A Patient and Public Involvement investigation into healthy eating and weight management advice during pregnancy

Julie Abayomi; Margaret Charnley; Laura Cassidy; M McCann; J Jones; M Wright; L Newson

doi:10.1093/intqhc/mzz081

A Patient and Public Involvement investigation into healthy eating and weight management advice during pregnancy

Julie Abayomi, Margaret Charnley, Laura Cassidy, M McCann, J Jones, M Wright, L Newson

Research output: Contribution to journal › Article › peer-review

8 Citations (Scopus)

67 Downloads (Pure)

Abstract

Objective

To conduct patient and public involvement (PPI) to gain insight into the experience of healthy eating and weight management advice during pregnancy.

Design

PPI in the planning and development of health interventions, aiming to ensure patient-centred care. Optimum nutrition and weight management are vital for successful pregnancy outcomes, yet many services report poor attendance and engagement.

Setting

Community venues in Liverpool and Ulster (UK).

Participants

Two PPI representatives were involved in all aspects of the study: design, interview questions, recruitment and collection/analysis of feedback.

Intervention

Feedback was collected via note taking during group discussions, two in Liverpool (n = 10 & 5); two in Ulster (n = 7 & 9) and an interview (n = 1, in Ulster).

Main Outcome Measures

Transcript data were collated and thematic analysis was applied in analysis.

Results

Thematic analysis identified three themes: (i) weight gain is inevitable in pregnancy; (ii) healthy eating advice is important but currently lacks consistency and depth and (iii) expectations regarding the type of knowledge/support.

Conclusions

PPI provides opportunity to enhance research design and offers valuable insight towards the needs of healthcare users. Pregnant women want positive health messages, with a focus on what they can/should do, rather than what they should not do. Midwives need to consider their communication with pregnant women, to ensure that their unique relationship is maintained, especially when the topics of diet and weight management are addressed. A well-designed digital intervention could improve access to pregnancy-specific nutrition information; empowering midwives to communicate patient-centred, healthy eating messages with confidence. This has the potential to change dietary and weight management behaviour in pregnant women.

Original language	English
Pages (from-to)	28-34
Number of pages	7
Journal	International Journal for Quality in Health Care
Volume	32
Issue number	1
Early online date	5 Feb 2020
DOIs	https://doi.org/10.1093/intqhc/mzz081
Publication status	Published (in print/issue) - 29 Feb 2020

Bibliographical note

Funding Information:
The authors would like to thank Liverpool Clinical Commissioning Group (CCG), The Department, 4th Floor, 2 Renshaw Street, Liverpool L1 2SA, U.K., for funding this work.

Publisher Copyright:
© 2020 The Author(s) 2020. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Keywords

disease categories
patient-centred care
reproductive health
General Medicine
Public Health, Environmental and Occupational Health
Health Policy

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1093/intqhc/mzz081

Final accepted version April 2019Author Accepted Manuscript, 263 KB

Cite this

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title = "A Patient and Public Involvement investigation into healthy eating and weight management advice during pregnancy",

abstract = "Objective To conduct patient and public involvement (PPI) to gain insight into the experience of healthy eating and weight management advice during pregnancy. Design PPI in the planning and development of health interventions, aiming to ensure patient-centred care. Optimum nutrition and weight management are vital for successful pregnancy outcomes, yet many services report poor attendance and engagement. Setting Community venues in Liverpool and Ulster (UK). Participants Two PPI representatives were involved in all aspects of the study: design, interview questions, recruitment and collection/analysis of feedback. Intervention Feedback was collected via note taking during group discussions, two in Liverpool (n = 10 & 5); two in Ulster (n = 7 & 9) and an interview (n = 1, in Ulster). Main Outcome Measures Transcript data were collated and thematic analysis was applied in analysis. Results Thematic analysis identified three themes: (i) weight gain is inevitable in pregnancy; (ii) healthy eating advice is important but currently lacks consistency and depth and (iii) expectations regarding the type of knowledge/support. Conclusions PPI provides opportunity to enhance research design and offers valuable insight towards the needs of healthcare users. Pregnant women want positive health messages, with a focus on what they can/should do, rather than what they should not do. Midwives need to consider their communication with pregnant women, to ensure that their unique relationship is maintained, especially when the topics of diet and weight management are addressed. A well-designed digital intervention could improve access to pregnancy-specific nutrition information; empowering midwives to communicate patient-centred, healthy eating messages with confidence. This has the potential to change dietary and weight management behaviour in pregnant women.",

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note = "Funding Information: The authors would like to thank Liverpool Clinical Commissioning Group (CCG), The Department, 4th Floor, 2 Renshaw Street, Liverpool L1 2SA, U.K., for funding this work. Publisher Copyright: {\textcopyright} 2020 The Author(s) 2020. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.",

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AU - Jones, J

AU - Wright, M

AU - Newson, L

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N2 - Objective To conduct patient and public involvement (PPI) to gain insight into the experience of healthy eating and weight management advice during pregnancy. Design PPI in the planning and development of health interventions, aiming to ensure patient-centred care. Optimum nutrition and weight management are vital for successful pregnancy outcomes, yet many services report poor attendance and engagement. Setting Community venues in Liverpool and Ulster (UK). Participants Two PPI representatives were involved in all aspects of the study: design, interview questions, recruitment and collection/analysis of feedback. Intervention Feedback was collected via note taking during group discussions, two in Liverpool (n = 10 & 5); two in Ulster (n = 7 & 9) and an interview (n = 1, in Ulster). Main Outcome Measures Transcript data were collated and thematic analysis was applied in analysis. Results Thematic analysis identified three themes: (i) weight gain is inevitable in pregnancy; (ii) healthy eating advice is important but currently lacks consistency and depth and (iii) expectations regarding the type of knowledge/support. Conclusions PPI provides opportunity to enhance research design and offers valuable insight towards the needs of healthcare users. Pregnant women want positive health messages, with a focus on what they can/should do, rather than what they should not do. Midwives need to consider their communication with pregnant women, to ensure that their unique relationship is maintained, especially when the topics of diet and weight management are addressed. A well-designed digital intervention could improve access to pregnancy-specific nutrition information; empowering midwives to communicate patient-centred, healthy eating messages with confidence. This has the potential to change dietary and weight management behaviour in pregnant women.

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A Patient and Public Involvement investigation into healthy eating and weight management advice during pregnancy

Abstract

Bibliographical note

Keywords

UN SDGs

Access to Document

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