Is pregnancy a teachable moment for diet and physical activity behaviour change? An interpretative phenomenological analysis of the experiences of women during their first pregnancy
Is pregnancy a teachable moment for diet and physical activity behaviour change? An interpretative phenomenological analysis of the experiences of women during their first pregnancy
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DOI：
10.1111/bjhp.12200
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发表时间：
2016-11-01
影响因子：
7.9
通讯作者：
French, David P.
中科院分区：
文献类型：
--
作者：
Atkinson, Lou;Shaw, Rachel L.;French, David P.
ObjectivesPregnancy可以提供一个可教的时刻"积极的健康行为的改变，作为一个时间，当妇女都对健康的动机，并定期与卫生保健专业人员接触。本研究旨在探讨妇女的怀孕经验是否表明，他们将接受行为变化在此期间。DesignQualitative interview study.MethodsUsing解释现象学分析，本研究详细介绍了如何七名妇女作出决定，他们的身体活动和饮食行为在他们的第一次pregnancy.ResultsTwo妇女需要生育治疗怀孕。他们的行为是由焦虑和尽量减少怀孕潜在风险的驱动。这包括详细的信息寻求和严格遵守饮食和体育活动的建议。然而，大多数女性将行为改变描述为“自动的”，在发现怀孕后立即采取新的生活方式。饮食和身体活动受到这些女性在怀孕期间认为正常或可接受的东西（主要基于对他人的观察）和内部驱动因素的影响，包括身体信号和保留一些孕前自我认同的愿望。更合理的评估对他们和他们的宝宝的好处是不那么普遍和influenced.ConclusionsFindings表明，对于妇女谁设想相对容易，饮食和体力活动的行为在怀孕期间主要是基于自动判断，身体感觉，和孕妇应该做什么的看法相结合。卫生专业人员和其他可靠来源的影响力似乎较小。因此，怀孕本身可能不会创造一个可教的时刻。
ObjectivesPregnancy may provide a teachable moment' for positive health behaviour change, as a time when women are both motivated towards health and in regular contact with health care professionals. This study aimed to investigate whether women's experiences of pregnancy indicate that they would be receptive to behaviour change during this period.DesignQualitative interview study.MethodsUsing interpretative phenomenological analysis, this study details how seven women made decisions about their physical activity and dietary behaviour during their first pregnancy.ResultsTwo women had required fertility treatment to conceive. Their behaviour was driven by anxiety and a drive to minimize potential risks to the pregnancy. This included detailed information seeking and strict adherence to diet and physical activity recommendations. However, the majority of women described behaviour change as automatic', adopting a new lifestyle immediately upon discovering their pregnancy. Diet and physical activity were influenced by what these women perceived to be normal or acceptable during pregnancy (largely based on observations of others) and internal drivers, including bodily signals and a desire to retain some of their pre-pregnancy self-identity. More reasoned assessments regarding benefits for them and their baby were less prevalent and influential.ConclusionsFindings suggest that for women who conceived relatively easily, diet and physical activity behaviour during pregnancy is primarily based upon a combination of automatic judgements, physical sensations, and perceptions of what pregnant women are supposed to do. Health professionals and other credible sources appear to exert less influence. As such, pregnancy alone may not create a teachable moment'.