Applied Health & Social Care, Faculty of Health, Social Care & Medicine, Edge Hill University, St Helen's Road, Ormskirk, Lancashire L39 4QP.
Ulster University, Cromore Road, Coleraine BT52 1SA Northern Ireland, UK.
Int J Qual Health Care. 2020 Apr 21;32(1):28-34. doi: 10.1093/intqhc/mzz081.
To conduct patient and public involvement (PPI) to gain insight into the experience of healthy eating and weight management advice during pregnancy.
PPI in the planning and development of health interventions, aiming to ensure patient-centred care. Optimum nutrition and weight management are vital for successful pregnancy outcomes, yet many services report poor attendance and engagement.
Community venues in Liverpool and Ulster (UK).
Two PPI representatives were involved in all aspects of the study: design, interview questions, recruitment and collection/analysis of feedback.
Feedback was collected via note taking during group discussions, two in Liverpool (n = 10 & 5); two in Ulster (n = 7 & 9) and an interview (n = 1, in Ulster).
Transcript data were collated and thematic analysis was applied in analysis.
Thematic analysis identified three themes: (i) weight gain is inevitable in pregnancy; (ii) healthy eating advice is important but currently lacks consistency and depth and (iii) expectations regarding the type of knowledge/support.
PPI provides opportunity to enhance research design and offers valuable insight towards the needs of healthcare users. Pregnant women want positive health messages, with a focus on what they can/should do, rather than what they should not do. Midwives need to consider their communication with pregnant women, to ensure that their unique relationship is maintained, especially when the topics of diet and weight management are addressed. A well-designed digital intervention could improve access to pregnancy-specific nutrition information; empowering midwives to communicate patient-centred, healthy eating messages with confidence. This has the potential to change dietary and weight management behaviour in pregnant women.
进行患者和公众参与（PPI），以深入了解怀孕期间健康饮食和体重管理建议的体验。
PPI 参与健康干预措施的规划和发展，旨在确保以患者为中心的护理。最佳营养和体重管理对于成功的妊娠结局至关重要，但许多服务机构报告称出勤率和参与率低。
利物浦和阿尔斯特（英国）的社区场所。
两名 PPI 代表参与了研究的各个方面：设计、访谈问题、招募和收集/分析反馈。
通过在小组讨论期间的笔记记录收集反馈，在利物浦进行了两次（n=10&5）；在阿尔斯特进行了两次（n=7&9）和一次访谈（n=1，在阿尔斯特）。
整理转录数据并应用主题分析进行分析。
主题分析确定了三个主题：（i）怀孕期间体重增加是不可避免的；（ii）健康饮食建议很重要，但目前缺乏一致性和深度；（iii）对知识/支持类型的期望。
PPI 提供了增强研究设计的机会，并为医疗保健用户的需求提供了宝贵的见解。孕妇希望获得积极的健康信息，重点是他们可以/应该做什么，而不是他们不应该做什么。助产士需要考虑与孕妇的沟通，以确保维持他们独特的关系，特别是在涉及饮食和体重管理的话题时。精心设计的数字干预措施可以改善获取特定于妊娠的营养信息的机会；使助产士能够自信地传达以患者为中心的健康饮食信息。这有可能改变孕妇的饮食和体重管理行为。
