philadelphia Pennsylvania USA"},{"name":"Department of Social and Behavioral Sciences, College of Public Health Temple University  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6443-9686","authenticated-orcid":false,"given":"Eric A.","family":"Finkelstein","sequence":"additional","affiliation":[{"name":"Duke\u2013NUS Medical School  Singapore Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda M.","family":"Kilby","sequence":"additional","affiliation":[{"name":"Special Supplemental Nutrition Education Program for Women, Infants and Children  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaoning","family":"Lu","sequence":"additional","affiliation":[{"name":"Center for Biostatistics &amp; 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