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Feasibility and acceptability of a brief routine weight management intervention for postnatal women embedded within the national child immunisation programme in primary care: randomised controlled cluster feasibility trial

Feasibility and acceptability of a brief routine weight management intervention for postnatal women embedded within the national child immunisation programme in primary care: randomised controlled cluster feasibility trial
Feasibility and acceptability of a brief routine weight management intervention for postnatal women embedded within the national child immunisation programme in primary care: randomised controlled cluster feasibility trial
Background: The prevalence of obesity in women continues to rise and pregnancy is a high-risk time for excessive weight gain. The period after childbirth represents an opportunity to offer women support to manage their weight. The primary aim here was to investigate the acceptability and feasibility of delivering a self-management intervention to postnatal women to support weight loss, embedded within the national child immunisation programme.

Methods: The research involved a randomised controlled cluster feasibility trial. Data were collected at baseline and three months later. Twenty-eight postnatal women living with overweight or obesity were recruited via Birmingham Women Hospital or general practices. Babies are routinely immunised at two, three and four months of age; the intervention was embedded within these appointments. The intervention involved brief motivation/support by practice nurses to encourage participants to make healthier lifestyle choices through self-monitoring of weight and signposting to an online weight management programme, when they attended their practice to have their child immunised. The role of the nurse was to provide external accountability for weight loss. Participants were asked to weigh themselves weekly and record this on a record card or using the online programme. The weight goal was for participants to lose 0.5 kg to 1 kg per week. Usual care received a healthy lifestyle leaflet. The primary outcome was the feasibility of a phase III trial to test the subsequent effectiveness of the intervention, as assessed against three stop-go traffic light criteria (recruitment, adherence to regular self-weighing and registration with an online weight management programme).

Results: The traffic light stop-go criteria results were red for recruitment (28/80, 35% of target), amber for registration with the online weight loss programme (9/16, 56%) and green for adherence to weekly self-weighing (10/16, 63%). Nurses delivered the intervention with high fidelity.

Discussion: Whilst participants and nurses followed the trial protocol well and adherence to self-weighing was acceptable, recruitment was challenging and there is scope to improve engagement with the online weight management programme component of the intervention.
Weight, diet, immunisation, nurses, postnatal, primary care, randomised feasibility trial
1745-6215
1-19
Daley, Amanda
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Jolly, K.
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Bensoussane, H.
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Ives, N.
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Jebb, S.A.
c734720d-52eb-4656-a712-24398ef662f2
Tearne, Sarah
02c849e5-387c-4e3c-ba4a-5d8e4fcacb61
Greenfield, S.
f2cd332d-5d91-4193-b214-f50bfa2104aa
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Tyldesley-Marshall, N.
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Pritchett, Ruth V.
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Frew, E.
ab033c30-7eda-4bd5-ba31-20a5102c27bc
Parretti, Helen
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Daley, Amanda
b4db8784-bff5-45d7-8c28-67503a40389a
Jolly, K.
9d62847c-efea-4ffb-8dd7-79525f121ea1
Bensoussane, H.
0d6814b9-29ec-4a1e-afdb-9c1baf00f808
Ives, N.
00b6d6c6-7405-4066-a3e1-bcfa1448c522
Jebb, S.A.
c734720d-52eb-4656-a712-24398ef662f2
Tearne, Sarah
02c849e5-387c-4e3c-ba4a-5d8e4fcacb61
Greenfield, S.
f2cd332d-5d91-4193-b214-f50bfa2104aa
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Little, Paul
1bf2d1f7-200c-47a5-ab16-fe5a8756a777
Tyldesley-Marshall, N.
a478cbbf-a547-4d6b-ada8-6acaa98ee1bb
Pritchett, Ruth V.
26c7cdaf-65ad-4c09-ae54-384e7e199d16
Frew, E.
ab033c30-7eda-4bd5-ba31-20a5102c27bc
Parretti, Helen
6ec7e2d4-63bd-4b95-9af4-ab7b23959472

Daley, Amanda, Jolly, K., Bensoussane, H., Ives, N., Jebb, S.A., Tearne, Sarah, Greenfield, S., Yardley, Lucy, Little, Paul, Tyldesley-Marshall, N., Pritchett, Ruth V., Frew, E. and Parretti, Helen (2020) Feasibility and acceptability of a brief routine weight management intervention for postnatal women embedded within the national child immunisation programme in primary care: randomised controlled cluster feasibility trial. Trials, 21 (1), 1-19, [757]. (doi:10.1186/s13063-020-04673-9).

Record type: Article

Abstract

Background: The prevalence of obesity in women continues to rise and pregnancy is a high-risk time for excessive weight gain. The period after childbirth represents an opportunity to offer women support to manage their weight. The primary aim here was to investigate the acceptability and feasibility of delivering a self-management intervention to postnatal women to support weight loss, embedded within the national child immunisation programme.

Methods: The research involved a randomised controlled cluster feasibility trial. Data were collected at baseline and three months later. Twenty-eight postnatal women living with overweight or obesity were recruited via Birmingham Women Hospital or general practices. Babies are routinely immunised at two, three and four months of age; the intervention was embedded within these appointments. The intervention involved brief motivation/support by practice nurses to encourage participants to make healthier lifestyle choices through self-monitoring of weight and signposting to an online weight management programme, when they attended their practice to have their child immunised. The role of the nurse was to provide external accountability for weight loss. Participants were asked to weigh themselves weekly and record this on a record card or using the online programme. The weight goal was for participants to lose 0.5 kg to 1 kg per week. Usual care received a healthy lifestyle leaflet. The primary outcome was the feasibility of a phase III trial to test the subsequent effectiveness of the intervention, as assessed against three stop-go traffic light criteria (recruitment, adherence to regular self-weighing and registration with an online weight management programme).

Results: The traffic light stop-go criteria results were red for recruitment (28/80, 35% of target), amber for registration with the online weight loss programme (9/16, 56%) and green for adherence to weekly self-weighing (10/16, 63%). Nurses delivered the intervention with high fidelity.

Discussion: Whilst participants and nurses followed the trial protocol well and adherence to self-weighing was acceptable, recruitment was challenging and there is scope to improve engagement with the online weight management programme component of the intervention.

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PIMMS paper trials final accepted version 12082020 - Accepted Manuscript
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More information

Accepted/In Press date: 12 August 2020
e-pub ahead of print date: 1 September 2020
Keywords: Weight, diet, immunisation, nurses, postnatal, primary care, randomised feasibility trial

Identifiers

Local EPrints ID: 443726
URI: http://eprints.soton.ac.uk/id/eprint/443726
ISSN: 1745-6215
PURE UUID: f80570c6-4054-4db9-ad93-8bcfabf5cdfe
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X

Catalogue record

Date deposited: 09 Sep 2020 16:35
Last modified: 10 Jan 2022 06:08

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Contributors

Author: Amanda Daley
Author: K. Jolly
Author: H. Bensoussane
Author: N. Ives
Author: S.A. Jebb
Author: Sarah Tearne
Author: S. Greenfield
Author: Lucy Yardley ORCID iD
Author: Paul Little
Author: N. Tyldesley-Marshall
Author: Ruth V. Pritchett
Author: E. Frew
Author: Helen Parretti

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