Interventions to change maternity healthcare professionals’ behaviours to promote weight-related support for obese pregnant women: a systematic review

Implementation Science

Judith Rankin¹  Elaine McColl²  Falko F Sniehotta¹  Shannon Robalino¹  Lisa Crowe¹  Nicola Heslehurst¹ 

[1] Institute of Health & Society, Newcastle University, Baddiley-Clark Building, Richardson Road, Newcastle upon Tyne NE2 4AX, EnglandUK;Clinical Trials Unit, Newcastle University, Newcastle upon Tyne, EnglandUK

关键词: Weight management;    Pregnancy;    Obesity;    Behaviour change;    Healthcare professionals;    Systematic review;   

Others  :  1146867
DOI  :  10.1186/s13012-014-0097-9

 received in 2014-02-05, accepted in 2014-07-10,  发布年份 2014

【 摘 要 】

Background

There has been a rapid increase in the publication of guidelines for managing obesity and weight gain during pregnancy over the past five years. Healthcare professionals have identified multiple barriers to this area of practice, including the need to improve their communication skills, beliefs that pregnant women will have negative reactions to weight-related discussions, and a lack of weight management knowledge. This systematic review aimed to identify: the effectiveness of interventions in changing healthcare professionals’ practice relating to maternal obesity or weight management during pregnancy; and which behaviour change techniques and modes of intervention delivery have been used in interventions to date.

Findings

The search strategy included searching electronic databases, trial registers, and citation searching. Inclusion criteria were intervention studies targeted towards changing healthcare professionals’ practice in relation to maternal obesity or weight management. The searches identified 3,608 studies. However, no eligible completed studies were identified. One registered Canadian randomised controlled trial was identified. The trial includes a training intervention for family physicians with the aim of supporting adherence to gestational weight gain guidelines. The trial had not yet commenced therefore no effectiveness data were available.

Conclusions

The current focus of maternal obesity and weight management research is targeted towards changing pregnant women’s behaviours. These interventions do not address the multiple healthcare professionals’ barriers to maternal obesity and weight management practice. Further research is required to identify the most effective approaches to support healthcare professionals to implement maternal obesity and weight management guidelines into practice.

【 授权许可】

   
2014 Heslehurst et al.; licensee BioMed Central

【 图 表 】

Figure 1.

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