Peralta Louisa R, Yager Zali, Prichard Ivanka
School of Education and Social Work, Faculty of Education and Social Sciences, The University of Sydney, Sydney, New South Wales, Australia.
Institute for Health and Sport, Victoria University, Melbourne, Victoria, Australia.
Health Promot J Austr. 2022 Jul;33(3):891-903. doi: 10.1002/hpja.561. Epub 2021 Dec 2.
Many postpartum women often do not achieve recommendations of at least 150 minutes moderate-to-vigorous physical activity (MVPA) each week. Previous qualitative work has focused on postpartum women's barriers and challenges to being active, with recent research starting to explore the characteristics of PA programs and women who are active during the postpartum period. Yet, little research has focused on the characteristics of key stakeholders and community organisations that support women to sustain their PA engagement during the postpartum period.
This research generates practice-based evidence to provide essential insights for effective implementation, strategies and actions of community group-based PA programs that recruit and retain postpartum women to ensure future interventions are scalable and sustainable. Ten participants (90% female), ranging in age from 34 to 40 years, were recruited from nine community organisations/businesses. The ten participants engaged in semi-structured interviews for an average length of 31 minutes.
Inductive thematic analysis revealed four overarching themes (i) effective practitioners have a history of, and passion for women's health and PA; (ii) low-cost, connected approaches attract postpartum women into community group-based PA programs; (iii) inclusive, flexible, varied, and holistic approaches sustain postpartum women's participation; and (iv) utilise connections to overcome barriers to community group-based PA programs. These four themes were informed by twelve sub-themes relating to the background of stakeholders and practitioners and the approaches that they use to attract and sustain postpartum women in community group-based PA programs.
Practice-based findings should inform future practices and the development of future real-world group-based PA interventions for postpartum women. SO WHAT?: Specifically, interventions will need to be designed and implemented by practitioners who have a history of, and passion for women's health and PA, be low-cost, connected approaches, that are inclusive, flexible, varied, and holistic that prioritise physical, emotional, and social wellbeing.
许多产后女性常常无法达到每周至少进行150分钟中等强度至剧烈身体活动(MVPA)的建议。以往的定性研究主要关注产后女性进行身体活动的障碍和挑战,近期研究开始探索体育活动(PA)项目的特点以及产后仍保持活动的女性的特征。然而,很少有研究关注关键利益相关者和社区组织的特征,这些组织支持女性在产后维持其体育活动参与度。
本研究产生基于实践的证据,为以社区团体为基础的体育活动项目的有效实施、策略和行动提供重要见解,这些项目招募并留住产后女性,以确保未来的干预措施具有可扩展性和可持续性。从九个社区组织/企业中招募了十名参与者(90%为女性),年龄在34至40岁之间。这十名参与者进行了平均时长为31分钟的半结构化访谈。
归纳主题分析揭示了四个总体主题:(i)有效的从业者有从事女性健康和体育活动的经历且充满热情;(ii)低成本、相互关联的方法吸引产后女性参与以社区团体为基础的体育活动项目;(iii)包容、灵活、多样和全面的方法能维持产后女性的参与度;(iv)利用各种联系克服以社区团体为基础的体育活动项目的障碍。这四个主题由十二个与利益相关者和从业者背景以及他们在以社区团体为基础的体育活动项目中吸引和维持产后女性参与所采用的方法相关的子主题构成。
基于实践的研究结果应为未来的实践以及针对产后女性的现实世界中基于团体的体育活动干预措施的开发提供参考。那又如何?具体而言,干预措施需要由有从事女性健康和体育活动经历且充满热情的从业者来设计和实施,采用低成本、相互关联的方法,具有包容性、灵活性、多样性和全面性,优先考虑身体、情感和社会福祉。