Carol Shieh - Academia.edu (original) (raw)
Papers by Carol Shieh
Clinical nurse specialist CNS
Excessive maternal gestational weight gain increases pregnancy and infant complications. Self-mon... more Excessive maternal gestational weight gain increases pregnancy and infant complications. Self-monitoring has been shown to be an effective strategy in weight management. Literature, however, is limited in describing pregnant women's engagement in self-monitoring. This qualitative study explored the experiences of overweight and obese pregnant women who self-monitored their eating, walking, and weight as participants in an intervention for excessive gestational weight gain prevention. Thirteen overweight and obese pregnant women participated in semistructured interviews. Reflexive iteration data analysis was conducted. Five themes were identified: making self-monitoring a habit, strategies for self-monitoring, barriers to self-monitoring, benefits of self-monitoring, and drawbacks of self-monitoring. The women viewed self-monitoring as a "habit" that could foster a sense of self-control and mindfulness. Visual or tracing aids were used to maintain the self-monitoring ha...
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
To evaluate the feasibility and potential benefits of a self-monitoring enhanced lifestyle interv... more To evaluate the feasibility and potential benefits of a self-monitoring enhanced lifestyle intervention to prevent excessive gestational weight gain in women who are overweight and obese. A one-group, prospective design involving 8 weeks of healthy eating and physical activity and self-monitoring of weight, nutrition, and walking. Recruitment and enrollment in prenatal clinics and self-monitoring at home. Women (N = 22) at 14 to 24 gestational weeks, with body mass indexes of 25 to 40 kg/m(2), without medical and psychiatric diseases that affected cognition or walking. Participants self-monitored weight and nutrition intake for the first 4 weeks and weight, nutrition intake, and walking in the second 4 weeks. Feasibility data were collected weekly (attrition, self-monitoring adherence, program safety, participant feedback) or at the end of Week 8 (satisfaction ratings). Potential benefits included weight, nutrition, and physical activity, measured at baseline (T1), the end of Week 4...
Nursing for Women's Health, 2011
The web-based MyPyramid developed by the U.S. Department of Agriculture is a nutrition education ... more The web-based MyPyramid developed by the U.S. Department of Agriculture is a nutrition education program. Care providers can use the MyPyramid to enhance nutrition information delivery and foster healthy eating behaviors in their patients. Three interactive tools are available in the MyPyramid for pregnant women, including the "MyPyramid plan for Moms," the "MyPyramid Menu Planner for Moms," and the "MyPyramid Tracker." These tools help pregnant women learn about nutritional needs for pregnancy, menu planning, and dietary monitoring. About 60% of U.S. pregnant women do not gain the amount of gestational weight as recommended by the Institute of Medicine (2009, see Table 1 for detail), with more women gaining too much than too little; and those with pre-pregnancy BMIs greater than 25 are two times more likely than women with normal BMIs to gain gestational weight exceeding the Institute of Medicine's recommendations (Olson, 2008). Research has shown that poor prenatal nutrition and maternal obesity before and after pregnancy are associated with infant and pregnancy complications (Bryant, Worjoloh, Caughery, & Washington, 2010). Prenatal nutrition, therefore, is important because it influences the health of a pregnant women and her baby. The first step to achieving adequate and balanced prenatal nutrition is to select healthy foods and to eat them in the right amounts and in appropriate combinations. Even women who have had healthy eating habits before pregnancy need nutrition information about extra energy
Preventive Medicine Reports, 2020
Social media utilization is prevalent among reproductive-age women. The literature on how researc... more Social media utilization is prevalent among reproductive-age women. The literature on how researchers engage women in studies using social media platforms is scarce. This systematic review analyzed participant engagement design in studies using social media and focused on pregnancy and infant health. Methods: A literature search of EBSCO and PubMed databases was conducted. Included studies had to be completed with quantitative data, focus on pregnancy, postpartum or infant health, and use social media in the research process. A matrix of three engagement designs (passive, interactive, independent) and three research processes (recruitment, data analysis, intervention) was used for analysis. Findings: Thirty-one articles that reported 30 studies met the inclusion criteria. Of these, four were randomized controlled trials (RCT), four were non-RCT interventions, and 22 were observational/descriptive studies. The main purpose of using social media was for recruitment (n = 16), data analysis (n = 6), intervention (n = 8), or both recruitment and intervention (n = 1). Passive engagement was a fundamental design approach in all studies to access a data source that was either the participant or the data provided by the participants in social media. Interactive engagement, mostly for recruitment and intervention, was to engage participants in completing study enrollment or in interacting with the study team or fellow participants. Independent engagement involved off-line activities and appeared sporadically in intervention studies. Conclusions: Passive and interactive engagement designs are more frequently used than independent engagement design. Researchers should select suitable designs when studying pregnancy and infant health using social media.
Journal of Interpersonal Violence, 2014
Our purpose was to estimate the national prevalence of intimate partner violence (IPV) among deli... more Our purpose was to estimate the national prevalence of intimate partner violence (IPV) among delivery-related discharges and to investigate its association with adverse feto-maternal birth outcomes and delivery-related cost. A retrospective cross-sectional analysis of delivery-related hospital discharges from 2002 to 2009 was conducted using the Nationwide Inpatient Sample (NIS). We used ICD-9-CM codes to identify IPV, covariates, and outcomes. Multivariable logistic regression modeling was used to calculate adjusted odds ratios (OR) and 95% confidence intervals (CI) for the associations between IPV and each outcome. Joinpoint regression was used for trend analysis. During the study period, 3,649 delivery-related discharges were diagnosed with IPV (11.2 per 100,000; 95% CI = [10.0, 12.4]). IPV diagnosis during delivery is associated with stillbirth (AOR = 4.12, 95% CI = [2.75, 6.17]), preterm birth (AOR = 1.97, 95% CI = [1.59, 2.44]), fetal death (AOR = 3.34, 95% CI = [1.99, 5.61]), infant with poor intrauterine growth (AOR = 1.55, 95% CI = [1.01, 2.40]), and increased inpatient hospital care cost (US$5,438.2 vs. US$4,080.1) per each discharge, incurring an additional cost of US$4,955,707 during the study period. IPV occurring during pregnancy has a significant health burden to both the mother and infant. Education about IPV; screening at periodic intervals, including during obstetric visits; and ongoing clinical care could help to reduce or eliminate adverse effects of pregnancy-related IPV. Preventing the lifelong consequences associated with IPV can have a positive effect on the overall health of all women and delivery-related health care cost.
Clinical nurse specialist CNS
Excessive maternal gestational weight gain increases pregnancy and infant complications. Self-mon... more Excessive maternal gestational weight gain increases pregnancy and infant complications. Self-monitoring has been shown to be an effective strategy in weight management. Literature, however, is limited in describing pregnant women's engagement in self-monitoring. This qualitative study explored the experiences of overweight and obese pregnant women who self-monitored their eating, walking, and weight as participants in an intervention for excessive gestational weight gain prevention. Thirteen overweight and obese pregnant women participated in semistructured interviews. Reflexive iteration data analysis was conducted. Five themes were identified: making self-monitoring a habit, strategies for self-monitoring, barriers to self-monitoring, benefits of self-monitoring, and drawbacks of self-monitoring. The women viewed self-monitoring as a "habit" that could foster a sense of self-control and mindfulness. Visual or tracing aids were used to maintain the self-monitoring ha...
Journal of obstetric, gynecologic, and neonatal nursing : JOGNN
To evaluate the feasibility and potential benefits of a self-monitoring enhanced lifestyle interv... more To evaluate the feasibility and potential benefits of a self-monitoring enhanced lifestyle intervention to prevent excessive gestational weight gain in women who are overweight and obese. A one-group, prospective design involving 8 weeks of healthy eating and physical activity and self-monitoring of weight, nutrition, and walking. Recruitment and enrollment in prenatal clinics and self-monitoring at home. Women (N = 22) at 14 to 24 gestational weeks, with body mass indexes of 25 to 40 kg/m(2), without medical and psychiatric diseases that affected cognition or walking. Participants self-monitored weight and nutrition intake for the first 4 weeks and weight, nutrition intake, and walking in the second 4 weeks. Feasibility data were collected weekly (attrition, self-monitoring adherence, program safety, participant feedback) or at the end of Week 8 (satisfaction ratings). Potential benefits included weight, nutrition, and physical activity, measured at baseline (T1), the end of Week 4...
Nursing for Women's Health, 2011
The web-based MyPyramid developed by the U.S. Department of Agriculture is a nutrition education ... more The web-based MyPyramid developed by the U.S. Department of Agriculture is a nutrition education program. Care providers can use the MyPyramid to enhance nutrition information delivery and foster healthy eating behaviors in their patients. Three interactive tools are available in the MyPyramid for pregnant women, including the "MyPyramid plan for Moms," the "MyPyramid Menu Planner for Moms," and the "MyPyramid Tracker." These tools help pregnant women learn about nutritional needs for pregnancy, menu planning, and dietary monitoring. About 60% of U.S. pregnant women do not gain the amount of gestational weight as recommended by the Institute of Medicine (2009, see Table 1 for detail), with more women gaining too much than too little; and those with pre-pregnancy BMIs greater than 25 are two times more likely than women with normal BMIs to gain gestational weight exceeding the Institute of Medicine's recommendations (Olson, 2008). Research has shown that poor prenatal nutrition and maternal obesity before and after pregnancy are associated with infant and pregnancy complications (Bryant, Worjoloh, Caughery, & Washington, 2010). Prenatal nutrition, therefore, is important because it influences the health of a pregnant women and her baby. The first step to achieving adequate and balanced prenatal nutrition is to select healthy foods and to eat them in the right amounts and in appropriate combinations. Even women who have had healthy eating habits before pregnancy need nutrition information about extra energy
Preventive Medicine Reports, 2020
Social media utilization is prevalent among reproductive-age women. The literature on how researc... more Social media utilization is prevalent among reproductive-age women. The literature on how researchers engage women in studies using social media platforms is scarce. This systematic review analyzed participant engagement design in studies using social media and focused on pregnancy and infant health. Methods: A literature search of EBSCO and PubMed databases was conducted. Included studies had to be completed with quantitative data, focus on pregnancy, postpartum or infant health, and use social media in the research process. A matrix of three engagement designs (passive, interactive, independent) and three research processes (recruitment, data analysis, intervention) was used for analysis. Findings: Thirty-one articles that reported 30 studies met the inclusion criteria. Of these, four were randomized controlled trials (RCT), four were non-RCT interventions, and 22 were observational/descriptive studies. The main purpose of using social media was for recruitment (n = 16), data analysis (n = 6), intervention (n = 8), or both recruitment and intervention (n = 1). Passive engagement was a fundamental design approach in all studies to access a data source that was either the participant or the data provided by the participants in social media. Interactive engagement, mostly for recruitment and intervention, was to engage participants in completing study enrollment or in interacting with the study team or fellow participants. Independent engagement involved off-line activities and appeared sporadically in intervention studies. Conclusions: Passive and interactive engagement designs are more frequently used than independent engagement design. Researchers should select suitable designs when studying pregnancy and infant health using social media.
Journal of Interpersonal Violence, 2014
Our purpose was to estimate the national prevalence of intimate partner violence (IPV) among deli... more Our purpose was to estimate the national prevalence of intimate partner violence (IPV) among delivery-related discharges and to investigate its association with adverse feto-maternal birth outcomes and delivery-related cost. A retrospective cross-sectional analysis of delivery-related hospital discharges from 2002 to 2009 was conducted using the Nationwide Inpatient Sample (NIS). We used ICD-9-CM codes to identify IPV, covariates, and outcomes. Multivariable logistic regression modeling was used to calculate adjusted odds ratios (OR) and 95% confidence intervals (CI) for the associations between IPV and each outcome. Joinpoint regression was used for trend analysis. During the study period, 3,649 delivery-related discharges were diagnosed with IPV (11.2 per 100,000; 95% CI = [10.0, 12.4]). IPV diagnosis during delivery is associated with stillbirth (AOR = 4.12, 95% CI = [2.75, 6.17]), preterm birth (AOR = 1.97, 95% CI = [1.59, 2.44]), fetal death (AOR = 3.34, 95% CI = [1.99, 5.61]), infant with poor intrauterine growth (AOR = 1.55, 95% CI = [1.01, 2.40]), and increased inpatient hospital care cost (US$5,438.2 vs. US$4,080.1) per each discharge, incurring an additional cost of US$4,955,707 during the study period. IPV occurring during pregnancy has a significant health burden to both the mother and infant. Education about IPV; screening at periodic intervals, including during obstetric visits; and ongoing clinical care could help to reduce or eliminate adverse effects of pregnancy-related IPV. Preventing the lifelong consequences associated with IPV can have a positive effect on the overall health of all women and delivery-related health care cost.