School of Health Sciences, City University London, London, UK.
Acta Obstet Gynecol Scand. 2013 Oct;92(10):1227-30. doi: 10.1111/aogs.12195. Epub 2013 Jul 5.
Evaluations of services targeting obese women's gestational weight gain often report low uptake. Thus it is important to elicit the reasons why obese pregnant women decline to participate in these services and to identify their barriers to participation. Sixteen obese pregnant and postnatal women were interviewed regarding their reasons for declining a group-based service targeting their gestational weight gain. All interviews were recorded, transcribed verbatim and analyzed thematically. Both pragmatic and motivational barriers were identified. The most common practical reasons for not attending the service were its inconvenient location and time, and feeling unable to attend due to work commitments. Pregnancy-specific barriers included decreased mobility and feeling unwell. Motivational barriers included lack of interest and not wanting to focus on one's weight in pregnancy. These findings highlight issues that need to be taken into consideration when designing group-based weight management services for this population.
评估针对肥胖女性孕期体重增加的服务时，往往报告其参与度较低。因此，了解肥胖孕妇拒绝参与这些服务的原因，并确定其参与障碍非常重要。对 16 名肥胖孕妇和产后妇女进行了关于其拒绝参加针对其孕期体重增加的基于小组的服务的原因的访谈。所有访谈均进行了录音、逐字转录并进行了主题分析。确定了实际障碍和动机障碍。不参加该服务的最常见实际原因是其位置和时间不方便，以及由于工作承诺而无法参加。与妊娠相关的障碍包括活动能力下降和感觉不适。动机障碍包括缺乏兴趣和不想在怀孕期间关注自己的体重。这些发现突出了在为这一人群设计基于小组的体重管理服务时需要考虑的问题。
