"Scaling out" evidence-informed antenatal care to support healthy pregnancy weight gain: a context assessment using the Consolidated Framework for Implementation Research.
Introduction and aims: Excess gestational weight gain is a challenge within antenatal care. Low-intensity interventions that offer opportunities for individualization, such as pregnancy weight-gain charts (PWGCs) combined with brief advice, have been a promising strategy but scaling out such interve...
| Publicado en: | JBI Evidence Implementation Vol. 21; no. 3; pp. 259 - 269 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Sep2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=173874000&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 173874000 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26913321 MO0F jtl: JBI Evidence Implementation issn: 26913321 maglogo: N pubinfo: dt: Sep2023 vid: 21 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 173874000 173874000 173874000 10.1097/XEB.0000000000000369 173874000 ppf: 259 ppct: 10 formats: tig: atl: "Scaling out" evidence-informed antenatal care to support healthy pregnancy weight gain: a context assessment using the Consolidated Framework for Implementation Research. aug: au: Meloncelli, Nina James, Sarah Riggs, Kristen de Jersey, Susan affil: Centre for Health Services Research, Faculty of Medicine, University of Queensland sug: subj: Prenatal Care Weight Gain In Pregnancy Medical Practice, Evidence-Based Evaluation Health Information Hospitals Conceptual Framework Program Implementation Pregnancy Human Funding Source Retrospective Design Record Review Surveys Personnel, Health Facility Female Women In Pregnancy Communication Physical Activity Eating Health Services Accessibility Feedback Leaders Coalition Hospitals, Urban Implementation Science Health Personnel Psychosocial Factors Attitude of Health Personnel Patient Attitudes Health Knowledge Gestational Weight Gain Text Messaging Self Report Monitoring, Physiologic Data Analysis Software Descriptive Statistics Body Mass Index Adult Midwives Dietitians Obstetricians Accountability Appointments and Schedules Seminars and Workshops Adult: 19-44 years Female ab: Introduction and aims: Excess gestational weight gain is a challenge within antenatal care. Low-intensity interventions that offer opportunities for individualization, such as pregnancy weight-gain charts (PWGCs) combined with brief advice, have been a promising strategy but scaling out such interventions requires planning. The aim of this study was to examine current practices and conduct a context assessment using the Consolidated Framework for Implementation Research (CFIR) to guide implementation of PWGCs and brief intervention advice to support healthy pregnancy weight gain in two hospitals that provide antenatal care. Methods: Retrospective chart audits and surveys of staff and women were used to understand current practice as well as barriers and enablers to implementing change according to the domains and constructs reported in the CFIR. Results: Forty-eight percent (site A) and 46% (site B) of pregnant women who were audited (n=180, site A; n=176, site B) gained weight above recommendations. Most women were unable to accurately report their recommended weight gain for pregnancy (93% site A, 94% site B). Although more than 50% of women reported discussions about weight gain during pregnancy, advice about physical activity and healthy eating (in the context of helping women to achieve healthy gestational weight gain) was low. Mapping barriers and enablers to the CFIR helped guide the selection of implementation strategies, including audit and feedback, informing local opinion leaders, obtaining consensus, identifying champions, and building a coalition. Conclusion: Scaling out of interventions can be enhanced by undertaking a detailed context assessment guided by implementation frameworks. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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