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Use of healthy conversation skills to promote healthy diets, physical activity and gestational weight gain: Results from a pilot randomised controlled trial

Use of healthy conversation skills to promote healthy diets, physical activity and gestational weight gain: Results from a pilot randomised controlled trial
Use of healthy conversation skills to promote healthy diets, physical activity and gestational weight gain: Results from a pilot randomised controlled trial
OBJECTIVES:

This study evaluated the use of Healthy Conversation Skills (a client-centered communication approach to behaviour change) in supporting women to achieve optimal gestational-weight-gain and health behaviours.

METHODS:

Seventy pregnant women were randomised to the control or intervention group. Study visits and phone calls were delivered by Registered Dietitians (RDs) to women in the intervention and control groups. The intervention RD was trained in Healthy Conversation Skills while the control RD was not. Diet, physical activity and gestational-weight-gain were assessed at baseline and again at follow-up in the intervention and control groups.

RESULTS:

Women in the intervention group improved their diet score between baseline and visit 2, while the control group did not. At 34 weeks, women in the control group reported being sedentary for longer than women in the intervention group. There were no differences in total gestational-weight-gain between the groups.

CONCLUSIONS:

Pregnant women who interacted with an RD using Healthy Conversation Skills reported positive outcomes in health behaviours.

PRACTICE IMPLICATIONS:

Healthy Conversation Skills shows promise as an approach to initiate, and maintain discussions promoting health behaviour change in pregnancy.
Gestational weight gain, Healthy conversation skills, Pregnancy, Randomised controlled trial
0738-3991
1134-1142
Adam, L.M.
fc86c9d0-10a8-470d-a97c-4d0ce73aa3a1
Jarman, M.
aad2a572-c3cf-49fd-89e9-fd188cb56d24
Barker, M.
374310ad-d308-44af-b6da-515bf5d2d6d2
Manca, D.P.
a8d89aa9-6db3-4c1e-8a43-10169c432c67
Lawrence, W.
e9babc0a-02c9-41df-a289-7b18f17bf7d8
Bell, R.C.
63112d0e-3523-489c-87a2-6439ee3ffbbb
Adam, L.M.
fc86c9d0-10a8-470d-a97c-4d0ce73aa3a1
Jarman, M.
aad2a572-c3cf-49fd-89e9-fd188cb56d24
Barker, M.
374310ad-d308-44af-b6da-515bf5d2d6d2
Manca, D.P.
a8d89aa9-6db3-4c1e-8a43-10169c432c67
Lawrence, W.
e9babc0a-02c9-41df-a289-7b18f17bf7d8
Bell, R.C.
63112d0e-3523-489c-87a2-6439ee3ffbbb

Adam, L.M., Jarman, M., Barker, M., Manca, D.P., Lawrence, W. and Bell, R.C. (2020) Use of healthy conversation skills to promote healthy diets, physical activity and gestational weight gain: Results from a pilot randomised controlled trial. Patient Education and Counseling, 103 (6), 1134-1142. (doi:10.1016/j.pec.2020.01.001).

Record type: Article

Abstract

OBJECTIVES:

This study evaluated the use of Healthy Conversation Skills (a client-centered communication approach to behaviour change) in supporting women to achieve optimal gestational-weight-gain and health behaviours.

METHODS:

Seventy pregnant women were randomised to the control or intervention group. Study visits and phone calls were delivered by Registered Dietitians (RDs) to women in the intervention and control groups. The intervention RD was trained in Healthy Conversation Skills while the control RD was not. Diet, physical activity and gestational-weight-gain were assessed at baseline and again at follow-up in the intervention and control groups.

RESULTS:

Women in the intervention group improved their diet score between baseline and visit 2, while the control group did not. At 34 weeks, women in the control group reported being sedentary for longer than women in the intervention group. There were no differences in total gestational-weight-gain between the groups.

CONCLUSIONS:

Pregnant women who interacted with an RD using Healthy Conversation Skills reported positive outcomes in health behaviours.

PRACTICE IMPLICATIONS:

Healthy Conversation Skills shows promise as an approach to initiate, and maintain discussions promoting health behaviour change in pregnancy.

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More information

Accepted/In Press date: 1 January 2020
e-pub ahead of print date: 7 January 2020
Published date: June 2020
Additional Information: Copyright © 2020 Elsevier B.V. All rights reserved.
Keywords: Gestational weight gain, Healthy conversation skills, Pregnancy, Randomised controlled trial

Identifiers

Local EPrints ID: 439776
URI: http://eprints.soton.ac.uk/id/eprint/439776
ISSN: 0738-3991
PURE UUID: c35bdce1-c2c9-4226-8d1f-e238c49d6596
ORCID for M. Barker: ORCID iD orcid.org/0000-0003-2976-0217
ORCID for W. Lawrence: ORCID iD orcid.org/0000-0003-1264-0438

Catalogue record

Date deposited: 01 May 2020 16:40
Last modified: 06 Jun 2024 01:40

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Contributors

Author: L.M. Adam
Author: M. Jarman
Author: M. Barker ORCID iD
Author: D.P. Manca
Author: W. Lawrence ORCID iD
Author: R.C. Bell

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