Acceptability of a Weight Management Intervention for Pregnant and Postpartum Women with BMI ≥30 kg/m2:A Qualitative Evaluation of an Individualized, Home-Based Service

Atkinson, Lou, Olander, Ellinor K. and French, David P. (2016). Acceptability of a Weight Management Intervention for Pregnant and Postpartum Women with BMI ≥30 kg/m2:A Qualitative Evaluation of an Individualized, Home-Based Service. Maternal and Child Health Journal, 20 (1), pp. 88-96.

Abstract

Objectives: There have been recent calls for more evidence regarding effective antenatal and postnatal interventions to address the serious health risks of maternal obesity and associated childhood obesity. The Maternal and Early Years Healthy Weight Service (MAEYS) is an innovative service, delivered by specialist healthy weight advisors, for obese women (BMI ≥30 kg/m2) during pregnancy and up to 2 years after delivery. The service focuses on healthy gestational weight gain, postpartum weight loss and establishing healthy infant feeding and active play. MAEYS was adopted by six local health organizations in the UK as a 1 year pilot program. The aim of the present research was to assess the acceptability of this intervention among MAEYS participants. Methods: Semi-structured interviews with 20 women, with data analyzed thematically. Results: High levels of acceptability were reported. The convenience and comfort of home visits, personalized advice on diet and physical activity, supportive approach of the healthy weight advisor and regular weight monitoring were all cited as advantages of the service. Service users suggested that more frequent contact with advisors and practical support such as recipes would improve the service. Conclusions: MAEYS is a novel, community-based intervention delivered in the home which has demonstrated acceptability to its recipients. It therefore shows promise as an early intervention to reduce the risks of maternal obesity and subsequently reduce childhood obesity. An evaluation of the efficacy of MAEYS in preventing excess gestational weight gain and losing weight postpartum is now needed.

Publication DOI: https://doi.org/10.1007/s10995-015-1806-y
Divisions: Life & Health Sciences
Life & Health Sciences > Applied Health Research Group
Additional Information: © Springer Science+Business Media New York 2015. Funding: NHS West Midlands’ Investing for Health programme.
Uncontrolled Keywords: Intervention,Obesity,Pregnancy,Qualitative,Service evaluation,Pediatrics, Perinatology, and Child Health,Epidemiology,Obstetrics and Gynaecology,Public Health, Environmental and Occupational Health
Full Text Link: https://curve.c ... lity%20comb.pdf
Related URLs: http://www.scop ... tnerID=8YFLogxK (Scopus URL)
https://curve.c ... lity%20comb.pdf (Organisation URL)
Published Date: 2016-01-01
Published Online Date: 2015-07-25
Authors: Atkinson, Lou ( 0000-0003-1613-3791)
Olander, Ellinor K.
French, David P.

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