scholarly journals Facilitators, Barriers and Structural Determinants of Physical Activity in Nulliparous Pregnant Women: A Qualitative Study

Author(s):  
Leila Kianfard ◽  
Shamsaddin Niknami ◽  
Farkhonde Amin SHokravi ◽  
Sakineh Rakhshanderou

Abstract Backgrounds: Reduced physical activity in pregnant women is highly stemmed from their misconceptions and attitudes during pregnancy. This study aimed to recognize the facilitators, barriers, and structural factors that influence activity among pregnant women.Methods: This qualitative study was conducted from January to June 2020 in nulliparous pregnant women. Forty participants selected randomly from the Pounak Health Center of Tehran City, Iran, were answered open-ended questions about the obstacles that deprived them of physical activity during pregnancy. Data were analyzed by MAXQDA 12 software. Results: 620 primary codes, 42 secondary codes, 11 sub-themes, and 6 themes were extracted. These themes were divided into the PEN-3 categories; facilitators, barriers, and structural factors. The nurture factors as facilitators had communication and support from others as sub-themes. Barriers consisted of socio-cultural (participate in pregnancy ‎class with a companion; social beliefs; culture of poverty), socioeconomic (financial problems), and individual factors‎ (physical, psycho-emotional, and spiritual dimensions) and structural factors consisted of environmental (equipment) and organizational (possibilities in health ‎centers) factors. Conclusion: Lack of awareness and misinformation, accessibility obstacles, and economic problems are ‎the most physical activity barriers during pregnancy. Being among other pregnant women ‎and the physicians' recommendations are the most facilitators of physical activity during ‎pregnancy.‎

2021 ◽  
Author(s):  
Soodabeh Hoveidamanesh ◽  
Batool Tayefi ◽  
Zahra Rampisheh ◽  
Narjes Khalili ◽  
Mozhdeh Ramezani

Abstract Background: The low physical activity is a challenge in adults. A majority of adults spend many hours each week at work, so the workplace is a suitable site for health promotion and implementation of physical activity programs. This qualitative study was implemented to identify worksite physical activity barriers and facilitators from the perspective of the employees of the Iran University of Medical Science. Methods: In the present qualitative content analysis, five focus group discussions were held with the participation of 68 personnel of Iran University of Medical Sciences. Purposive sampling with maximum diversity was carried out for the study. Results: The analysis of the data led to the identification of three general themes, including challenges and barriers, strategies, and incentives (facilitators). The four main categories of challenges and barriers included policy-making and legislation, organizational factors, structural factors, and personal factors. Most barriers identified by the participants were placed in the personal factors and organizational factors categories. The strategies for increasing physical activity were identified in the following three categories: Policy-making and legislation, organizational factors, and environmental factors. The majority of the strategies proposed were placed in the organizational factors and policy-making and legislation categories.Conclusions: Increasing physical activity in the workplace as a strategy for the general promotion of physical activity in people requires interventions in different areas, especially with regard to organizational factors and policy-making and legislation.


2019 ◽  
Vol 53 ◽  
pp. 41
Author(s):  
Myriam Ruiz-Rodríguez ◽  
Yuri Sánchez-Martínez ◽  
Paula Camila Ramírez-Muñoz ◽  
Diana Marina Camargo-Lemos

OBJECTIVE: To determine the frequency of the registry of physical activity and rest recommendations made to pregnant women and to explore their associated factors in a prenatal care program of primary care public institutions in Bucaramanga, Colombia. METHODS: An observational study was conducted. The sampling frame consisted of the medical records of the pregnant women who attended at least one prenatal care program between January 1 and December 31, 2012 (n = 2.932), in 21 primary care health centers. We analyzed sociodemographic variables, prenatal and clinical antecedents, and information related to health personnel and the organization of health centers as possible factors associated with the recommendations of physical activity and rest recorded in the clinical history. Logistic regression models were applied to explore associations with α = 0.10. RESULTS: There was a frequency of 26.1% of PA recommendations and 3.6% of rest recommendation on record, issued by nutrition (97.3%) and medical (86.7%) professionals, respectively. The factors associated with the registration of physical activity recommendations were: being nulliparous pregnant (OR = 1.7), attending more than four Prenatal Care Attention Programs (OR = 2.2), having high or medium obstetric risk in the first prenatal care program (OR = 0.6), and being attended in the western (OR = 0.5) and eastern (OR = 0.2) administrative areas health centers. CONCLUSIONS: The low frequency of physical activity recommendations found in the records makes it necessary to reinforce the management strategies of health centers and strengthen the monitoring and accompaniment to comply with the care protocols. In addition, it is necessary to train health teams on the benefits of physical activity and their proper prescription, considering the multiple benefits derived from their practice on the maternal-fetal health.


2021 ◽  
Author(s):  
leila kianfard ◽  
Farkhonde Amin SHokravi ◽  
Sakineh Rakhshanderou ◽  
Shamsaddin Niknami

Abstract BackgroundThe goal of this study was to recognize facilitators, barriers, and structural influences on behavior of physical activity among pregnant women.MethodsData analyses were done from 30 pregnant women (second and third trimester) and four of provider who were employed for this study (2020). Participants were answered to open-ended questions relating to the obstacles that deprived them of physical activity during pregnancy. ResultsThe barrier factors consist of lack of sufficient information about the advantages of physical activity, lack of suitable place, lack of access to economically and affordable classes. Social norms are pertinent to subjective norms and motivators. Facilitating factors included using the E-learning to educate pregnant women and awareness of the existence of sport classes.ConclusionIt is essential to comprehend why pregnant women meet obstacles for physical activity. Many of issues were raised: the need of sufficient information on the advantages of physical activity, the role of nurtures factors that need to be motivated in physical activity. Need for consultation to investigate structural problems in the community to provide facilities for pregnant women.


2021 ◽  
Author(s):  
Soodabeh Hoveidamanesh ◽  
Batool Tayefi ◽  
Zahra Rampisheh ◽  
Narjes Khalili ◽  
Mozhdeh Ramezani

Abstract Background: The low physical activity is a challenge in adults. A majority of adults spend many hours each week at work, so the workplace is a suitable site for health promotion and implementation of physical activity programs. This qualitative study was implemented to identify worksite physical activity barriers and facilitators from the perspective of the employees of the Iran University of Medical Science. Methods: In the present qualitative content analysis, five focus group discussions were held with the participation of 68 personnel of Iran University of Medical Sciences. Purposive sampling with maximum diversity was carried out for the study. Results: The analysis of the data led to the identification of three general themes, including challenges and barriers, strategies, and incentives (facilitators). The four main categories of challenges and barriers included policy-making and legislation, organizational factors, structural factors, and personal factors. Most barriers identified by the participants were placed in the personal factors and organizational factors categories. The strategies for increasing physical activity were identified in the following three categories: Policy-making and legislation, organizational factors, and environmental factors. The majority of the strategies proposed were placed in the organizational factors and policy-making and legislation categories.Conclusions: Increasing physical activity in the workplace as a strategy for the general promotion of physical activity in people requires interventions in different areas, especially with regard to organizational factors and policy-making and legislation.


2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Zoe Weir ◽  
Judith Bush ◽  
Stephen C Robson ◽  
Catherine McParlin ◽  
Judith Rankin ◽  
...  

Author(s):  
Mojtaba Fatahi Mojtaba Fatahi Ardakani ◽  
Vida Sadat Anoosheh ◽  
Ahmad Sotoudeh ◽  
Abdullah Hajivandi ◽  
Narges Sotoudeh ◽  
...  

Introduction: Health-promoting behaviors and healthy behaviors are the healing factors for the promotion of health in pregnant women. The purpose of this study was to determine the health promotion behaviors in pregnant women referring to the comprehensive health centers in Bushehr (the capital city of Bushehr Province, Iran) in 2016. Methods: In this descriptive study, 385 pregnant women referring to the comprehensive health centers were selected by convenience sampling. The data collection tool was a questionnaire consisting of two parts: the first part was related to demographic questions and the second part of the questionnaire was related to health promotion behaviors (Health Promotion Lifestyle Profile II) HPLP II which includes 52 questions. After confirming the validity and reliability of the tool, the data were analyzed through descriptive statistics, independent t-test, Pearson correlation, and one-way ANOVA. Results: The mean score of health promotion behaviors was desirable. Also, among dimensions of health promotion behaviors, the area of health accountability with the mean and standard deviation of (38.25 ± 5.78) had the highest score, and the range of physical activity with the mean and standard deviation of (16.24 ± 5.47) had the lowest score. The age (being under 25 years old) and collegiate education level, among the demographic variables, had a significant relationship with health-promoting behaviors (P < 0.05). Conclusion: The result of the study indicated a moderate level of health promotion behaviors in women participating in the present study. Therefore, it is necessary to pay more attention to the areas of physical activity, stress management, and social relationships.


Midwifery ◽  
2017 ◽  
Vol 47 ◽  
pp. 28-35 ◽  
Author(s):  
Orna A. O’Brien ◽  
Karen L. Lindsay ◽  
Mary McCarthy ◽  
Aileen F. McGloin ◽  
Maria Kennelly ◽  
...  

2008 ◽  
Author(s):  
Dolores T. Cannella ◽  
Marci Lobel ◽  
Alan G. Monheit

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Febriyeni Febriyeni

<pre>Chronic Energy Deficiency is a situation where the nutritional status someone is on the Less Good Condition. Among the 22 health centers in the district of Lima Puluh Kota, CED highest coverage at the health center are Banja Laweh Namely Case 17 (16.50%) of 103 pregnant mothers. Preliminary Survey of 10 pregnant women at health centers Banja Laweh, note 4 people (40%) of them suffered CED. Based on the findings of interviews stating Not pregnant women know the importance of the size upper arm circumference on Against her pregnancy, in addition to pregnant women consume no food Diversified, because lust Eating Less and Economics not sufficient. Objectives for review determine factors related to the occurrence of Chronic energy deficiency on pregnant women. Methods descriptive analytic with cross sectional approach. Data collection is done on Date in January-February 2017. CASE is a whole population of pregnant women in the region are working Health Center Banja Laweh Year 2017, amounted to 55 people, with sampling total sampling. Operating data analysis using univariate and bivariate statistical test Chi Square. Results of univariate analysis 87,3% of respondents experienced Genesis not CED, (60,0%) High Knowledge, (56,4%) Economy High, and 61,8% of Eating Well. Bivariate analysis known Relationship of Knowledge (p = 0.013 and OR = 12,000, Economics (p = 0.035 and OR = 10,000), and Diet (p = 0.019 and OR = 13,200) with the Genesis CED pregnant women. Can be concluded that the factors related to the occurrence of CED pregnant women is Science, Economics and the Diet. Expected to conduct monitoring of the health center and Supervision of pregnant women at risk Against The Genesis CED, so the negative impact of the CED can be addressed early on.</pre>


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