Antenatal Physical Activity Counseling Among HCPs

描述（由申请人提供）：尽管事实上美国妇产科学院建议没有产科并发症的孕妇进行推荐水平的定期休闲体育活动（RLPA），但怀孕妇女的RLPA少于未怀孕的同行。卫生保健提供者在向孕妇提供健康行为方面发挥着不可或缺的作用；然而，目前尚不清楚在初级保健机构中，卫生保健提供者在多大程度上提供有关产前体育活动的咨询。因此，本研究旨在1)修改现有的工具，以评估卫生保健提供者的态度，信念，知识，障碍和做法有关的产前体育活动；2)利用上述工具开展一项监测研究，以评估卫生保健提供者对产前身体活动的态度、信念、知识、感知障碍和做法；3)根据医疗服务提供者的类型（如医生、助产士）和专业（如产科和家庭医学），探索这些关系的潜在变化；4)开展产前/产后分析，检验向卫生保健提供者提供产前体育活动教育和社区资源对产前体育活动信念和实践的影响。这项研究将包括调查内容的发展/初步测试，以及基于网络的调查实施。基于网络的调查将对居住在丹佛-奥罗拉大都会统计区从事产科或家庭医学的医疗保健提供者（即医生和助产士）进行管理（N=414）。数据将分析的趋势和模式之间的专业和类型的卫生保健提供者目前的态度，信念，自我效能，障碍和实践产前体育活动咨询。这些数据将有助于设计敏感和有针对性的社区特定模型，以改善初级保健机构的产前体育活动咨询。拟议的研究还将测试向医疗保健提供者提供有关产前体育活动的教育材料以加强咨询工作的效果。总的来说，本研究旨在为未来干预措施的发展提供见解，以增加知识基础，加强沟通方式，并解决初级保健机构卫生保健提供者之间产前体育活动咨询的障碍。

DESCRIPTION (provided by applicant): Despite the fact that the American College of Obstetrics and Gynecologists recommends pregnant women who are free of obstetrical complications engage in the recommended levels of regular leisure physical activity (RLPA), women who are pregnant engage in less RLPA than their non-pregnant counterparts. Healthcare providers play an integral role in advising pregnant women about health behaviors; however, it is unclear as to what extent healthcare providers provide counseling on antenatal physical activity in primary care settings. Thus, the present study aims to 1)modify a pre-existing tool to assess healthcare providers' attitudes, beliefs, knowledge, barriers and practices related to antenatal physical activity; 2) Conduct a surveillance study, using the aforementioned tool, to assess healthcare providers' attitudes, beliefs, knowledge, perceived barriers and practices related to antenatal physical activity; 3) Explore potential variation in these relationships by type of healthcare provider (i.e. physician, midwife) and by specialty (i.e. obstetrics, and family medicine); and 4) Conduct a pre/post analyses to test the effects of providing antenatal physical activity educational and community resources to healthcare providers on antenatal physical activity beliefs and practices. The study will involve survey content development/preliminary testing of the survey, and web-based survey implementation. The web-based survey will be administered to healthcare providers (i.e. physician and midwives) residing in the Denver-Aurora Metropolitan Statistical Area who practice in either obstetrics or family medicine (N=414). Data will be analyzed for trends and patterns among specialties and types of healthcare providers on current attitudes, beliefs, self- efficacy, barriers, and practices on antenatal physical activity counseling. These data will help design sensitive and targeted community-specific models to improve antenatal physical activity counseling in primary care settings. The proposed study will also test the effects of providing educational materials on antenatal physical activity to healthcare providers to enhance counseling efforts. Overall, the proposed study is designed to provide insight for future intervention development to increase the knowledge base, enhance communication style, and address barriers to antenatal physical activity counseling among healthcare providers in primary care settings. PUBLIC HEALTH RELEVANCE: The proposed project will conduct a surveillance study to better understand healthcare providers' current attitudes, beliefs, perceived barriers and current practices to antenatal physical activity counseling. The proposed project will also provide educational material to healthcare providers to enhance future antenatal counseling efforts in primary care settings. Information gained from this study will help to design effective interventions aimed at enhancing antenatal physical activity counseling in primary care.