Evidence map›Paper›PMID 35217935›Full record

Trial reportMaternal and child health journal2022

How Do Health Schemas Inform Healthy Behaviours During Pregnancy? Qualitative Findings from the Be Healthy in Pregnancy (BHIP) Study.

Beth Murray-Davis, Lindsay N Grenier, Stephanie A Atkinson, Michelle F Mottola, Olive Wahoush, Lehana Thabane, Feng Xie, Jennifer Vickers-Manzin, Caroline Moore, Eileen K Hutton

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Maternal and child health journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

10 authors.

Beth Murray-DavisMcMaster Midwifery Research Center, Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON, Canada. bmurray@mcmaster.ca.ORCID http://orcid.org/0000-0002-9963-7313
Lindsay N GrenierMcMaster Midwifery Research Center, Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON, Canada.
Stephanie A AtkinsonDepartment of Pediatrics, McMaster University, Hamilton, ON, Canada.
Michelle F MottolaR. Samuel McLaughlin Foundation- Exercise and Pregnancy Lab, School of Kinesiology, The University of Western Ontario, London, ON, Canada.
Olive WahoushGlobal Health, McMaster University, Hamilton, ON, Canada.
Lehana ThabaneDepartment of Pediatrics, McMaster University, Hamilton, ON, Canada.
Feng XieDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Jennifer Vickers-ManzinPublic Health Services-Healthy Families, Healthy & Safe Communities, City of Hamilton, Hamilton, ON, Canada.
Caroline MooreSchool of Nursing, McMaster University, Hamilton, ON, Canada.
Eileen K HuttonMcMaster Midwifery Research Center, Department of Obstetrics and Gynecology, McMaster University, Hamilton, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveExcess gestational weight gain (GWG) is associated with adverse long and short-term outcomes for both woman and child, yet evidence demonstrates pregnant women are frequently not engaging in healthy behaviours linked to appropriate weight gain. The purpose of the current study was to explore women's values and beliefs related to weight, nutrition and physical activity during pregnancy and to describe how these beliefs influence their behaviours.

methodsAs part of a larger randomized controlled trial, we conducted 20 focus groups with 66 pregnant women between 16 and 24-weeks gestation using a semi-structured interview guide. Focus groups were recorded and transcribed verbatim and analyzed using a grounded theory approach.

resultsThree personal health schemas emerged from the findings which illustrated women's diverging beliefs about their health behaviours in pregnancy. 'Interconnected health' described beliefs regarding the impact their health had on that of their growing baby and awareness of risks associated with inappropriate weight gain. 'Gestational weight gain as an indicator of health' illustrated perceptions regarding how GWG impacted health and the utility of guidelines. Finally, 'Control in pregnancy' described the sense of agency over one's body and health. CONCLUSIONS FOR PRACTICE: Our results showed that health-related behaviours in pregnancy are driven by personal health schemas which are often discordant with clinical evidence. Interventions and health care provider advice aimed at behaviour modification would benefit from first understanding and addressing these schemas. Tackling the conflict between beliefs and behaviour may improve health outcomes associated with appropriate weight gain in pregnancy.

Indexed as

Gestational Weight GainHealth BehaviorPregnant PeopleAdultExerciseFemaleHumansInfant, NewbornPregnancyPrenatal CareWeight GainGestational weight gainHealth beliefsHealth schemasNutritionPregnancy

Identifiers

PMID35217935

What OpenQuestion holds

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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.