Motivational interviewing to promote interconception health: A scoping review of evidence from clinical trials.
Motivational interviewing to promote interconception health: A scoping review of evidence from clinical trials.
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DOI：
10.1016/j.pec.2022.07.009
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发表时间：
2022-11
影响因子：
3.5
通讯作者：
Resnicow, Kenneth
中科院分区：
文献类型：
--
作者：
Gregory, Emily F.;Maddox, Adya I.;Levine, Lisa D.;Fiks, Alexander G.;Lorch, Scott A.;Resnicow, Kenneth
关键词：
促进妊娠期健康可以改善生育结果和妇女的长期健康。动机访谈(MI)是一种基于证据的行为改变策略，可以解决受孕期间的健康行为和健康护理参与。这项范围审查评估了使用心肌梗死促进受孕间健康的证据，并评估了成功的心肌梗死干预的特点。我们在PubMed、CHINAL和Cochrane数据库中搜索了涉及心肌梗死干预的临床试验和至少一个对照组，发表于2021年8月31日。干预措施发生在怀孕期间或产后三个月内，结果是在出生到产后一年之间进行测量。我们提取了关于试验特征的数据，包括结果、人群、干预者培训、MI保真度监测、干预剂量和比较条件。我们检查了显示结果在统计学上有显著改善的试验是否有共同的特征。共有37项纳入研究。干预措施涉及母乳喂养、青少年避孕、烟草、酒精或物质使用、疫苗接受度、营养、体力活动和抑郁。没有一项试验涉及一个以上的主题。19项研究显示结果有所改善。围产期或产后干预比产前干预更有可能改善受孕结局。没有其他试验特征与显示改善的结果一致相关。MI已被应用于各种孕间健康行为，取得了一些令人振奋的结果，特别是在围产期或产后干预方面。结果没有明显地归因于干预或研究设计中的任何其他差异。进一步探索背景或实施可能有助于最大限度地发挥MI在促进受孕期间健康方面的潜力。MI可以在一系列临床环境、患者群体和怀孕前后的时间点实施。对与受孕期相关的健康问题的干预应包括围产期或产后部分。
Promoting interconception health can improve birth outcomes and long-term women’s health. Motivational Interviewing (MI) is an evidence-based behavior change strategy that can address interconception health behaviors and health care engagement. This scoping review assessed the evidence for using MI to promote interconception health and assessed features of successful MI interventions. We searched PubMed, CHINAL, and Cochrane databases for clinical trials that involved an MI intervention and at least one comparison group published by 8/31/2021. Interventions occurred during pregnancy or within three months postpartum and outcomes were measured between birth and one year postpartum. We abstracted data on trial characteristics including outcome, population, interventionist training, MI fidelity monitoring, intervention dose, and comparison condition. We examined whether trials that demonstrated statistically significant improvement in outcomes had common features. There were 37 included studies. Interventions addressed breastfeeding, teen contraception, tobacco, alcohol, or substance use, vaccine acceptance, nutrition, physical activity, and depression. No trials addressed more than one topic. Nineteen studies demonstrated improved outcomes. Interventions during the perinatal or postnatal periods were more likely to demonstrate improved interconception outcomes than interventions in the prenatal period. No other trial characteristics were consistently associated with demonstrating improved outcomes. MI has been applied to a variety of interconception health behaviors, with some promising results, particularly for interventions in the perinatal or postpartum period. Outcomes were not clearly attributable to any other differences in intervention or study design. Further exploring context or implementation may help maximize the potential of MI in interconception health promotion. MI may be implemented across a range of clinical settings, patient groups, and time points around pregnancy. Interventions on health topics relevant to the interconception period should incorporate perinatal or postpartum components.
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影响因子：
3.7
作者：
Kingston, Dawn;Kehler, Heather;Giallo, Rebecca
通讯作者：
Giallo, Rebecca
DOI：
10.1111/apa.13102
发表时间：
2015-12
期刊：
Acta paediatrica (Oslo, Norway : 1992)
影响因子：
--
作者：
Chowdhury R;Sinha B;Sankar MJ;Taneja S;Bhandari N;Rollins N;Bahl R;Martines J
通讯作者：
Martines J
利用动机访谈技术的产后疫苗接种干预改善了短期疫苗覆盖范围：Promovac研究。
影响因子：
4.5
作者：
Gagneur A;Lemaître T;Gosselin V;Farrands A;Carrier N;Petit G;Valiquette L;De Wals P
通讯作者：
De Wals P
影响因子：
4.4
作者：
Hannoever, Wolfgang;Thyrian, Jochen Rene;Hapke, Ulfert
通讯作者：
Hapke, Ulfert
影响因子：
2.3
作者：
Beck, CT
通讯作者：
Beck, CT