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孕妇谁是产科并发症免费从事定期休闲体育活动（RLPA）的建议水平，谁是孕妇从事RLPA比他们的非怀孕的同行少。医疗保健提供者在向孕妇提供健康行为建议方面发挥着不可或缺的作用;然而，目前尚不清楚医疗保健提供者在初级保健环境中提供产前体力活动咨询的程度。因此，本研究的目的是：1）修改现有的工具，以评估医疗服务提供者的态度，信念，知识，障碍和做法有关的产前体力活动; 2）进行监测研究，使用上述工具，以评估医疗服务提供者的态度，信念，知识，感知的障碍和做法有关的产前体力活动; 3）探索这些关系中的潜在变化，按医疗保健提供者的类型（即医生、助产士）和专业（即产科及家庭医学）;（4）开展预/事后分析，以测试提供产前身体活动的教育和社区资源的保健提供者对产前身体活动的信念和做法的影响。这项研究将涉及调查内容的开发/调查的初步测试以及网上调查的实施。这项基于网络的调查将对居住在丹佛-奥罗拉大都会统计区的产科或家庭医学专业的医疗保健提供者（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医疗保健提供者对目前的态度，信念，自我效能，障碍和做法的产前体育活动咨询。这些数据将有助于设计敏感和有针对性的社区特定模型，以改善初级保健环境中的产前身体活动咨询。这项拟议的研究还将测试向医疗保健提供者提供产前身体活动教育材料的效果，以加强咨询工作。总体而言，拟议的研究旨在为未来的干预措施发展提供见解，以增加知识基础，增强沟通方式，并解决初级保健环境中医疗保健提供者产前身体活动咨询的障碍。 公共卫生相关性：拟议的项目将进行一项监测研究，以更好地了解医疗保健提供者目前的态度，信念，感知的障碍和目前的做法，产前体育活动咨询。拟议的项目还将向保健提供者提供教育材料，以加强初级保健机构今后的产前咨询工作。从这项研究中获得的信息将有助于设计有效的干预措施，旨在加强产前体力活动咨询在初级保健。

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.