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一项针对助产士的健康饮食教育计划,旨在调查和探索她们支持孕妇健康饮食的知识、理解和信心:一项混合方法研究的方案

A Healthy Eating Education Program for Midwives to Investigate and Explore Their Knowledge, Understanding, and Confidence to Support Pregnant Women to Eat Healthily: Protocol for a Mixed-Methods Study.

作者信息

Othman Shwikar Mahmoud Etman, Steen Mary P, Jayasekara Rasika, Fleet Julie-Anne

机构信息

Obstetrics and Gynaecology Nursing Department, Faculty of Nursing, South Valley University, Qena, Egypt.

School of Nursing and Midwifery, Division of Health Sciences, University of South Australia, Adelaide, Australia.

出版信息

JMIR Res Protoc. 2018 May 25;7(5):e143. doi: 10.2196/resprot.9861.

DOI:10.2196/resprot.9861
PMID:29802092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5993976/
Abstract

BACKGROUND

Nutrition and healthy eating behaviors during pregnancy are vitally important for the health of a mother and her developing baby. However, some midwives have reported a lack of evidence-based nutrition knowledge for providing information about healthy eating to women during pregnancy.

OBJECTIVE

In this study, the aim is to design and evaluate a healthy eating education program to enhance midwives' knowledge, understanding, and confidence to support pregnant women in South Australia to make healthy eating choices.

METHODS

This mixed-methods study consists of two phases. The first phase, Phase 1, consists of an education program for midwives, "Healthy Eating in Pregnancy," to be delivered through a workshop or webinar. Each midwife will attend one workshop or webinar, which will be approximately two hours in length. This program will be evaluated through pre-, immediate-, and post-educational questionnaires utilizing a website specifically designed for this study. The participants will be midwives who are members of the Australian College of Midwives and the Australian Nursing and Midwives Federation, and users of social media (eg, Facebook and Twitter) residing and employed in South Australia. Phase 2 will consist of semistructured interviews with a purposive sample of midwives. These interviews will be undertaken to gain an in-depth understanding of midwives' views and how confident they feel educating pregnant women after receiving the healthy eating education. Interviews will be face-to-face or conducted by telephone with midwives who have participated in the healthy eating educational program.

RESULTS

A systematic review has previously been undertaken to inform this study protocol. This paper describes and discusses the protocol for this mixed-methods study, which will be completed in April 2019.

CONCLUSIONS

The results from the systematic review suggest that there is clear justification to undertake this mixed-methods study to investigate and explore midwives' knowledge, understanding and confidence to support healthy eating in pregnant women. The results and conclusions from the systematic review provided some guidance for the design and development of this study protocol. This mixed-methods study will address a gap in the literature. The results from quantitative and qualitative data sources in this proposed study will help to draw conclusions to address the research topic.

REGISTERED REPORT IDENTIFIER

RR1-10.2196/9861.

摘要

背景

孕期的营养和健康饮食行为对母亲及其发育中的胎儿的健康至关重要。然而,一些助产士报告称,在为孕期女性提供健康饮食信息方面,缺乏基于证据的营养知识。

目的

在本研究中,旨在设计并评估一项健康饮食教育项目,以增强南澳大利亚助产士的知识、理解和信心,从而支持孕妇做出健康的饮食选择。

方法

这项混合方法研究包括两个阶段。第一阶段,即第1阶段,是为助产士开展的一个教育项目“孕期健康饮食”,通过研讨会或网络研讨会进行。每位助产士将参加一次时长约两小时的研讨会或网络研讨会。该项目将通过专门为本研究设计的网站,利用教育前、即时和教育后的问卷进行评估。参与者将是澳大利亚助产士学院和澳大利亚护理与助产士联合会的成员、居住和工作在南澳大利亚的社交媒体(如脸书和推特)用户。第2阶段将包括对一组有目的抽样的助产士进行半结构化访谈。进行这些访谈是为了深入了解助产士的观点,以及她们在接受健康饮食教育后对教育孕妇的自信程度。访谈将与参加过健康饮食教育项目的助产士进行面对面或通过电话进行。

结果

此前已进行了一项系统评价,为本研究方案提供信息。本文描述并讨论了这项混合方法研究的方案,该研究将于2019年4月完成。

结论

系统评价的结果表明,进行这项混合方法研究以调查和探索助产士支持孕妇健康饮食的知识、理解和信心具有明确的合理性。系统评价的结果和结论为本研究方案的设计和开发提供了一些指导。这项混合方法研究将填补文献中的空白。本拟议研究中定量和定性数据源的结果将有助于得出结论以解决研究课题。

注册报告标识符

RR1-10.2196/9861

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9681/5993976/f2239dc673a1/resprot_v7i5e143_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9681/5993976/c241af46368f/resprot_v7i5e143_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9681/5993976/f2239dc673a1/resprot_v7i5e143_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9681/5993976/c241af46368f/resprot_v7i5e143_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9681/5993976/f2239dc673a1/resprot_v7i5e143_fig2.jpg

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本文引用的文献

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Poor adherence to folic acid and iodine supplement recommendations in preconception and pregnancy: a cross-sectional analysis.孕前及孕期对叶酸和碘补充剂建议的依从性较差:一项横断面分析。
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Australian midwives and provision of nutrition education during pregnancy: A cross sectional survey of nutrition knowledge, attitudes, and confidence.
澳大利亚助产士与孕期营养教育的提供:一项关于营养知识、态度和信心的横断面调查
Women Birth. 2016 Oct;29(5):455-464. doi: 10.1016/j.wombi.2016.03.001. Epub 2016 Mar 25.
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Short and long term health effects of parental tobacco smoking during pregnancy and lactation: a descriptive review.孕期和哺乳期父母吸烟对健康的短期和长期影响:描述性综述
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