scholarly journals A patient and public involvement investigation into healthy eating and weight management advice during pregnancy

2020 ◽  
Vol 32 (1) ◽  
pp. 28-34 ◽  
Author(s):  
J C Abayomi ◽  
M S Charnley ◽  
L Cassidy ◽  
M T Mccann ◽  
J Jones ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Weight Management ◽  
Healthy Eating ◽  
Thematic Analysis ◽  
Public Involvement ◽  
Patient And Public Involvement ◽  
Valuable Insight ◽  
Positive Health ◽  
Knowledge Support ◽  
Management Advice

Abstract Objective To conduct patient and public involvement (PPI) to gain insight into the experience of healthy eating and weight management advice during pregnancy. Design PPI in the planning and development of health interventions, aiming to ensure patient-centred care. Optimum nutrition and weight management are vital for successful pregnancy outcomes, yet many services report poor attendance and engagement. Setting Community venues in Liverpool and Ulster (UK). Participants Two PPI representatives were involved in all aspects of the study: design, interview questions, recruitment and collection/analysis of feedback. Intervention Feedback was collected via note taking during group discussions, two in Liverpool (n = 10 & 5); two in Ulster (n = 7 & 9) and an interview (n = 1, in Ulster). Main Outcome Measures Transcript data were collated and thematic analysis was applied in analysis. Results Thematic analysis identified three themes: (i) weight gain is inevitable in pregnancy; (ii) healthy eating advice is important but currently lacks consistency and depth and (iii) expectations regarding the type of knowledge/support. Conclusions PPI provides opportunity to enhance research design and offers valuable insight towards the needs of healthcare users. Pregnant women want positive health messages, with a focus on what they can/should do, rather than what they should not do. Midwives need to consider their communication with pregnant women, to ensure that their unique relationship is maintained, especially when the topics of diet and weight management are addressed. A well-designed digital intervention could improve access to pregnancy-specific nutrition information; empowering midwives to communicate patient-centred, healthy eating messages with confidence. This has the potential to change dietary and weight management behaviour in pregnant women.

scholarly journals The importance of patient and public involvement (PPI) in the design and delivery of maternal weight management advice.

2020 ◽  
Vol 79 (OCE2) ◽  
Author(s):  
Julie Abayomi ◽  
Margaret Charnley ◽  
Mary McCann ◽  
Laura Cassidy ◽  
Lisa Newson
Keyword(s):  
Weight Gain ◽  
Weight Management ◽  
Public Involvement ◽  
Patient And Public Involvement ◽  
Maternal Weight ◽  
Grant Applications ◽  
Postnatal Women ◽  
Nice Guidance ◽  
Knowledge Support ◽  
Management Advice

AbstractOptimum gestational weight gain (GWG) is vital for successful pregnancy outcomes. However, pregnant women often feel misinformed or that interventions will not meet their needs; hence, many services report poor attendance and/or engagement [1]. PPI aims to empower those affected by an intervention, to participate in shaping the intervention [2,]. The aim of this study was to conduct PPI to gain insight into the experiences of weight management advice received during pregnancy - to inform future interventions.We recruited two PPI representatives (PLRs) - former patients, who assisted in all aspects of the study: design, interview questions, recruitment of PPI participants and collection/analysis of feedback. The PLRs approached pregnant/postnatal women to participate. During the PPI workshop procedure, women gave verbal consent for their views and possible verbatim quotes to be used in publications/grant applications. Feedback was collected via notetaking during four group discussions (approximately 1 hour in duration), all held in community locations - two in Liverpool (n = 10 & 5), two in Derry (n = 7 & 9) and an interview (n = 1, in Derry). The research team collated the transcripts, subjected them to repeated reading and thematic analysis, informed by Braun and Clarke's step-by-step guide [3].Three themes were identified: 1) Weight gain is inevitable in pregnancy; 2) Healthy eating advice is important but lacks consistency and depth; 3) Expectations regarding knowledge/support. Regarding theme 1: Most women viewed weight gain as an inevitable part of pregnancy, with variable amounts of weight gain being reported. Some women viewed pregnancy as an opportunity to ‘relax’ previous diets - using pregnancy as an excuse to gain weight ‘without feeling guilty’. Women were only weighed at their initial appointment but had no opposition to routine weighing throughout pregnancy or for research, providing they were informed about its significance and importance: “It would be ok to be weighed if it is for baby's health.”However, they were opposed to ‘weight watching’: “We live in a society where weight is such a big issue. It can be difficult putting on weight and thinking about it too much and stressing yourself.”Despite known risks associated with excess GWG, women considered weight gain ‘inevitable’, so deemed weight monitoring unnecessary. NICE guidance [4] advises against routine weighing which ‘may produce unnecessary anxiety with no added benefit’.However, regular weighing may help to avert excessive GWG, if conducted sensitively and with appropriate dietary/lifestyle support, versus weighing without intervention, which may cause ‘stress’.

scholarly journals Involving and engaging pregnant women in maternity-related research: reflections on an innovative approach

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Laura Goodwin ◽  
Magdalena Skrybant ◽  
Sara Kenyon
Keyword(s):  
Pregnant Women ◽  
Maternity Care ◽  
Public Involvement ◽  
Local Community ◽  
Patient And Public Involvement ◽  
Innovative Approach ◽  
Related Research ◽  
Transient Nature ◽  
Postnatal Women ◽  
Inclusive Approach

Abstract Background Meaningful public involvement in maternity research remains challenging, partly due to the transient nature of pregnancy. This paper reflects on the development, implementation and simple evaluation of an innovative and inclusive approach to engaging and involving pregnant and early postnatal women in research. Methods Between January and February 2018, a Research Fellow in Maternity Care, a Professor of Evidence Based Maternity Care, and a Patient and Public Involvement Lead convened for a number of meetings to discuss how public involvement and engagement might be improved for pregnancy-related research. A stakeholder group was created, including a local community matron, a community engagement officer at a local children’s centre, public contributors, and senior members of the Maternal and Child Health theme of the West Midlands Collaboration for Leadership in Applied Health Research and Care (CLAHRC WM). The team worked together to develop a format for Yoga for Bump sessions: a free 90-min session, offered weekly, which included research involvement/engagement, pregnancy yoga, and a ‘question and answer’ session with a midwife. Results A total of 67 women from two local communities in Birmingham attended Yoga for Bump sessions, which ran between May and December of 2018. Evaluation of the sessions suggested benefits to both women and researchers: it created mutually beneficial relationships between contributors and researchers, provided opportunities for women to engage and get involved in research that was directly relevant to them, and provided a convenient and efficient way for researchers to involve and engage pregnant women from diverse backgrounds in their research. Unintended benefits included self-reported improvements in women’s health and wellbeing. Conclusions Yoga for Bump demonstrates an innovative approach to engaging and involving pregnant and early postnatal women; combining a free exercise class with healthcare advice and opportunities to engage with and be involved in research, and demonstrating mutual benefits for those involved. This model has the potential to be replicated elsewhere to support inclusive public involvement in pregnancy-related research. Further work is needed to design and evaluate similar approaches to involvement/engagement and explore potential funding avenues to enhance sustainability.

Maternal Impressions of the New 2019 Canadian Food Guide Snapshot

2021 ◽  
pp. 1-4
Author(s):  
Palak Patel ◽  
Cynthia Mannion
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Pregnant Women ◽  
Healthy Eating ◽  
Thematic Analysis ◽  
Health Care Professionals ◽  
Structured Interviews ◽  
Physically Active ◽  
Dietary Changes ◽  
Dietary Behaviours

This qualitative study explored the impressions of pregnant Canadian women toward Canada’s Food Guide (CFG) snapshot released in January 2019. Semi-structured interviews were conducted with 8 physically active pregnant women. Interviews were digitally recorded, transcribed verbatim, and analyzed using thematic analysis. Three themes emerged: (i) pregnancy changes what I eat; (ii) what is healthy to me? and (iii) a connection with people and food. Pregnancy was the primary factor influencing dietary changes, and messages in the snapshot reinforced some dietary behaviours that participants had already incorporated. Participants wanted information specific to pregnancy but were not aware of available resources pertaining to nutrition on existing websites. Dietitians and other health care professionals should take steps to raise awareness of and ensure wider dissemination of reliable resources on healthy eating during pregnancy including Canada’s Food Guide website.

scholarly journals Virtual Worlds as a Tool to Facilitate Weight Management for Young People

2013 ◽  
Vol 6 (1) ◽  
Author(s):  
Michael James Taylor ◽  
Dave Taylor ◽  
Myutan Kulendran ◽  
Paul Gately ◽  
Ara Darzi
Keyword(s):  
Young People ◽  
Weight Management ◽  
Virtual Worlds ◽  
Second Life ◽  
Public Involvement ◽  
Well Being ◽  
Patient And Public Involvement ◽  
3 Dimensional ◽  
Sustained Weight Loss ◽  
The Uk

Childhood obesity is a serious problem in the UK, with around 20% of children aged 10-11 being overweight or obese. Lifestyle interventions can be effective, but there is limited evidence of their effectiveness in delivering sustained weight loss. The present research explored potential of web-based, 3-dimensional virtual worlds (VWs) for facilitation of weight-management, well-being and patient and public involvement (PPI) for young people. Attendees of a weight management camp took part in induction sessions for use of the VW of Second Life. All participants successfully learned how to interact with one another and navigate the virtual environment. Participant appraisals of Second Life were varied. Some found it complicated and difficult to use, and some found it fun and the majority stated that they would choose to use VWs again. There is considerable potential for use of VWs to promote weight management, and Second Life or a similar VW could be used to deliver this. Potential barriers include members of the target sample having limited access to computers with necessary system requirements for running VWs, and that some may find VW-based educational experiences unappealing or challenging to navigate. For some however, VWs may provide a useful mode for provision of education, PPI and support relating to weight management.

scholarly journals Near Me at Home: codesigning the use of video consultations for outpatient appointments in patients’ homes

2020 ◽  
Vol 9 (3) ◽  
pp. e001035
Author(s):  
Michelle Beattie ◽  
Clare Morrison ◽  
Rebecah MacGilleEathain ◽  
Nicola Gray ◽  
Julie Anderson
Keyword(s):  
Thematic Analysis ◽  
Public Involvement ◽  
Current System ◽  
Patient And Public Involvement ◽  
Flow Diagram ◽  
Process Flow ◽  
Process Step ◽  
Flow Map ◽  
Outpatient Appointments ◽  
At Home

Reforming the delivery of outpatient appointments (OPA) was high on the healthcare policy agenda prior to COVID-19. The current pandemic exacerbates the financial and associated resource limitations of OPA. Videoconsulting provides a safe method of real-time contact for some remotely residing patients with hospital-based clinicians. One factor in failing to move from introduction of service change to its general adoption may be lack of patient and public involvement. This project, based in the largest Island in the Inner Hebrides of Scotland, aimed to codesign the use of the NHS Near Me video consulting platform for OPA to take place in the patient’s home. A codesign model was used as a framework. This included: step 1—presenting a process flow map of the current system of using Near Me to public participants and establishing their ideas on various steps in the process, step 2—conducting numerous Plan, Do, Study, Act (PDSA) tests and creating a current process flow diagram based on learning and step 3—conducting telephone interviews and thematic analysis of transcripts (n=7) to explore participants’ perceptions of being involved in the codesign process. Twenty-five adaptations were made to the Near Me at Home video appointment process from participants’ PDSA testing. Four themes were identified from thematic analysis of participants’ feedback of the codesign process, namely: altruistic motivation, valuing community voices, the usefulness of the PDSA cycles and the power of ‘word of mouth’. By codesigning the use of Near Me with people living in a remote area of Scotland, multiple adaptations were made to the processes to suit the context in which Near Me at Home will be used. Learning from testing and adapting with the public will likely be useful for others embarking on codesign approaches to improve spread and sustainability of quality improvement projects.

scholarly journals Midwives’ knowledge and experiences of providing weight management advice to pregnant women

2017 ◽  
Vol 76 (OCE3) ◽  
Author(s):  
M.T. McCann ◽  
L.M. Newson ◽  
M.S. Charnley ◽  
J.S. Rooney ◽  
C. Burden ◽  
...  
Keyword(s):  
Pregnant Women ◽  
Weight Management ◽  
Management Advice

What are Important Ways of Sharing Power in Health Research Priority Setting? Perspectives From People With Lived Experience and Members of the Public

2021 ◽  
pp. 155626462110132
Author(s):  
Bridget Pratt
Keyword(s):  
Lived Experience ◽  
Thematic Analysis ◽  
Priority Setting ◽  
Health Research ◽  
Public Involvement ◽  
Patient And Public Involvement ◽  
The Public ◽  
The United Kingdom ◽  
Research Priority ◽  
Health Research Priority Setting

Community engagement (patient and public involvement) is gaining prominence in health research worldwide. But there remains limited ethical guidance on how to share power with communities in health research priority setting, particularly that which has been informed by the perspectives of those being engaged. This article provides initial evidence about what they think are important ways to share power when setting health research projects’ topics and questions. Twenty-two people with lived experience, engagement practitioners, and members of the public who have been engaged in health research in the United Kingdom and Australia were interviewed. Thematic analysis identified 15 key ways to share power, many of which are relational. This study further demonstrates that tensions exist between certain ways of sharing power in health research priority setting. More research is needed to determine how to navigate those tensions.

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