scholarly journals Development of a Lifestyle Intervention Program for Overweight or Obese Preconception, Pregnant and Postnatal Women: a Qualitative Study

2021 ◽  
Author(s):  
Chee Wai Ku ◽  
Shu Hui Leow ◽  
Lay See Ong ◽  
Christina Erwin ◽  
Isabella Ong ◽  
...  
Keyword(s):  
Lifestyle Intervention ◽  
Goal Setting ◽  
Intervention Program ◽  
Healthy Lifestyle ◽  
Lifestyle Behaviors ◽  
Obese Women ◽  
Enabling Factors ◽  
Family Culture ◽  
Postnatal Women ◽  
Delivery Platform

Abstract The time period before, during and after pregnancy represents a unique opportunity for interventions to cultivate sustained healthy lifestyle behaviors to improve the metabolic health of mothers and their offspring. However, the success of a lifestyle intervention is dependent on uptake and continued compliance. To identify enablers and barriers towards engagement with a lifestyle intervention, thematic analysis of 15 in-depth interviews with overweight or obese women in the preconception, pregnancy or postpartum periods was undertaken, using the integrated–Promoting Action on Research Implementation in Health Services (i-PARIHS) framework as a guide to systematically chart factors influencing adoption of a novel lifestyle intervention. Barrier factors include time constraints, poor baseline knowledge, family culture, food accessibility, and lack of relevant data sources. Enabling factors were motivation to be healthy for themselves and their offspring, family and social support, a holistic delivery platform providing desired information delivered at appropriate times, regular feedback, goal setting, and nudges. From the findings of this study, we propose components of an idealized lifestyle intervention including (i) taking a holistic life-course approach to education, (ii) using mobile health platforms to reduce barriers, provide personalized feedback and promote goal-setting, and (iii) health nudges to cultivate sustained lifestyle habits.

scholarly journals Development of a Lifestyle Intervention Program to Support Preconception, Pregnant and Postnatal Women Who are Overweight or Obese: A Qualitative Study

2021 ◽  
Author(s):  
Chee Wai Ku ◽  
Shu Hui Leow ◽  
Lay See Ong ◽  
Christina Erwin ◽  
Isabella Ong ◽  
...  
Keyword(s):  
Lifestyle Intervention ◽  
Goal Setting ◽  
Intervention Program ◽  
Maternal Obesity ◽  
Healthy Lifestyle ◽  
Target Population ◽  
Lifestyle Changes ◽  
Lifestyle Behaviors ◽  
Obese Women ◽  
The Impact

Abstract Background: Poor lifestyle behaviors, including unhealthy diet and physical inactivity, contribute to the global obesity pandemic and result in long-term adverse health effects on mothers and their children. The time period before, during and after pregnancy represents a unique opportunity for interventions to cultivate sustained healthy lifestyle behaviors. Since the success of a lifestyle intervention is heavily dependent on uptake and continued compliance, the intervention components should be acceptable, sustainable, and tailored to the concerns and needs of the target population. This study aims to identify enablers and barriers towards engagement with a lifestyle intervention for improving the metabolic health of prospective mothers and their offspring, among a sample of the target population.Methods: In-depth interviews were conducted with 15 overweight or obese women in the preconception, pregnancy or postpartum periods. Interviews were transcribed verbatim and thematic analysis was undertaken using NVivo. Factors influencing adoption of a novel lifestyle intervention were systematically charted using the integrated–Promoting Action on Research Implementation in Health Services (i-PARIHS) framework, that comprises Recipient, Context, Innovation and Facilitation constructs.Results: Ten enablers and barriers were identified. Barrier factors within the Recipient construct include time constraints as participants juggled multiple roles, and poor baseline knowledge about healthy behaviors and the impact of maternal obesity on maternal and offspring health. Within Context, a family culture of communal meals, convenient access to unhealthy foods in the environment, as well as lack of relevant data sources, were barriers to dietary change. Recipient motivation to be healthy for themselves and their offspring is an enabler, along with family and social support within the Context construct. In the Innovation construct, a holistic delivery platform providing desired information delivered at appropriate times increases engagement. Lastly, in Facilitation, regular feedback, goal setting and nudges would ensure continued engagement and sustainability of lifestyle changes.Conclusions: The features of a successful lifestyle intervention targeting overweight and obese women include (i) a holistic life-course approach to provide education and guidance, (ii) using mobile health platforms to reduce barriers, provide personalized feedback and promote goal-setting, and (iii) health nudges to cultivate sustained lifestyle habits.

Lifestyle intervention using modified BASNEF model in hypertension management (Preprint)

2020 ◽  
Author(s):  
Resti Tito Villarino ◽  
Christopher Arcay ◽  
Maria Concepcion Temblor
Keyword(s):  
Lifestyle Intervention ◽  
Repeated Measures ◽  
Intervention Program ◽  
Phase 1 ◽  
Management Technique ◽  
Enabling Factors ◽  
Educational Models ◽  
Stroke Risk Factor ◽  
Repeated Measures Design ◽  
Lifestyle Intervention Program

BACKGROUND Hypertension is a serious health issue and a major cardiovascular disease and stroke risk factor. In hypertensive patients, various health educational models have been used to improve their lifestyle, but the findings are inconsistent. OBJECTIVE The study assessed the effects of a lifestyle intervention program using modified Beliefs, Attitude, Subjective Standards, Enabling Factors (BASNEF) model among non-adherent hypertensive respondents in relation to the introduction of a lifestyle intervention program in the management of hypertension. METHODS This is a quantitative quasi-experimental research particularly utilizing a repeated-measures design of within-subjects approach on the 50 non-adherent patients diagnosed with essential hypertension at Moalboal, Cebu, Philippines in 2019. The respondents received five sessions of trainings based on modified BASNEF model. The Morisky Medication Adherence instrument was used. The first phase included a demographic questionnaire and the last phase comprised the evaluation of the program. Frequencies, percentages, means and standard deviations for descriptive statistics while t-test, repeated measures, ANOVA, and Pearson product moment correlation for inferential statistics. RESULTS The result indicated that the phase 1 mean (146.5) of the systolic readings differ significantly from the phase 4 mean (134.92) of the systolic readings. However, since these two means came from phases that were not consecutive, the result, as a whole, did not show a significant decrease or change when analyzed chronologically from one phase to the next. CONCLUSIONS The study has established that BASNEF model approach can be an effective BP management technique.

Healthy Lifestyle Behaviors Among 18- to 49-Year-Old Women: A Comparative Study

2020 ◽  
pp. 0272684X2097383
Author(s):  
Seda Göger ◽  
Dilek Cingil
Keyword(s):  
Healthy Lifestyle ◽  
Normal Weight ◽  
Health Concern ◽  
Counseling Services ◽  
Lifestyle Behaviors ◽  
Obese Women ◽  
Significant Difference ◽  
Healthy Lifestyle Behaviors ◽  
Prevalence Of Obesity ◽  
The Difference

Introduction The prevalence of obesity has become a remarkable public health concern in a global extent. This study aimed to examine the difference between the healthy lifestyle behaviors of women with normal weight and those who are obese. Method This comparative descriptive study included a total of 302 women aged 18–49 years. Results According to regression analysis; duration of education (β = −0.154), (age (β = 0.376), presence of obese individuals in the family (β = 0.177) and HLSBS II scores (β = −0.115) were the factors that affected the BMI. The predictive value of these variables was 34.1%. Discussion A significant difference was found between women with normal weight and obese women in terms of several sub-dimensions and overall HLSBS II score. We recommend that healthcare staff should design training and counseling services to improve the health behaviors of overweight and obese women.

L.I.F.E.: A School-Based Heart-Health Screening and Intervention Program

2008 ◽  
Vol 24 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Karen L. Northrup ◽  
Lesley A. Cottrell ◽  
Richard A. Wittberg
Keyword(s):  
Risk Factors ◽  
Family Environment ◽  
Intervention Program ◽  
Healthy Lifestyle ◽  
School Nurses ◽  
Health Screening ◽  
Lifestyle Behaviors ◽  
Heart Health ◽  
Partnership Development ◽  
School Based

This article describes the development and growth of Lifestyle Improvements in the Family Environment ( L.I.F.E.), a school-based heart-health screening and intervention program. The primary goals of L.I.F.E. through three rounds of grant funding remained constant: (a) to identify cardiovascular risk factors in students and their families and (b) to provide counseling, education, and opportunities to change lifestyle routines that contribute to those risk factors. The program began with direct ties to a university-based research program and grew with evidence-based successes and development of community partnerships. Waves of growth were influenced by capacity-building efforts, partnership development, and resource availability. School nurses managed the screening component and partnered with appropriate others in the intervention programming. School nurses are appropriately positioned to assist families as well as school and community partners in decreasing the incidence of obesity and promoting healthy lifestyle behaviors.

scholarly journals Impact of a healthy lifestyle intervention program during pregnancy on women and newborn

2019 ◽  
Vol 4 (2) ◽  
pp. e29 ◽  
Author(s):  
Ana Silva ◽  
Beatriz Pereira ◽  
Sérgio Souza ◽  
Carla Moreira ◽  
Cláudia Guerra ◽  
...  
Keyword(s):  
Lifestyle Intervention ◽  
Intervention Program ◽  
Healthy Lifestyle ◽  
Lifestyle Intervention Program

Short-term effects of a non-dieting lifestyle intervention program on weight management, fitness, metabolic risk, and psychological well-being in obese premenopausal females with the metabolic syndrome

2007 ◽  
Vol 32 (1) ◽  
pp. 125-142 ◽  
Author(s):  
Sean Carroll ◽  
Erika Borkoles ◽  
Remco Polman
Keyword(s):  
Lifestyle Intervention ◽  
Intervention Program ◽  
Intervention Group ◽  
Well Being ◽  
Obese Women ◽  
Short Term ◽  
Psychological Well Being ◽  
The Metabolic Syndrome ◽  
Significant Difference ◽  
Lifestyle Intervention Program

Lifestyle modification has been widely acknowledged as the primary treatment for the metabolic syndrome (MetS). We examined the short-term effects of a non-dieting lifestyle intervention program, within the theoretical psychological framework of self-determination theory (SDT), on metabolic fitness and psychological well-being among premenopausal, clinically obese women. A secondary analysis of a randomized, controlled, 3 month, intensive, community-based lifestyle intervention study was performed on 31 pre-menopausal obese women with the MetS (56.4% of original study sample). These participants had been randomly allocated to a non-dieting lifestyle intervention group (n = 17) or waiting list control (n = 14). Among participants who completed repeat anthropometric and cardiorespiratory fitness measurements after 3 months intervention, the lifestyle intervention group showed a significant improvement in VO2 (mL·kg–1·min–1) compared with control (test for interaction, p = 0.003). No significant difference was found for body mass. Metabolic improvements were evident for diastolic blood pressure and high-density lipoprotein cholesterol in both groups. The lifestyle intervention group also showed significantly improved general psychological well-being compared with the control group (test for interaction, p = 0.0005). All of the psychological well-being subscales showed significant favourable changes in the intervention group as compared with controls. This short-term, non-dieting lifestyle intervention, consistent with the “Health at Every Size” (HAES) obesity treatment paradigm, significantly improved cardiorespiratory fitness and psychological well-being. Metabolic risk tended to improve after 3 months intervention with no significant difference in the resolution of the MetS between intervention and control participants.

scholarly journals Study protocol for Healthy Conversations @ Playgroup: a multi-site cluster randomized controlled trial of an intervention to promote healthy lifestyle behaviours in young children attending community playgroups

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Stewart G. Trost ◽  
Rebecca Byrne ◽  
Kate E. Williams ◽  
Brittany J. Johnson ◽  
Anna Bird ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Early Childhood ◽  
Screen Time ◽  
Intervention Program ◽  
Healthy Lifestyle ◽  
Controlled Trial ◽  
Trial Registration ◽  
Lifestyle Behaviors ◽  
Post Intervention ◽  
Randomized Controlled

Abstract Background Early childhood is a critical window for preventing obesity and chronic disease. Yet, 1 in 4 Australian children aged 5 years and under are affected by overweight or obesity; and significant proportions of children under 5 years fail to meet guidelines for diet quality, physical activity (PA), screen time, and sleep. Consequently, effective interventions to promote healthy lifestyle behaviors and prevent obesity during early childhood are needed. Community playgroups provide an opportunity for parents, carers, and children to meet in a safe and relaxed environment to play and share information. The structure, low cost and reach of playgroups provide a unique platform to engage parents in a scalable program to promote healthful lifestyle behaviors and prevent childhood obesity. However, the evidence base for the effectiveness of health promotion programs delivered in community playgroup settings is limited and lacking credible evidence from rigorously conducted randomized controlled trials. Methods The Healthy Conversations @ Playgroup randomized controlled trial (RCT) aims to address the underlying behavioral risk factors for obesity by helping parents take effective steps to improve their child’s dietary, PA, screen time, and sleep behaviors. The intervention program comprises 10 “healthy conversations” led by a trained peer facilitator, designed to increase parents’ behavioral capability and self-efficacy to implement autonomy-supportive parenting practices. The program will be delivered biweekly during regularly scheduled playgroup sessions over 10-weeks. Effectiveness will be tested in a 2-arm cluster RCT involving 60 community playgroups in three states across Australia. After baseline assessments, participating playgroups will be randomly allocated to either intervention or wait-list control conditions. Primary outcomes (vegetable intake, discretionary foods, daily PA, screen time, sleep duration, and body mass index [BMI] z-score) will be assessed at baseline, immediately post-intervention (10-weeks; T2) and 6-months post-intervention (T3). Outcomes will be assessed for differential change at T2 and T3. Discussion The Healthy Conversations @ Playgroup trial will rigorously evaluate a novel peer-led intervention program to promote healthful lifestyle behaviors and prevent obesity in children and families attending community playgroups. If effective, the program could be immediately scaled-up and delivered in community playgroups across Australia. Trial registration Trial registered 22nd January 2021 with the Australian and New Zealand Clinical Trials Registry (ACTRN12621000055808).

scholarly journals Community-Based Healthy Lifestyle Intervention Program (Co-HELP) Modification Meningkatkan Kualitas Hidup Pasien DM

2020 ◽  
Vol 10 (01) ◽  
pp. 26-31
Author(s):  
Syulce Luselya Tubalawony ◽  
Fransiska Dewi Prabawati
Keyword(s):  
Quality Of Life ◽  
Lifestyle Intervention ◽  
Fast Food ◽  
Intervention Program ◽  
Healthy Lifestyle ◽  
Community Based ◽  
Purposive Sampling ◽  
Lifestyle Intervention Program ◽  
Diabetes Melitus

Pendahuluan: Era modern yang terjadi menyebabkan perubahan gaya hidup seperti tingginya pola konsumsi fast food dan kurangnya aktivitas fisik menyebabkan peningkatan penyakit kronis salah satunya Diabetes Melitus (DM). Tujuan penelitian ini adalah untuk menganalisis efektivitas Community-Based Healthy Lifestyle Intervention Program (Co-HELP) Modification terhadap kualitas hidup, kadar gula darah puasa dan tekanan darah pasien DM. Metode: Rancangan quasy experiment digunakan dengan melibatkan 76 responden yang terbagi atas 51 responden kelompok intervensi dan 25 responden kelompok kontrol yang dipilih dengan teknik purposive sampling. Kualitas Hidup responden diukur menggunakan kuesioner diabetes quality of life. Analisa hasil penelitian dengan uji Wilcoxon dan uji Mann-Whitney Hasil: Mayoritas responden kategori dewasa madya, perempuan (77,6%), lama menderita DM >5 tahun (67,1%), pekerjaan ringan (82,9%). Setelah 6 minggu diberikan intervensi Co-HELP Modification didapatkan hasil menujukan ada perbedaan yang signifikan pada kualitas hidup (p=0,000), kadar gula darah puasa (p=0,000), namun hasil uji untuk tekanan sistole dan tekanan diastole tidak ada perbedaan. Hasil uji regresi logistik ordinal menunjukkan bahwa intervensi Co-HELP Modification, umur, jenis kelamin, lama menderita/sakit DM dan pekerjaan secara simultan berpengaruh terhadap kualitas hidup (p= 1,000), kadar gula darah puasa (p=0,975), tekanan sistole (p=1,000) dan tekanan diastole (p=0,315). Kesimpulan :Penelitian ini merekomendasikan perlunya menerapkan Co-HELP Modification sebagai langkah mencegah komplikasi sehingga kualitas hidup pasien meningkat.

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