ArticlePloS one2015
An evaluation of the implementation of maternal obesity pathways of care: a mixed methods study with data integration.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Structural weight stigma in healthcare toward preconception, pregnant, and postpartum women: A systematic review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025Pooled it
- Targeting obstetric providers in interventions for obesity and gestational weight gain: A systematic review.PloS one · 2018Pooled it
- Implementation and Evaluation of a Weight Management Programme for Overweight or Obese Pregnant Women:Sultan Qaboos University medical journal · 2025Trial
- Facilitators and barriers to behaviour change within a lifestyle program for women with obesity to prevent excess gestational weight gain: a mixed methods evaluation.BMC pregnancy and childbirth · 2021Trial
- The experiences of postnatal women and healthcare professionals of a brief weight management intervention embedded within the national child immunisation programme.BMC pregnancy and childbirth · 2021Trial
- Leadership in Obesity Care: Strategies to Support Healthcare Professionals in Effective Decisions, Communication, and Solutions - A Scoping Review.Journal of healthcare leadership · 2026Review
- The role and future of the population health observatory: advancing public health intelligence in Saudi Arabia.Frontiers in public health · 2026Review
- How should we talk to pregnant women about physical activity? A scoping review of physical activity during pregnancy communication by healthcare professionals in the UK.Health psychology and behavioral medicine · 2025Review
- Article
- The lived experience of patients with obesity at a metropolitan public health setting.BMC health services research · 2022Article
- Factors Associated With Adherence to Self-Managed Aphasia Therapy Practice on a Computer-A Mixed Methods Study Alongside a Randomized Controlled Trial.Frontiers in neurology · 2020Article
- Adopting a healthy lifestyle when pregnant and obese - an interview study three years after childbirth.BMC pregnancy and childbirth · 2016Article
- "As soon as you've had the baby that's it…" a qualitative study of 24 postnatal women on their experience of maternal obesity care pathways.BMC public health · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesMaternal obesity has multiple associated risks and requires substantial intervention. This research evaluated the implementation of maternal obesity care pathways from multiple stakeholder perspectives. STUDY
designA simultaneous mixed methods model with data integration was used. Three component studies were given equal priority. 1: Semi-structured qualitative interviews explored obese pregnant women's experiences of being on the pathways. 2: A quantitative and qualitative postal survey explored healthcare professionals' experiences of delivering the pathways. 3: A case note audit quantitatively assessed pathway compliance. Data were integrated using following a thread and convergence coding matrix methods to search for agreement and disagreement between studies.
resultsStudy 1: Four themes were identified: women's overall (positive and negative) views of the pathways; knowledge and understanding of the pathways; views on clinical and weight management advice and support; and views on the information leaflet. Key results included positive views of receiving additional clinical care, negative experiences of risk communication, and weight management support was considered a priority. Study 2: Healthcare professionals felt the pathways were worthwhile, facilitated good practice, and increased confidence. Training was consistently identified as being required. Healthcare professionals predominantly focussed on women's response to sensitive obesity communication. Study 3: There was good compliance with antenatal clinical interventions. However, there was poor compliance with public health and postnatal interventions. There were some strong areas of agreement between component studies which can inform future development of the pathways. However, disagreement between studies included a lack of shared priorities between healthcare professionals and women, different perspectives on communication issues, and different perspectives on women's prioritisation of weight management.
conclusionThe differences between healthcare professionals' and women's priorities and perspectives are important factors to consider when developing care pathways. Shared perspectives could help facilitate more effective implementation of the pathway interventions that have poor compliance.
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