Acceptability of a Weight Management Intervention for Pregnant and Postpartum Women with BMI ≥30 kg/m2: A Qualitative Evaluation of an Individualized, Home-Based Service

Lou Atkinson*, Ellinor K. Olander, David P. French

*Corresponding author for this work

Research output: Contribution to journalArticle

Abstract

Objectives: There have been recent calls for more evidence regarding effective antenatal and postnatal interventions to address the serious health risks of maternal obesity and associated childhood obesity. The Maternal and Early Years Healthy Weight Service (MAEYS) is an innovative service, delivered by specialist healthy weight advisors, for obese women (BMI ≥30 kg/m2) during pregnancy and up to 2 years after delivery. The service focuses on healthy gestational weight gain, postpartum weight loss and establishing healthy infant feeding and active play. MAEYS was adopted by six local health organizations in the UK as a 1 year pilot program. The aim of the present research was to assess the acceptability of this intervention among MAEYS participants. Methods: Semi-structured interviews with 20 women, with data analyzed thematically. Results: High levels of acceptability were reported. The convenience and comfort of home visits, personalized advice on diet and physical activity, supportive approach of the healthy weight advisor and regular weight monitoring were all cited as advantages of the service. Service users suggested that more frequent contact with advisors and practical support such as recipes would improve the service. Conclusions: MAEYS is a novel, community-based intervention delivered in the home which has demonstrated acceptability to its recipients. It therefore shows promise as an early intervention to reduce the risks of maternal obesity and subsequently reduce childhood obesity. An evaluation of the efficacy of MAEYS in preventing excess gestational weight gain and losing weight postpartum is now needed.

Original languageEnglish
Pages (from-to)88-96
Number of pages9
JournalMaternal and Child Health Journal
Volume20
Issue number1
Early online date25 Jul 2015
DOIs
Publication statusPublished - 1 Jan 2016

Fingerprint

Postpartum Period
Pregnant Women
Weights and Measures
Mothers
Pediatric Obesity
Weight Gain
Obesity
House Calls
Weight Loss
Organizations
Interviews
Exercise
Diet
Pregnancy
Health
Research

Bibliographical note

© Springer Science+Business Media New York 2015.

Funding: NHS West Midlands’ Investing for Health programme.

Keywords

  • Intervention
  • Obesity
  • Pregnancy
  • Qualitative
  • Service evaluation

Cite this

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title = "Acceptability of a Weight Management Intervention for Pregnant and Postpartum Women with BMI ≥30 kg/m2: A Qualitative Evaluation of an Individualized, Home-Based Service",
abstract = "Objectives: There have been recent calls for more evidence regarding effective antenatal and postnatal interventions to address the serious health risks of maternal obesity and associated childhood obesity. The Maternal and Early Years Healthy Weight Service (MAEYS) is an innovative service, delivered by specialist healthy weight advisors, for obese women (BMI ≥30 kg/m2) during pregnancy and up to 2 years after delivery. The service focuses on healthy gestational weight gain, postpartum weight loss and establishing healthy infant feeding and active play. MAEYS was adopted by six local health organizations in the UK as a 1 year pilot program. The aim of the present research was to assess the acceptability of this intervention among MAEYS participants. Methods: Semi-structured interviews with 20 women, with data analyzed thematically. Results: High levels of acceptability were reported. The convenience and comfort of home visits, personalized advice on diet and physical activity, supportive approach of the healthy weight advisor and regular weight monitoring were all cited as advantages of the service. Service users suggested that more frequent contact with advisors and practical support such as recipes would improve the service. Conclusions: MAEYS is a novel, community-based intervention delivered in the home which has demonstrated acceptability to its recipients. It therefore shows promise as an early intervention to reduce the risks of maternal obesity and subsequently reduce childhood obesity. An evaluation of the efficacy of MAEYS in preventing excess gestational weight gain and losing weight postpartum is now needed.",
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Acceptability of a Weight Management Intervention for Pregnant and Postpartum Women with BMI ≥30 kg/m2 : A Qualitative Evaluation of an Individualized, Home-Based Service. / Atkinson, Lou; Olander, Ellinor K.; French, David P.

In: Maternal and Child Health Journal, Vol. 20, No. 1, 01.01.2016, p. 88-96.

Research output: Contribution to journalArticle

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