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Developing a lifestyle intervention program for overweight or obese preconception, pregnant and postpartum women using qualitative methods.

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cam.issuedOnline2022-02-15
dc.contributor.authorKu, Chee Wai
dc.contributor.authorLeow, Shu Hui
dc.contributor.authorOng, Lay See
dc.contributor.authorErwin, Christina
dc.contributor.authorOng, Isabella
dc.contributor.authorNg, Xiang Wen
dc.contributor.authorTan, Jacinth JX
dc.contributor.authorYap, Fabian
dc.contributor.authorChan, Jerry Kok Yen
dc.contributor.authorLoy, See Ling
dc.date.accessioned2022-02-15T16:00:42Z
dc.date.available2022-02-15T16:00:42Z
dc.date.issued2022-02-15
dc.date.submitted2021-09-05
dc.date.updated2022-02-15T16:00:40Z
dc.description.abstractThe time period before, during and after pregnancy represents a unique opportunity for interventions to cultivate sustained healthy lifestyle behaviors to improve the metabolic health of mothers and their offspring. However, the success of a lifestyle intervention is dependent on uptake and continued compliance. To identify enablers and barriers towards engagement with a lifestyle intervention, thematic analysis of 15 in-depth interviews with overweight or obese women in the preconception, pregnancy or postpartum periods was undertaken, using the integrated-Promoting Action on Research Implementation in Health Services framework as a guide to systematically chart factors influencing adoption of a novel lifestyle intervention. Barrier factors include time constraints, poor baseline knowledge, family culture, food accessibility, and lack of relevant data sources. Enabling factors were motivation to be healthy for themselves and their offspring, family and social support, a holistic delivery platform providing desired information delivered at appropriate times, regular feedback, goal setting, and nudges. From the findings of this study, we propose components of an idealized lifestyle intervention including (i) taking a holistic life-course approach to education, (ii) using mobile health platforms to reduce barriers, provide personalized feedback and promote goal-setting, and (iii) health nudges to cultivate sustained lifestyle habits.
dc.identifier.doi10.17863/CAM.81464
dc.identifier.eissn2045-2322
dc.identifier.issn2045-2322
dc.identifier.others41598-022-06564-2
dc.identifier.other6564
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/334053
dc.languageen
dc.language.isoeng
dc.publisherSpringer Science and Business Media LLC
dc.publisher.urlhttp://dx.doi.org/10.1038/s41598-022-06564-2
dc.subjectAdult
dc.subjectBehavior Therapy
dc.subjectBody Mass Index
dc.subjectDiet, Healthy
dc.subjectExercise
dc.subjectFemale
dc.subjectGoals
dc.subjectHealthy Lifestyle
dc.subjectHumans
dc.subjectMotivational Interviewing
dc.subjectObesity, Maternal
dc.subjectPostpartum Period
dc.subjectPreconception Care
dc.subjectPregnancy
dc.subjectQualitative Research
dc.subjectSocial Support
dc.subjectSurveys and Questionnaires
dc.subjectTreatment Outcome
dc.titleDeveloping a lifestyle intervention program for overweight or obese preconception, pregnant and postpartum women using qualitative methods.
dc.typeArticle
dcterms.dateAccepted2022-02-02
prism.issueIdentifier1
prism.publicationNameSci Rep
prism.volume12
pubs.funder-project-idNational Medical Research Council (NMRC/MOH-000596-00, NMRC/CG/M003/2017)
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
rioxxterms.versionVoR
rioxxterms.versionofrecord10.1038/s41598-022-06564-2

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