WOMENinMOTION An Intervention Model for Pelvic Girdle Pain

Condition(s) studied

Investigational drug(s) / intervention(s)

knowledge: -knowledge on pain in general and specifically pelvic girdle pain Pregnant women who in addition to usual care get our model WOMENinMOTION on a digital platform with self-directed content areas modules and linked tasks to promote physical activity and function by reducing concerns, pain, and building confidence for physical activity and realistic expectations. When women consider the digital platform insufficient, they are referred to physiotherapy at clinic for physiotherapeutically individually coached content of WIM

motivation for behavioral change: motivation to be physically active

Study summary

The overall aim is to educate women to handle common pregnancy-related pain experiences to facilitate healthy life-long physical activity habits and prevent chronic pain.

Our developed WOMENinMOTION model with person-centred preventions and interventions focused on management of pain components added to usual care, will be evaluated in a randomized control study against usual care.

Data and method The model WOMENinMOTION is built on pain education and management of the sensory, emotional, and cognitive components of pain. Through pain management and motivation, pregnant women are guided to choose personal tools for health-promoting physical activity and adaptation of daily activities. Instructive films of exercises, pelvic belt application, and knowledge to meet worries are provided digitally. When the digital content is insufficient, the model is supported by physiotherapist.

Plan for project realisation WOMENinMOTION developed in collaboration with women with PGP, will be pilot tested including analysis of focus groups interviews 2024. The model is evaluated by self-reported questionnaires in a multicenter randomised controlled trial 2025-27 with primary outcomes: physical activity, function and health in gestational week 35, 4 months, 1 and 2 years after birth. Secondary outcomes is PGP prevalence, satisfaction with care, and health economy.

Eligibility

Primary outcome measure(s)

• Physical activity: the Pregnancy Physical Activity Questionnaire — From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
  different domains of physical activity in every day life
• Health by EQ5D — From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
  Health-related quality of life by the EuroQol 5-dimension questionnaire.
• Function, summary of sensory components of pain — From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
  SENSORY component of pain: Severity and disability of Pelvic Girdle Pain - measured by the Pelvic Girdle Questionnaire (PGQ).
• Function, summary of cognitive components of pain — From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
  COGNITIVE component of pain: Self-efficacy for carrying out physical activity - measured by the Pregnancy-Exercise Self-Efficacy Scale (P-ESES).
• Function, summary of emotional components of pain — From enrollment to gestational weeks 35, 4 months, 1 and 3.5 years after birth
  EMOTIONAL component of pain: Concern about pain - a Numeric Rating Scale of 0-10.

Trial sites (2)

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