Investigating partner involvement in pregnancy and identifying barriers and facilitators to participating as a couple in a digital healthy eating and physical activity intervention.
Investigating partner involvement in pregnancy and identifying barriers and facilitators to participating as a couple in a digital healthy eating and physical activity intervention.
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DOI：
10.1186/s12884-021-03917-z
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发表时间：
2021-06-28
影响因子：
3.1
通讯作者：
Croker H
中科院分区：
文献类型：
--
作者：
Rhodes A;Smith AD;Llewellyn CH;Croker H
孕妇肥胖和妊娠体重过度增加与不良的孕产妇和胎儿健康结局有关。针对怀孕期间饮食和体力活动行为的干预措施通常只针对妇女。一项针对夫妇的数字干预可能会鼓励准父母在改善能量平衡(饮食和体力活动)行为方面相互支持。这项研究的目的是调查伴侣在孕妇能量平衡行为中所起的作用，并确定作为夫妇参与数字干预的障碍和促进者，以鼓励怀孕期间的健康饮食和体育活动。定性设计结合了在线焦点小组和电话采访。与男性(n = 15人)和一个小型焦点小组(n = 3人)举行了3个焦点小组，并对女性进行了12次电话访谈。参与者要么处于怀孕的最后三个月，要么有一个18个月以下的孩子。大多数人来自更贫困的人口群体，那里的母亲肥胖率更高。对数据进行了主题分析。以夫妻身份参与数字干预的障碍和促进者被映射到COM-B模型和理论域框架。确定了四个主要主题：伴侣的参与和支持；伴侣对良好能量平衡行为的理解；夫妻能量平衡行为的一致性；伴侣对她能量平衡行为的影响。大多数促进者以夫妻身份参与数字干预，属于COM-B的反思动机领域。男性的动力来自成为支持性伴侣和好榜样的愿望。女性的动机是她们相信伴侣的参与会提高她们在实现目标方面的成功，并加强夫妻关系。其他促进者包括饮食行为的一致性(身体机会)、卫生保健从业者的推荐、认为怀孕是我们的(社会机会)以及感觉得到支持和参与(自动动机)。障碍很少被提及，但包括潜在的伴侣冲突，怀孕被认为是她的，以及经济限制。有机会利用伙伴的支持来改善产妇的能量平衡行为。作为夫妻参与数字干预的障碍和促进者表明，除了身体健康外，它还有可能有益于情感和人际关系的健康。
Maternal obesity and excessive gestational weight gain are associated with adverse maternal and foetal health outcomes. Interventions targeting dietary and physical activity behaviours during pregnancy have typically been directed at women only. A digital intervention targeting couples could encourage expectant parents to support each other in improving energy balance (dietary and physical activity) behaviours. This study aimed to investigate the role partners play in pregnant women’s energy balance behaviours, and to identify barriers and facilitators to participating as a couple in a digital intervention to encourage healthy eating and physical activity in pregnancy. A qualitative design combined online focus groups and telephone interviews. Three focus groups were held with men (n = 15) and one mini focus group (n = 3) and 12 telephone interviews were conducted with women. Participants were either in the last trimester of pregnancy or had a baby under 18 months old. Most were from more deprived population groups where prevalence of maternal obesity is higher. Data were analysed thematically. Barriers and facilitators to participating as a couple in a digital intervention were mapped to the COM-B model and the Theoretical Domains Framework. Four main themes were identified; partner involvement and support; partner understanding of good energy balance behaviours; couple concordance of energy balance behaviours; partner influence on her energy balance behaviours. Most facilitators to participating in a digital intervention as a couple fell within the Reflective Motivation domain of COM-B. Men were motivated by the desire to be supportive partners and good role models. Women were motivated by their belief that partner involvement would improve their success in achieving goals and enhance couple-bonding. Other facilitators included concordance in dietary behaviours (Physical Opportunity), healthcare practitioner recommendation, perceptions of pregnancy as ‘ours’ (Social Opportunity) and feeling supported and involved (Automatic Motivation). Barriers were rarely mentioned but included potential for partner conflict, perceptions of pregnancy as ‘hers’ and economic constraints. An opportunity exists to harness partner support to improve maternal energy balance behaviours. Barriers and facilitators to participating in a digital intervention as a couple indicate its potential to benefit emotional and relationship wellbeing in addition to physical health.
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影响因子：
7.9
作者：
Arden-Close E;McGrath N
通讯作者：
McGrath N
影响因子：
2.3
作者：
Garfield, Craig F.;Duncan, Greg;Chase-Lansdale, P. Lindsay
通讯作者：
Chase-Lansdale, P. Lindsay
影响因子：
3.5
作者：
Trief, P. M.;Fisher, L.;Weinstock, R. S.
通讯作者：
Weinstock, R. S.
DOI：
10.1186/1748-5908-6-42
发表时间：
2011-04-23
期刊：
Implementation science : IS
影响因子：
--
作者：
Michie S;van Stralen MM;West R
通讯作者：
West R
影响因子：
3.5
作者：
Cheng, Erika R.;Rifas-Shiman, Sheryl L.;Taveras, Elsie M.
通讯作者：
Taveras, Elsie M.