Healthcare providers' gestational weight gain counselling practises and the influence of knowledge and attitudes: a cross-sectional mixed methods study.
Healthcare providers' gestational weight gain counselling practises and the influence of knowledge and attitudes: a cross-sectional mixed methods study.
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DOI：
10.1136/bmjopen-2017-018527
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发表时间：
2017-11-14
期刊：
影响因子：
2.9
通讯作者：
ENRICH team
中科院分区：
文献类型：
--
作者：
Morris J;Nikolopoulos H;Berry T;Jain V;Vallis M;Piccinini-Vallis H;Bell RC;ENRICH team
To understand current gestational weight gain (GWG) counselling practices of healthcare providers, and the relationships between practices, knowledge and attitudes. Concurrent mixed methods with data integration: cross-sectional survey and semistructured interviews. Prenatal healthcare providers in Canada: general practitioners, obstetricians, midwives, nurse practitioners and registered nurses in primary care settings. Typically, GWG information was provided early in pregnancy, but not discussed again unless there was a concern. Few routinely provided women with individualised GWG advice (21%), rate of GWG (16%) or discussed the risks of inappropriate GWG to mother and baby (20% and 19%). More routinely discussed physical activity (46%) and food requirements (28%); midwives did these two activities more frequently than all other disciplines (P<0.001). Midwives interviewed noted a focus on overall wellness instead of weight, and had longer appointment times which allowed them to provide more in-depth counselling. Regression results identified that the higher priority level that healthcare providers place on GWG, the more likely they were to report providing GWG advice and discussing risks of GWG outside recommendations (β=0.71, P<0.001) and discussing physical activity and food requirements (β=0.341, P<0.001). Interview data linked the priority level of GWG to length of appointments, financial compensation methods for healthcare providers and the midwifery versus medical model of care. Interventions for healthcare providers to enhance GWG counselling practices should consider the range of factors that influence the priority level healthcare providers place on GWG counselling.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
DOI：
10.1016/s1701-2163(16)32758-x
发表时间：
2008-03-01
影响因子：
1.8
作者：
Chalmers, Beverley;Dzakpasu, Susie;Kaczorowski, Janusz
通讯作者：
Kaczorowski, Janusz
影响因子：
3.5
作者：
Ferrari, Renee M.;Siega-Riz, Anna Maria;Herring, Amy H.
通讯作者：
Herring, Amy H.
DOI：
10.1016/s1701-2163(16)35155-6
发表时间：
2012-02-01
影响因子：
1.8
作者：
McDonald, Sarah D.;Pullenayegum, Eleanor;Sword, Wendy
通讯作者：
Sword, Wendy
DOI：
10.1111/j.1471-0528.2005.00437.x
发表时间：
2005-04-01
影响因子：
5.8
作者：
Kristensen, J;Vestergaard, M;Secher, NJ
通讯作者：
Secher, NJ