Vincze Lisa, Rollo Megan E, Hutchesson Melinda J, Callister Robin, Thompson Debbe I, Collins Clare E
School of Health Sciences, Faculty of Health and Medicine, University of Newcastle, Callaghan, NSW 2308, Australia.
Priority Research Centre for Physical Activity and Nutrition, University of Newcastle, Callaghan, NSW 2308, Australia.
Healthcare (Basel). 2018 Jan 19;6(1):8. doi: 10.3390/healthcare6010008.
Optimising weight status after childbirth is important. Video consultations are an unexplored opportunity to deliver real-time support to postpartum women to improve lifestyle behaviours. This study aims to provide insight into postpartum women's perspectives of engaging with a dietitian and exercise physiologist through video consultations for tailored nutrition and exercise care. A qualitative study using individual telephone interviews (13-36 min) was undertaken. 21 women (body mass index (BMI): 28.1 ± 3.8 kg/m²; age: 32.3 ± 3.0 years; parity: 1.6 ± 0.9 children) who had completed the 8 week "Video-coaching to assist lifestyle (VITAL) change for mums" intervention participation included up to five video consultations with a dietitian and exercise physiologist. The interviews were audiorecorded and transcribed. Thematic data analysis was conducted by an independent researcher using NVIVO11. Themes relating to the video consultation experience included feeling that they did not differ from other consultations, they were convenient, and the length of time and flexible options were appropriate; however there was a desire for increased contact frequency. The dietitian and exercise physiologist were perceived to increase the participants' knowledge and confidence to improve health behaviours. The approach to setting realistic and tailored goals was well received. Tailored advice from a dietitian and exercise physiologist received via video consultations is acceptable for postpartum women and offers a viable alternative to in-person care.
产后优化体重状况很重要。视频咨询是为产后女性提供实时支持以改善生活方式行为的一个尚未被探索的机会。本研究旨在深入了解产后女性对于通过视频咨询与营养师和运动生理学家互动以获得个性化营养和运动护理的看法。采用了个人电话访谈（13 - 36分钟）进行定性研究。21名女性（体重指数（BMI）：28.1±3.8kg/m²；年龄：32.3±3.0岁；产次：1.6±0.9个孩子）完成了为期8周的“妈妈生活方式改变视频指导（VITAL）”干预，参与过程中与营养师和运动生理学家进行了多达五次视频咨询。访谈进行了录音和转录。由一名独立研究人员使用NVIVO11进行主题数据分析。与视频咨询体验相关的主题包括感觉视频咨询与其他咨询没有差别、很方便，并且时间长度和灵活的选择都合适；然而，她们希望增加联系频率。营养师和运动生理学家被认为增加了参与者改善健康行为的知识和信心。设定现实且个性化目标的方法很受欢迎。产后女性接受通过视频咨询从营养师和运动生理学家那里获得的个性化建议，这为面对面护理提供了一个可行的替代方案。
