School of Health Sciences, College of Health and Medicine, University of Tasmania, Locked Bag 1322, Launceston, TAS 7250, Australia.
Health and Social Care Unit, School of Public Health and Preventive Medicine, Monash University, 553 St Kilda Road, Melbourne, VIC 3004, Australia.
Int J Environ Res Public Health. 2021 Apr 14;18(8):4154. doi: 10.3390/ijerph18084154.
Overweight and obesity present health risks for mothers and their children. Reaching women during the key life stages of preconception and pregnancy in community settings, such as workplaces, is an ideal opportunity to enable health behavior change. We conducted five focus groups with 25 women aged between 25 and 62 years in order to investigate the determinants of healthy lifestyle behaviors, weight management, and wellbeing needs during the preconception and pregnancy periods in an Australian university workplace. Discussions explored women's health and wellbeing needs with specific reference to workplace impact. An abductive analytical approach incorporated the capability, opportunity, and motivation of behavior (COM-B) model, and four themes were identified: hierarchy of needs and values, social interactions, a support scaffold, and control. Findings highlight the requirement for greater organization-level support, including top-down coordination of wellbeing opportunities and facilitation of education and support for preconception healthy lifestyle behaviors in the workplace. Interventionists and organizational policy makers could incorporate these higher-level changes into workplace processes and intervention development, which may increase intervention capacity for success.
超重和肥胖会给母亲及其子女带来健康风险。在社区环境（如工作场所）中，在女性受孕前和怀孕的关键生命阶段接触她们，是促使她们改变健康行为的理想机会。我们对 25 名年龄在 25 至 62 岁之间的女性进行了五次焦点小组讨论，以调查澳大利亚大学工作场所女性在受孕前和怀孕期间健康生活方式行为、体重管理和幸福感的决定因素。讨论探讨了女性的健康和幸福感需求，并特别参考了工作场所的影响。一种归纳分析方法结合了行为的能力、机会和动机（COM-B）模型，确定了四个主题：需求和价值观的层次结构、社会互动、支持支架和控制。研究结果强调了对更高层次组织支持的需求，包括自上而下协调福祉机会，以及在工作场所促进受孕前健康生活方式行为的教育和支持。干预人员和组织政策制定者可以将这些更高层次的变化纳入工作场所流程和干预措施的开发中，这可能会提高干预措施成功的能力。
