Evidence map›Paper›PMID 31736283›Full record

Trial reportMaternal & child nutrition2020

How can we best use opportunities provided by routine maternity care to engage women in improving their diets and health?

Wendy Lawrence, Christina Vogel, Sofia Strömmer, Taylor Morris, Bethan Treadgold, Daniella Watson, Kate Hart, Karen McGill, Julia Hammond, Nicholas C Harvey and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Maternal & child nutrition, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
–field-weighted citation impact
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

26 citing papers in PubMed.

  1. Trial
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  10. Review
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  17. Early life programming of health and disease: The long-term consequences of obesity in pregnancy.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2022
    Review
  18. Article
  19. Overweight, obesity and excessive weight gain in pregnancy as risk factors for adverse pregnancy outcomes: A narrative review.Journal of human nutrition and dietetics : the official journal of the British Dietetic Association · 2022
    Review
  20. 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

14 authors.

Wendy LawrenceMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.ORCID 0000-0003-1264-0438
Christina VogelMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.ORCID 0000-0002-3897-3786
Sofia StrömmerMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Taylor MorrisMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Bethan TreadgoldSchool of Primary Care and Population Sciences, University of Southampton, Southampton, UK.
Daniella WatsonMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Kate HartMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Karen McGillMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Julia HammondMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Nicholas C HarveyMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Cyrus CooperMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Hazel InskipMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Janis BairdMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.
Mary BarkerMRC Lifecourse Epidemiology Unit, University of Southampton, Southampton, UK.

Funding

Department of Health 10/33/04Department of Health RP-PG-0216-20004Medical Research Council MC_U147585819Medical Research Council MC_U147585824Medical Research Council MC_U147585827Medical Research Council MC_UP_A620_1017Medical Research Council MC_UU_12011/4Medical Research Council MR/N011848/1Versus Arthritis 17702
6 · The paper itself

Abstract

Pregnancy provides motivation for women to improve their diets and increase their physical activity. Opportunistic brief interventions delivered as part of routine primary care have produced improvements in patients' health behaviour. Consequently, there have been calls for midwives to use contacts during pregnancy in this way. This study explored the experiences of pregnant women and research midwives/nurses of a brief intervention called Healthy Conversation Skills (HCS) being delivered as part of a randomised control trial, assessing the acceptability and feasibility of including this intervention in routine maternity care. Three research questions were addressed using mixed methods to produce four datasets: face-to-face interviews with participants, a focus group with the HCS-trained midwives/nurses, case reports of participants receiving HCS and audio-recordings of mid-pregnancy telephone calls to the women which produced midwife/nurse HCS competency scores. Midwives/nurses used their HCS to support women to make plans for change and set goals. Women welcomed the opportunity to address their own health and well-being as distinct from that of their baby. Midwives/nurses were competent in using the skills and saw healthy conversations as an effective means of raising issues of diet and physical activity. Recent extension of maternity appointment times provides ideal opportunities to incorporate a brief intervention to support behaviour change. Incorporating HCS training into midwifery education and continuing professional development would facilitate this. HCS is a scalable, brief intervention with the potential to improve the diets and physical activity levels of women during pregnancy, and hence the health of themselves and their babies.

Indexed as

CommunicationHealth BehaviorMaternal Health ServicesAdultDietExerciseFemaleFocus GroupsGoalsHumansMiddle AgedNational Health ProgramsNurse MidwivesPregnancyPregnant PeoplePrenatal Carebrief interventiondietHealthy Conversation Skillsphysical activitypregnancyroutine maternity care

Identifiers

PMID31736283
PMCPMC7038869

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.