Conduct and reporting of acceptability, attitudes, beliefs and experiences of pregnant women in randomised trials on diet and lifestyle interventions: A systematic review
Hamilton, E. Adela A., Nowell, Ann K., Harden, A. and Thangaratinam, Shakila 2018. Conduct and reporting of acceptability, attitudes, beliefs and experiences of pregnant women in randomised trials on diet and lifestyle interventions: A systematic review. European Journal of Obstetrics & Gynecology and Reproductive Biology. 225, pp. 243-254.
|Authors||Hamilton, E. Adela A., Nowell, Ann K., Harden, A. and Thangaratinam, Shakila|
To evaluate the conduct and reporting of views of pregnant women on the acceptability, attitudes, beliefs and their experiences in randomised trials on diet and lifestyle interventions.
We undertook a systematic review of literature of randomised trials identified from our previous search in major electronic databases (until February 2017) without language restrictions. We included trials on diet and lifestyle interventions that reported acceptability, attitudes, beliefs and experiences of pregnant women. The quality of papers was evaluated using the Critical Skills Appraisal Programme (CASP) framework. Data were extracted for the following domains: acceptability, intention, behaviour, attitudes and factors influencing participation. The proportion of studies that reported the various components in each domain was reported in percentages.
Of the 110 trials on diet and lifestyle in pregnancy, 24 reported on views of pregnant women. Acceptability of the provided information to the woman was reported in 84% (20/24), compared to 12% (3/24) on acceptability to partner or to family. Mother’s intention to adhere to intervention in pregnancy was reported in 68% (17/24) of studies vs.only 16% (4/24) on family’s intentions to support adherence. Changes in mother’s behaviour were reported for consuming specific components of diet such as nuts (8%, 2/24), olive oil (12%, 3/24) and fruit (40%, 10/24) vs. 16% (4/24) of trials reporting changes in family’s behaviour. While knowledge of food ingredients (72%, 18/24), and attitude to gestational weight gain were commonly reported (66%, 16/24) in over two-thirds of studies, only half assessed attitude to participation in research (45%, 11/24). All studies reported facilitators for uptake of intervention such as personalised support (100%, 24/24), with half (52%, 13/24) on beliefs about weight, and less than 10% (2/24) about baby’s health.
The focus on studies is mainly on the mother, and less on family. Further studies are needed with a holistic approach to ensure that such interventions when implemented are accepted by women and their families.
|Journal||European Journal of Obstetrics & Gynecology and Reproductive Biology|
|Journal citation||225, pp. 243-254|
|Accepted author manuscript|
Conduct and reporting of acceptability, attitudes, beliefs and experiences of pregnant women in randomised trials on.pdf
|Digital Object Identifier (DOI)||doi:10.1016/j.ejogrb.2018.05.008|
|Web address (URL)||https://doi.org/10.1016/j.ejogrb.2018.05.008|
|Online||09 May 2018|
|Publication process dates|
|Deposited||10 May 2018|
|Accepted||08 May 2018|
|Accepted||08 May 2018|
|Copyright information||© 2018 Elsevier|
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