1UCD Perinatal Research Centre,School of Medicine,University College Dublin,National Maternity Hospital,Dublin,Republic of Ireland.
2UCD Institute of Food and Health,School of Agriculture and Food Science,Dublin,Republic of Ireland.
Public Health Nutr. 2017 Oct;20(14):2642-2648. doi: 10.1017/S136898001700129X. Epub 2017 Jul 10.
Antenatal healthy lifestyle interventions are frequently implemented in overweight and obese pregnancy, yet there is inconsistent reporting of the behaviour-change methods and behavioural outcomes. This limits our understanding of how and why such interventions were successful or not.
The current paper discusses the application of behaviour-change theories and techniques within complex lifestyle interventions in overweight and obese pregnancy. The authors propose a decision tree to help guide researchers through intervention design, implementation and evaluation. The implications for adopting behaviour-change theories and techniques, and using appropriate guidance when constructing and evaluating interventions in research and clinical practice are also discussed.
To enhance the evidence base for successful behaviour-change interventions during pregnancy, adoption of behaviour-change theories and techniques, and use of published guidelines when designing lifestyle interventions are necessary. The proposed decision tree may be a useful guide for researchers working to develop effective behaviour-change interventions in clinical settings. This guide directs researchers towards key literature sources that will be important in each stage of study development.
产前健康生活方式干预常在超重和肥胖妊娠中实施，但行为改变方法和行为结果的报告不一致。这限制了我们对干预成功或失败的原因的理解。
目前的论文讨论了在超重和肥胖妊娠中的复杂生活方式干预中应用行为改变理论和技术。作者提出了一个决策树来帮助研究人员指导干预设计、实施和评估。还讨论了在研究和临床实践中采用行为改变理论和技术以及在构建和评估干预措施时使用适当指导的意义。
为了增强妊娠期间成功行为改变干预的证据基础，在设计生活方式干预时采用行为改变理论和技术以及使用已发表的指南是必要的。所提出的决策树可能是在临床环境中开发有效行为改变干预的研究人员的有用指南。该指南指导研究人员查阅每个研究阶段都很重要的关键文献来源。
