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How can we best use opportunities provided by routine maternity care to engage women in improving their diets and health?

How can we best use opportunities provided by routine maternity care to engage women in improving their diets and health?
How can we best use opportunities provided by routine maternity care to engage women in improving their diets and health?
Pregnancy provides motivation for women to improve their diets and increase their physical activity. Opportunistic brief interventions delivered as part of routine primary care have produced improvements in patients' health behaviour. Consequently, there have been calls for midwives to use contacts during pregnancy in this way. This study explored the experiences of pregnant women and research midwives/nurses of a brief intervention called Healthy Conversation Skills (HCS) being delivered as part of a randomised control trial, assessing the acceptability and feasibility of including this intervention in routine maternity care. Three research questions were addressed using mixed methods to produce four datasets: face‐to‐face interviews with participants, a focus group with the HCS‐trained midwives/nurses, case reports of participants receiving HCS and audio‐recordings of mid‐pregnancy telephone calls to the women which produced midwife/nurse HCS competency scores. Midwives/nurses used their HCS to support women to make plans for change and set goals. Women welcomed the opportunity to address their own health and well‐being as distinct from that of their baby. Midwives/nurses were competent in using the skills and saw healthy conversations as an effective means of raising issues of diet and physical activity. Recent extension of maternity appointment times provides ideal opportunities to incorporate a brief intervention to support behaviour change. Incorporating HCS training into midwifery education and continuing professional development would facilitate this. HCS is a scalable, brief intervention with the potential to improve the diets and physical activity levels of women during pregnancy, and hence the health of themselves and their babies.
Healthy Conversation Skills, brief intervention, diet, physical activity, pregnancy, routine maternity care
1740-8695
Lawrence, Wendy
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Vogel, Christina
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Strommer, Sofia
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Morris, Taylor
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Treadgold, Bethan, Mair
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Watson, Daniella
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Hart, Kate
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Mcgill, Karen I
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Hammond, Julia
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Harvey, Nicholas
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Cooper, Cyrus
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Inskip, Hazel
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Baird, Janis
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Barker, Mary
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Lawrence, Wendy
e9babc0a-02c9-41df-a289-7b18f17bf7d8
Vogel, Christina
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Strommer, Sofia
a025047e-effa-4481-9bf4-48da1668649e
Morris, Taylor
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Treadgold, Bethan, Mair
2a3db993-882b-4fc3-9919-8966edf08aa1
Watson, Daniella
26005c9f-779f-407b-b7e4-b7c9b812b6be
Hart, Kate
1eff5db4-50ac-4610-afbc-346f9e01361a
Mcgill, Karen I
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Hammond, Julia
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Harvey, Nicholas
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Cooper, Cyrus
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Inskip, Hazel
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Baird, Janis
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Barker, Mary
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Lawrence, Wendy, Vogel, Christina, Strommer, Sofia, Morris, Taylor, Treadgold, Bethan, Mair, Watson, Daniella, Hart, Kate, Mcgill, Karen I, Hammond, Julia, Harvey, Nicholas, Cooper, Cyrus, Inskip, Hazel, Baird, Janis and Barker, Mary (2020) How can we best use opportunities provided by routine maternity care to engage women in improving their diets and health? Maternal & Child Nutrition, 16 (1), [e12900]. (doi:10.1111/mcn.12900).

Record type: Article

Abstract

Pregnancy provides motivation for women to improve their diets and increase their physical activity. Opportunistic brief interventions delivered as part of routine primary care have produced improvements in patients' health behaviour. Consequently, there have been calls for midwives to use contacts during pregnancy in this way. This study explored the experiences of pregnant women and research midwives/nurses of a brief intervention called Healthy Conversation Skills (HCS) being delivered as part of a randomised control trial, assessing the acceptability and feasibility of including this intervention in routine maternity care. Three research questions were addressed using mixed methods to produce four datasets: face‐to‐face interviews with participants, a focus group with the HCS‐trained midwives/nurses, case reports of participants receiving HCS and audio‐recordings of mid‐pregnancy telephone calls to the women which produced midwife/nurse HCS competency scores. Midwives/nurses used their HCS to support women to make plans for change and set goals. Women welcomed the opportunity to address their own health and well‐being as distinct from that of their baby. Midwives/nurses were competent in using the skills and saw healthy conversations as an effective means of raising issues of diet and physical activity. Recent extension of maternity appointment times provides ideal opportunities to incorporate a brief intervention to support behaviour change. Incorporating HCS training into midwifery education and continuing professional development would facilitate this. HCS is a scalable, brief intervention with the potential to improve the diets and physical activity levels of women during pregnancy, and hence the health of themselves and their babies.

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More information

Accepted/In Press date: 30 September 2019
e-pub ahead of print date: 17 November 2019
Published date: January 2020
Keywords: Healthy Conversation Skills, brief intervention, diet, physical activity, pregnancy, routine maternity care

Identifiers

Local EPrints ID: 436333
URI: http://eprints.soton.ac.uk/id/eprint/436333
ISSN: 1740-8695
PURE UUID: 12c83a0c-3489-40b7-8ab1-aae1026d8cb1
ORCID for Wendy Lawrence: ORCID iD orcid.org/0000-0003-1264-0438
ORCID for Christina Vogel: ORCID iD orcid.org/0000-0002-3897-3786
ORCID for Bethan, Mair Treadgold: ORCID iD orcid.org/0000-0002-0255-7422
ORCID for Nicholas Harvey: ORCID iD orcid.org/0000-0002-8194-2512
ORCID for Cyrus Cooper: ORCID iD orcid.org/0000-0003-3510-0709
ORCID for Hazel Inskip: ORCID iD orcid.org/0000-0001-8897-1749
ORCID for Janis Baird: ORCID iD orcid.org/0000-0002-4039-4361
ORCID for Mary Barker: ORCID iD orcid.org/0000-0003-2976-0217

Catalogue record

Date deposited: 06 Dec 2019 17:30
Last modified: 26 Nov 2021 05:16

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Contributors

Author: Wendy Lawrence ORCID iD
Author: Christina Vogel ORCID iD
Author: Sofia Strommer
Author: Taylor Morris
Author: Daniella Watson
Author: Kate Hart
Author: Karen I Mcgill
Author: Julia Hammond
Author: Nicholas Harvey ORCID iD
Author: Cyrus Cooper ORCID iD
Author: Hazel Inskip ORCID iD
Author: Janis Baird ORCID iD
Author: Mary Barker ORCID iD

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