Evidence map›Paper›PMID 27854496›Full record

ArticleChildhood obesity (Print)2017

Parent and Clinician Perspectives on Sustained Behavior Change after a Prenatal Obesity Program: A Qualitative Study.

Emily F Gregory, Matthew A Goldshore, Nakiya N Showell, Marquita C Genies, Mariel E Harding, Janice L Henderson

Open access · greenAbstract read
In one paragraph

Article in Childhood obesity (Print), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Emily F Gregory1 General Pediatrics and Adolescent Medicine, Johns Hopkins School of Medicine , Baltimore, MD.
Matthew A Goldshore2 Johns Hopkins Bloomberg School of Public Health , Baltimore, MD.
Nakiya N Showell1 General Pediatrics and Adolescent Medicine, Johns Hopkins School of Medicine , Baltimore, MD.
Marquita C Genies1 General Pediatrics and Adolescent Medicine, Johns Hopkins School of Medicine , Baltimore, MD.
Mariel E Harding2 Johns Hopkins Bloomberg School of Public Health , Baltimore, MD.
Janice L Henderson3 Gynecology and Obstetrics, Johns Hopkins School of Medicine , Baltimore, MD.
Johns Hopkins University · US

Funding

Institute for Clinical and Translational ResearchKL2TR001077 · NCATS · JOHNS HOPKINS UNIVERSITY · PI FORD, DANIEL ERNEST · 2013 to 2017
$9.2M
NCATS NIH HHS KL2 TR001077
6 · The paper itself

Abstract

backgroundInfants of obese women are at a high risk for development of obesity. Prenatal interventions targeting gestational weight gain among obese women have not demonstrated consistent benefits for infant growth trajectories.

methodsTo better understand why such programs may not influence infant growth, qualitative semi-structured interviews were conducted with 19 mothers who participated in a prenatal nutrition intervention for women with BMI 30 kg/m

resultsMothers were interviewed a mean of 18 months postpartum and reported successful postnatal maintenance of behaviors that were relevant to the family food environment (Theme 1). Ambivalence around the importance of postnatal behavior maintenance (Theme 2) and enhanced postnatal healthcare (Theme 3) emerged as explanations for the failure of prenatal interventions to influence child growth. Mothers acknowledged their importance as role models for their children's behavior, but they often believed that body habitus was beyond their control. Though mothers attributed prenatal behavior change, in part, to additional support during pregnancy, clinicians had hesitations about providing children of obese parents with additional services postnatally. Both mothers and clinicians perceived a lack of interest or concern about infant growth during pediatric visits (Theme 4).

conclusionsPrenatal interventions may better influence childhood growth if paired with improved communication regarding long-term modifiable risks for children. The healthcare community should clarify a package of enhanced preventive services for children with increased risk of developing obesity.

Indexed as

Maternal-Child Health CentersParentsPreventive Health ServicesWeight GainAdultBaltimoreChild of Impaired ParentsFemaleHumansInfantInfant, NewbornInfant Nutritional Physiological PhenomenaMaleMaternal Nutritional Physiological PhenomenaObesityPatient Education as Topichealth behaviorhealth disparitiesobesityprevention

Identifiers

PMID27854496
PMCPMC6435345
OpenAlexW2555519105

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.