E Adela A Hamilton1, Ann K Nowell2, Angela Harden3, Shakila Thangaratinam4. 1. BARC Barts Research Centre for Women's Health, Queen Mary University of London, London, United Kingdom; Barts Health NHS Trust, The Royal London Hospital, London, United Kingdom. Electronic address: A.E.A.Hamilton@qmul.ac.uk. 2. Barts Health NHS Trust, The Royal London Hospital, London, United Kingdom. 3. University of East London, London, United Kingdom. 4. BARC Barts Research Centre for Women's Health, Queen Mary University of London, London, United Kingdom; Barts Health NHS Trust, The Royal London Hospital, London, United Kingdom.
Abstract
OBJECTIVE: To evaluate the conduct and reporting of views of pregnant women on the acceptability, attitudes, beliefs and their experiences in randomised trials on diet and lifestyle interventions. STUDY DESIGN: We undertook a systematic review of literature of randomised trials identified from our previous search in major electronic databases (until February 2017) without language restrictions. We included trials on diet and lifestyle interventions that reported acceptability, attitudes, beliefs and experiences of pregnant women. The quality of papers was evaluated using the Critical Skills Appraisal Programme (CASP) framework. Data were extracted for the following domains: acceptability, intention, behaviour, attitudes and factors influencing participation. The proportion of studies that reported the various components in each domain was reported in percentages. RESULTS: Of the 110 trials on diet and lifestyle in pregnancy, 24 reported on views of pregnant women. Acceptability of the provided information to the woman was reported in 84% (20/24), compared to 12% (3/24) on acceptability to partner or to family. Mother's intention to adhere to intervention in pregnancy was reported in 68% (17/24) of studies vs.only 16% (4/24) on family's intentions to support adherence. Changes in mother's behaviour were reported for consuming specific components of diet such as nuts (8%, 2/24), olive oil (12%, 3/24) and fruit (40%, 10/24) vs. 16% (4/24) of trials reporting changes in family's behaviour. While knowledge of food ingredients (72%, 18/24), and attitude to gestational weight gain were commonly reported (66%, 16/24) in over two-thirds of studies, only half assessed attitude to participation in research (45%, 11/24). All studies reported facilitators for uptake of intervention such as personalised support (100%, 24/24), with half (52%, 13/24) on beliefs about weight, and less than 10% (2/24) about baby's health. CONCLUSION: The focus on studies is mainly on the mother, and less on family. Further studies are needed with a holistic approach to ensure that such interventions when implemented are accepted by women and their families.
OBJECTIVE: To evaluate the conduct and reporting of views of pregnant women on the acceptability, attitudes, beliefs and their experiences in randomised trials on diet and lifestyle interventions. STUDY DESIGN: We undertook a systematic review of literature of randomised trials identified from our previous search in major electronic databases (until February 2017) without language restrictions. We included trials on diet and lifestyle interventions that reported acceptability, attitudes, beliefs and experiences of pregnant women. The quality of papers was evaluated using the Critical Skills Appraisal Programme (CASP) framework. Data were extracted for the following domains: acceptability, intention, behaviour, attitudes and factors influencing participation. The proportion of studies that reported the various components in each domain was reported in percentages. RESULTS: Of the 110 trials on diet and lifestyle in pregnancy, 24 reported on views of pregnant women. Acceptability of the provided information to the woman was reported in 84% (20/24), compared to 12% (3/24) on acceptability to partner or to family. Mother's intention to adhere to intervention in pregnancy was reported in 68% (17/24) of studies vs.only 16% (4/24) on family's intentions to support adherence. Changes in mother's behaviour were reported for consuming specific components of diet such as nuts (8%, 2/24), olive oil (12%, 3/24) and fruit (40%, 10/24) vs. 16% (4/24) of trials reporting changes in family's behaviour. While knowledge of food ingredients (72%, 18/24), and attitude to gestational weight gain were commonly reported (66%, 16/24) in over two-thirds of studies, only half assessed attitude to participation in research (45%, 11/24). All studies reported facilitators for uptake of intervention such as personalised support (100%, 24/24), with half (52%, 13/24) on beliefs about weight, and less than 10% (2/24) about baby's health. CONCLUSION: The focus on studies is mainly on the mother, and less on family. Further studies are needed with a holistic approach to ensure that such interventions when implemented are accepted by women and their families.
Authors: Caroline-Aleksi Olsson Mägi; Anders Bjerg Bäcklund; Karin Lødrup Carlsen; Catarina Almqvist; Kai-Håkon Carlsen; Berit Granum; Guttorm Haugen; Katarina Hilde; Oda C Lødrup Carlsen; Christine Monceyron Jonassen; Eva Maria Rehbinder; Katrine D Sjøborg; Håvard Skjerven; Anne Cathrine Staff; Riyas Vettukattil; Cilla Söderhäll; Björn Nordlund Journal: ERJ Open Res Date: 2020-10-13
Authors: Claire A Wilson; Paul Seed; Angela C Flynn; Louise M Howard; Emma Molyneaux; Julie Sigurdardottir; Lucilla Poston Journal: Matern Child Health J Date: 2020-12