Knowledge translation tool to improve pregnant women’s awareness of gestational weight gain goals and risks of gaining outside recommendations: a non-randomized intervention study

BMC Pregnancy and Childbirth

Research Article

Eleanor Pullenayegum¹  Joseph Beyene²  Binod Neupane²  Christina K Park²  Melissa Brouwers³  Wendy Sword⁴  Keyna Bracken⁵  Valerie Mueller⁶  Sarah D McDonald⁷  Valerie H Taylor⁸  Helen McDonald⁹ 

[1] Child Health Evaluative Sciences Program, Hospital for Sick Children, 555 University Avenue, M5G 1X8, Toronto, ON, Canada;Department of Clinical Epidemiology & Biostatistics, McMaster University, 1280 Main St. West, L8S 4L8, Hamilton, ON, Canada;Department of Clinical Epidemiology & Biostatistics, McMaster University, 1280 Main St. West, L8S 4L8, Hamilton, ON, Canada;Department of Oncology, McMaster University, 1280 Main St. West, L8S 4L8, Hamilton, ON, Canada;Department of Clinical Epidemiology & Biostatistics, McMaster University, 1280 Main St. West, L8S 4L8, Hamilton, ON, Canada;School of Nursing, McMaster University, L8S 4L8, Hamilton, ON, Canada;Department of Family Medicine, McMaster University, 1280 Main St. West, L8S 4L8, Hamilton, ON, Canada;Department of Obstetrics & Gynecology, McMaster University, 1280 Main St. West, L8S 4L8, Hamilton, ON, Canada;Department of Obstetrics & Gynecology, McMaster University, 1280 Main St. West, L8S 4L8, Hamilton, ON, Canada;Department of Radiology, McMaster University, 1280 Main St. West, L8S 4L8, Hamilton, ON, Canada;Department of Clinical Epidemiology & Biostatistics, McMaster University, 1280 Main St. West, L8S 4L8, Hamilton, ON, Canada;Department of Psychiatry, Women’s College Hospital, 76 Grenville St, M5S 1B1, Toronto, ON, Canada;Midwifery Education Program, McMaster University, 1280 Main St. West, L8S 4L8, Hamilton, ON, Canada;

关键词: Knowledge translation;    Intervention studies;    Surveys;    Gestational weight gain;    Lifestyle factors;    Counseling;   

DOI  :  10.1186/s12884-015-0534-z

 received in 2014-09-22, accepted in 2015-04-17,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundThere is an urgent need to prevent excessive pregnancy weight gain, a contributor to both maternal and child obesity. However, the majority of women had reported not being counseled to gain an appropriate amount of gestational weight by their health care providers. We developed a knowledge translation (KT) tool designed to facilitate the clinical interaction between pregnant women and their health care providers (HCPs). We piloted the tool on the impact on women’s knowledge of gestational weight gain (GWG) goals, and evaluated its potential in promoting appropriate knowledge about GWG within the 2009 Institute of Medicine guidelines.MethodsWe conducted a prospective cohort study, comparing women’s knowledge about GWG after the KT tool to women from the same clinics and care providers the year prior. Our primary outcome was the proportion of women who reported receiving an appropriate GWG recommendation from their care provider. We evaluated knowledge on a survey conducted at enrollment in the cohort at ≤ 20 weeks gestation and evaluated participant satisfaction with the KT tool in the third trimester. We performed univariate and multivariable logistic regression analyses for differences in outcomes with historical controls from the same clinics. Our a priori sample size calculation required 130 participants to demonstrate a 15% increase in reported counseling about gestational weight gain.ResultsOne hundred and forty-six women were recruited and 131 (90%) completed the enrollment survey. Women who received the KT tool were more likely to report receiving a specific GWG recommendation from their HCP (adjusted odds ratio [AOR] 3.45, 95% confidence interval [CI] 2.22-5.37) and discussing GWG topics with their HCP (AOR 7.96, 95% CI 4.41-14.37), and believing that there were risks to their infants with inadequate GWG (AOR 2.48, 95% CI 1.14-5.37). Half of women (49.5%) indicated that they would recommend the tool to a friend.ConclusionsWomen who received the KT tool reported receiving more counseling on GWG from their HCPs and were more aware of the risks of gaining outside appropriate GWG recommendations. The association between GWG education and GWG requires further research.

【 授权许可】

CC BY   
© McDonald et al.; licensee BioMed Central. 2015