scholarly journals “They turn to you first for everything”: insights into midwives’ perspectives of providing physical activity advice and guidance to pregnant women

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Marlize De Vivo ◽  
Hayley Mills
Keyword(s):  
Physical Activity ◽  
Pregnant Women ◽  
Local Community ◽  
Policy Research ◽  
Physical Activity Promotion ◽  
Support Network ◽  
Structured Interviews ◽  
Activity Engagement ◽  
Activity Promotion ◽  
Physical Activity Advice

Abstract Background The antenatal period is associated with a decline in physical activity among women. Midwives are viewed central to the dissemination of information during pregnancy, however, there is little research relating to their promotion of physical activity. The purpose of this study was to gain insight into midwives’ perspectives of providing physical activity advice and guidance to pregnant women Methods Community midwives (N = 10) from ten randomly selected antenatal clinics in England took part in semi-structured interviews which were audio recorded, transcribed and analysed thematically Results In relation to perceived role and responsibilities in providing physical activity advice and guidance, midwives emphasised the extent to which their profession has evolved, the perceived burden of responsibility, and the tick box approach to physical activity discussion. Midwives identified a lack of training, knowledge, confidence, time, resources, and perceptions of vulnerability as barriers to effective physical activity promotion. Despite these issues midwives proposed eight opportunities to facilitate pregnant women’s physical activity engagement: (1) recognising and addressing barriers in the uptake and maintenance of physical activities, (2) professional development, (3) inter-professional collaboration, (4) communicating effectively through simple, reliable resources, (5) improved access, availability, and awareness of suitable activities in the local community, (6) encouraging a support network, (7) “selling” physical activity by challenging misconceptions and focusing on benefits, and (8) suitable motivation, incentives and reward. Conclusions These opportunities identified by midwives provide foundations from which improvements in practice can result. Whilst midwives are ideally placed to promote physical activity as part of a healthy pregnancy, this is likely to be most effective as part of a wider network of practitioners that share consistent and confident messages regarding physical activity engagement. This notion has far reaching implications for practice, policy, research and the normalisation of active pregnancies in the wider population.

“They turn to you first for everything”: insights into midwives’ perspectives of providing physical activity advice and guidance to pregnant women.

2019 ◽  
Author(s):  
Marlize DE VIVO ◽  
Hayley Mills
Keyword(s):  
Physical Activity ◽  
Pregnant Women ◽  
Local Community ◽  
Physical Activity Behaviour ◽  
Support Network ◽  
Professional Collaboration ◽  
Structured Interviews ◽  
Physical Activity Advice ◽  
Community Midwives ◽  
Promotion Of Physical Activity

Background: The antenatal period is associated with a decline in physical activity among women. Midwives are viewed central to the dissemination of information during pregnancy, however, there is little research relating to their promotion of physical activity. The purpose of this study was to gain insight into midwives’ perspectives of providing physical activity advice and guidance to pregnant women. Methods: Community midwives (N = 10) from ten randomly selected antenatal clinics in England took part in semi-structured interviews which were audio recorded, transcribed and analysed thematically. Results: In relation to midwives perceived role and responsibility in providing physical activity advice and guidance, three themes were identified: (1) the midwifery profession has evolved with consequences for current practice, (2) the burden of responsibility, and (3) physical activity advice and guidance is a tick box exercise. Midwives perceived barriers to the provision of effective advice and guidance were represented by five themes: (1) lack of training, knowledge, and confidence; (2) time constraints and ensuing compromises; (3) unawareness of suitable resources and opportunities; (4) reliance on common sense and experience as opposed to evidence-based practise; and (5) perceptions of vulnerability relating to inherent fears and exposure to risk. Eight broad themes represent what midwives perceived as feasible opportunities in changing pregnant women’s physical activity behaviour: (1) recognising and addressing barriers in the uptake and maintenance of physical activities, (2) professional development, (3) inter-professional collaboration, (4) communicating effectively through simple, reliable resources, (5) improved access, availability, and awareness of suitable activities in the local community, (6) encouraging a support network, (7) “selling” physical activity by challenging misconceptions and focusing on benefits, and (8) suitable motivation, incentives and reward. Conclusions: Whilst midwives are hypothetically ideally placed to offer guidance regarding physical activity, this is in practice not always feasible. The midwives influence may be better served as part of a wider network of facilitators that share a consistent and confident message regarding the normalisation of active pregnancies in the wider population.

scholarly journals Physical activity promotion in German vocational education: does capacity building work?

2020 ◽  
Vol 35 (6) ◽  
pp. 1577-1589 ◽  
Author(s):  
Johanna Popp ◽  
Johannes Carl ◽  
Eva Grüne ◽  
Jana Semrau ◽  
Peter Gelius ◽  
...  
Keyword(s):  
Physical Activity ◽  
Nursing Students ◽  
Vocational Education ◽  
Capacity Building ◽  
Qualitative Content Analysis ◽  
Physical Activity Promotion ◽  
Structured Interviews ◽  
Policy And Practice ◽  
Physically Active ◽  
Activity Promotion

Abstract Apprentices in many sectors are exposed to increased health risks and show low levels of physical activity (PA). Environmental and policy approaches seem to be promising tools for PA promotion as they can positively influence the context in which PA occurs. This article reports results from a German research project (2015–2018) that developed and implemented measures for PA promotion in the field of vocational education (VE). A participatory approach—cooperative planning (COP)—involving researchers as well as stakeholders from policy and practice was used in two VE settings—nursing care and automotive mechatronics. We assessed the extent to which new capacities for PA promotion were created by conducting semi-structured interviews with stakeholders from both sectors (n = 12) and one group interview with nursing students (n = 4). Transcripts were analysed using qualitative content analysis. Findings show that new capacities were created mainly in the form of resources and opportunities and that several measures for PA promotion (e.g. a regular lesson on the issue of PA and health and a tutoring system) were successfully integrated into VE routines. However, establishing new organizational goals and obligations appeared to be challenging. Moreover, the article presents influencing factors, such as the participation of the main actors that strongly supported the process of capacity building within their organization. We conclude that COP seems promising in creating new capacities for PA promotion in the field of VE, and therefore has the potential to promote a physically active lifestyle among apprentices.

scholarly journals Influences on health-care practitioners’ promotion of physical activity to their patients with prostate cancer: a qualitative study

2018 ◽  
Vol 10 (1) ◽  
pp. 31 ◽  
Author(s):  
Asmita Patel ◽  
Grant Schofield ◽  
Justin Keogh
Keyword(s):  
Physical Activity ◽  
Prostate Cancer ◽  
Health Care ◽  
Psychological Health ◽  
Physical Activity Promotion ◽  
Related Factors ◽  
Health Care Practitioners ◽  
Activity Promotion ◽  
Physical Activity Advice ◽  
Promotion Of Physical Activity

ABSTRACT INTRODUCTION Physical activity is beneficial for the physical and psychological health of patients with prostate cancer (PCa). Health-care practitioners are ideally positioned to promote physical activity to their patients. AIM To identify factors that influenced health care practitioners to either promote or not promote physical activity to their patients with PCa. METHODS Individual interviews were conducted with 16 Auckland-based health-care practitioners, including specialists (oncologists and urologists), physiotherapists and complementary and alternative (acupuncturists) health-care practitioners. Data were analysed using an inductive thematic approach. RESULTS Treatment-related factors (ie counteracting side-effects of hormone suppression treatment), longer life expectancy and risk factors for other conditions appeared to influence the promotion of physical activity to patients. Time constraints of consultations and complex medical issues were barriers to the promotion of physical activity. CONCLUSIONS This study found that a variety of health-care practitioners are providing some degree of physical activity advice to their patients with PCa. Collaborative practice among health-care practitioners to verbally reinforce the benefits of physical activity, coupled with referral to experts in physical activity promotion/rehabilitation (such as physiotherapists), should be encouraged for best practice care.

scholarly journals Physical activity promotion in care homes

2017 ◽  
Vol 21 (4) ◽  
pp. 206-214 ◽  
Author(s):  
Lindsay Turpie ◽  
Sandy Whitelaw ◽  
Christopher Topping
Keyword(s):  
Physical Activity ◽  
Physical Activity Promotion ◽  
Care Homes ◽  
Successful Implementation ◽  
Structured Interviews ◽  
Content Type ◽  
Private Care ◽  
Activity Promotion ◽  
Key Staff ◽  
Insight Into

Purpose The purpose of this paper is to report on the implementation of a physical activity (PA) scheme – Let’s Motivate (LM) – within private care homes (CHs) in Dumfries and Galloway (D&G), Scotland; aiming to provide an insight into the different factors which might contribute to its success and further sustainability. Design/methodology/approach A qualitative study is described in which one-to-one semi-structured interviews were carried out with eight key staff involved in implementing the project within two purposively sampled CHs; in order to explore their views and experiences of implementation. Findings The paper provides an insight into the different factors which stand to both promote and impede the successful implementation of LM, within the two CHs involved. Originality/value This paper explores a new and innovative PA initiative in CHs in D&G, Scotland. Studies exploring the factors which can both promote and impede implementation are important as they can help to usefully inform the implementation and sustainability of initiatives.

scholarly journals Recognition of Barriers to Physical Activity Promotion in Immigrant Children in Spain: A Qualitative Case Study

2019 ◽  
Vol 16 (3) ◽  
pp. 431 ◽  
Author(s):  
Romain Marconnot ◽  
Antonio Marín-Rojas ◽  
Jose Delfa-de-la-Morena ◽  
Jorge Pérez-Corrales ◽  
Javier Gueita-Rodríguez ◽  
...  
Keyword(s):  
Physical Activity ◽  
Qualitative Case Study ◽  
Social Contact ◽  
Physical Activity Promotion ◽  
Immigrant Children ◽  
School Principal ◽  
Gender Inequalities ◽  
Structured Interviews ◽  
Activity Promotion

Physical activity facilitates the acquisition of healthy habits from childhood to adulthood. Differences exist regarding the performance of physical activity among immigrant children compared to native Spanish children. The purpose of the study was to describe the barriers that exist for the promotion of physical activity. A qualitative case-study approach was implemented. Parents of immigrant children, teachers, a school principal, and priests were included, using purposeful sampling. Data were collected from 25 participants, via unstructured and semi-structured interviews, focus groups, and researchers’ field notes. A thematic analysis was performed and ecological levels were identified. Our findings revealed the following barriers to performing physical activity: (a) the meaning of physical activity, (b) gender inequalities, (c) academic burden, (d) lack of social contact, (e) expenses and family economy, (f) lack of infrastructure and natural surroundings, (g) time constraints, (h) fear and insecurity, and (i) the reason for immigrating. These results may be used to revise the school curriculum, promoting equal opportunities for physical activity and encouraging family participation. Additionally, urban design policies should be encouraged to facilitate access to open spaces for recreation within cities.

scholarly journals Using system mapping to help plan and implement city-wide action to promote physical activity

2020 ◽  
Vol 9 (3) ◽  
Author(s):  
Nick Cavill ◽  
Debra Richardson ◽  
Mark Faghy ◽  
Chris Bussell ◽  
Harry Rutter
Keyword(s):  
Physical Activity ◽  
Systems Approach ◽  
Physical Activity Promotion ◽  
Key Factors ◽  
Structured Interviews ◽  
Promotion Programme ◽  
Activity Promotion ◽  
Conceptual Maps ◽  
System Mapping ◽  
The City

Background. There is growing interest in conceptualising public health problems such as physical inactivity as the outcome of multiple interacting factors within complex systems.    Methods. We worked with stakeholders involved in a city-wide physical activity promotion programme in Derby, UK to prodiuce conceptual maps of the major modifiable drivers of physical activity, and used them  to explore ways in which the existing programme took a systems approach, and how it might be enhanced. Semi-structured interviews were subsequently undertaken to assess their views on the contribution of the mapping approach. Results. Feedback from stakeholders described the mapping as valuable, especially in helping to identify the limitations of the original approach taken in the city. Conclusions. Even a very simple application of systems thinking can be a useful tool for disaggregating the key factors driving a system, helping to identify areas that merit greater attention, and supporting effective action.  

A Phenomenological Inquiry into the Meaning Ascribed to Physical Activity by Brazilian Men with Visual Impairments

2018 ◽  
Vol 112 (5) ◽  
pp. 519-531
Author(s):  
Justin A. Haegele ◽  
Samuel R. Hodge ◽  
Paulo Gutierres Filho ◽  
Nillianne Ribeiro ◽  
Christian Martínez-Rivera
Keyword(s):  
Physical Activity ◽  
Social Issues ◽  
Visual Impairments ◽  
Physical Activity Promotion ◽  
Physical Activities ◽  
Research Approach ◽  
Physically Active ◽  
Activity Engagement ◽  
Activity Promotion ◽  
Literature Base

Introduction Research examining how adults with visual impairments experience physical activities is currently limited to specific age ranges (for example, youths or older adults) and geographic locations (such as Europe and North America). In an effort to extend the current literature base, the study presented here focuses on a cohort of young or middle-aged adults with visual impairments who live in Brazil. Thus, the purpose of this exploratory study was to examine the meaning Brazilian adults with visual impairments ascribed to their physical activity experiences. Methods This study was situated in the qualitative paradigm utilizing a phenomenological design. Three male participants (aged 22 to 47 years) were purposively recruited to participate. The main source of data for this study was a focus group interview using an open-ended, guided approach that was recorded on audiotape. A three-step, line-by-line, thematic analysis, informed by the phenomenological research approach, was utilized to extract meaning from the participants’ experiences. Several strategies were employed to reduce subjective bias, establish trustworthiness, and enhance transferability. Results Two interrelated themes emerged when participants described how they experienced physical activities and the meaning they ascribed to those experiences. The first theme, physical activity–indispensable, describes the importance the participants ascribed to physical activity engagement and the benefits that they garnered from these experiences. The second theme, perceived physical activity impediments, exposed the obstacles participants experienced when trying to engage in physical activities. Discussion This study's findings expose the meaning that a cohort of Brazilians with visual impairments ascribe to physical activity engagement. The participants explained how engagement in physical activity helped alleviate some social issues they previously experienced, but also noted barriers to engaging in these activities. Implications for practitioners Programs targeting physical activity promotion for adults with visual impairments should show the reported benefits of engaging in physical activity programs while attempting to manage potential obstacles that would discourage a physically active lifestyle.

scholarly journals Connecting people with cancer to physical activity and exercise programs: a pathway to create accessibility and engagement

2018 ◽  
Vol 25 (2) ◽  
pp. 149 ◽  
Author(s):  
D. Santa Mina ◽  
C.M. Sabiston ◽  
D. Au ◽  
A.J. Fong ◽  
L.C. Capozzi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Local Community ◽  
Care Delivery ◽  
Clinical Care ◽  
Exercise Program ◽  
Physical Activity Promotion ◽  
Well Being ◽  
Health Care Practitioner ◽  
Exercise Programs ◽  
Activity Promotion

Recent guidelines concerning exercise for people with cancer provide evidence-based direction for exercise assessment and prescription for clinicians and their patients. Although the guidelines promote exercise integration into clinical care for people with cancer, they do not support strategies for bridging the guidelines with related resources or programs. Exercise program accessibility remains a challenge in implementing the guidelines, but that challenge might be mitigated with conceptual frameworks (“pathways”) that connect patients with exercise-related resources. In the present paper, we describe a pathway model and related resources that were developed by an expert panel of practitioners and researchers in the field of exercise and rehabilitation in oncology and that support the transition from health care practitioner to exercise programs or services for people with cancer. The model acknowledges the nuanced distinctions between research and exercise programming, as well as physical activity promotion, that, depending on the available programming in the local community or region, might influence practitioner use. Furthermore, the pathway identifies and provides examples of processes for referral, screening, medical clearance, and programming for people after a cancer diagnosis. The pathway supports the implementation of exercise guidelines and should serve as a model of enhanced care delivery to increase the health and well-being of people with cancer.

scholarly journals Theory-Based, Participatory Development of a Cross-Company Network Promoting Physical Activity in Germany: A Mixed-Methods Approach

2020 ◽  
Vol 17 (23) ◽  
pp. 8952
Author(s):  
Carina Hoffmann ◽  
Gerrit Stassen ◽  
Andrea Schaller
Keyword(s):  
Physical Activity ◽  
Workplace Health Promotion ◽  
Physical Activity Promotion ◽  
Participatory Development ◽  
Workplace Health ◽  
Structured Interviews ◽  
Multicomponent Intervention ◽  
Activity Promotion ◽  
Health Project ◽  
The Cross

The untapped potential of workplace health promotion (WHP) in smaller companies and the promising approach to promote physical activity in the workplace requires application-oriented approaches. This study describes the participatory, theory-based development of a cross-company network with a multicomponent intervention for promoting physical activity in smaller companies. The BIG-Manual (from the “Movement as an Investment for Health” project, German—BIG) was the theoretical framework for developing the cross-company network. Qualitative and quantitative data sources were used to identify the requests and requirements of stakeholders (employees on site, local exercise providers, company representatives and network partners) regarding measures promoting physical activity and the cross-company network. The methods applied included two workshops (n = 13; n = 15), individual semi-structured interviews (n = 8) and a survey (n = 285). The analysis revealed that a large number of stakeholders must be taken into consideration for physical activity promotion in cross-company networks. Many similarities between the requests of employees and further stakeholders concerning a multicomponent intervention for promoting physical activity could be identified. Present gender-specific and physical activity-related differences show the importance of target group-specific intervention planning in the context of WHP. This study makes an important contribution for the development of future cross-company networks promoting physical activity and yields valuable information for the design of a multicomponent intervention promoting physical activity.

scholarly journals How prepared are healthcare professionals for delivering physical activity guidance to those with diabetes? A formative evaluation

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
N. Kime ◽  
A. Pringle ◽  
S. Zwolinsky ◽  
D. Vishnubala
Keyword(s):  
Physical Activity ◽  
Formative Evaluation ◽  
Healthcare Professionals ◽  
Diabetes Management ◽  
Physical Activity Promotion ◽  
Structured Interviews ◽  
Two Phase ◽  
Long Term Conditions ◽  
Activity Promotion ◽  
Promotion Of Physical Activity

Abstract Background Physical activity is recognised as important for diabetes management and improved overall health of individuals with diabetes, yet many adults with diabetes are inactive. Healthcare professionals have been identified as key to promoting physical activity, including individuals with diabetes, but are ill-prepared to deliver this. Our paper evaluates the barriers/facilitators of healthcare professionals’ delivery of physical activity guidance to adults with diabetes and aims to inform efforts to investigate and enhance their preparedness to promote physical activity. Methods A sequential mixed method, two-phase design was adopted involving a purposeful sample of healthcare professionals. Phase one was an online pilot survey designed to test assumptions around healthcare professionals’ knowledge, training and preparedness to deliver physical activity guidance. Phase two comprised eighteen semi-structured interviews, thematically analysed to provide an in-depth exploration of healthcare professionals’ experiences of delivering physical activity guidance to adults with diabetes. Results Healthcare professionals are committed to promoting physical activity to adults with diabetes and are reasonably confident in giving basic, generic guidance. Yet, significant challenges prevent them from achieving this in their practice, including: lack of education and training around physical activity, diabetes and health; ignorance of recommended physical activity and diabetes guidelines; lack of awareness of referral options; limited time and accessibility to appropriate resources. Nevertheless, healthcare professionals believed discussions around physical activity needed to be an integral part of consultations, incorporating improved communication strategies for conveying key physical activity messages. Conclusions HCPs have a key role in the promotion of physical activity to people with long-term conditions such as diabetes and they are identified within both the strategic policy context and national interventions for physical activity. Yet, this study indicated that HCPs face multiple and at times complex barriers to physical activity promotion generally and with diabetes patients. Conversely HCPs also reported what works, why and how, when promoting physical activity. Rich information derived from the day-to-day, working healthcare professional is integral to shaping future practices going forward. The bottom up, iterative design adopted in this study provides an approach to tap into this information.

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