Duke-NUS Medical School, Singapore, 169857, Singapore.
Department of Reproductive Medicine, KK Women's and Children's Hospital, Singapore, 229899, Singapore.
Sci Rep. 2022 Feb 15;12(1):2511. doi: 10.1038/s41598-022-06564-2.
The time period before, during and after pregnancy represents a unique opportunity for interventions to cultivate sustained healthy lifestyle behaviors to improve the metabolic health of mothers and their offspring. However, the success of a lifestyle intervention is dependent on uptake and continued compliance. To identify enablers and barriers towards engagement with a lifestyle intervention, thematic analysis of 15 in-depth interviews with overweight or obese women in the preconception, pregnancy or postpartum periods was undertaken, using the integrated-Promoting Action on Research Implementation in Health Services framework as a guide to systematically chart factors influencing adoption of a novel lifestyle intervention. Barrier factors include time constraints, poor baseline knowledge, family culture, food accessibility, and lack of relevant data sources. Enabling factors were motivation to be healthy for themselves and their offspring, family and social support, a holistic delivery platform providing desired information delivered at appropriate times, regular feedback, goal setting, and nudges. From the findings of this study, we propose components of an idealized lifestyle intervention including (i) taking a holistic life-course approach to education, (ii) using mobile health platforms to reduce barriers, provide personalized feedback and promote goal-setting, and (iii) health nudges to cultivate sustained lifestyle habits.
在妊娠前、妊娠期间和妊娠后这段时间里，为培养可持续的健康生活方式行为提供了一个独特的机会，以改善母亲及其后代的代谢健康。然而，生活方式干预的成功取决于参与度和持续的依从性。为了确定参与生活方式干预的促进因素和障碍因素，我们对超重或肥胖的女性进行了 15 次深入访谈，这些女性处于妊娠前、妊娠或产后期间，使用综合促进健康服务研究实施行动框架作为指导，系统地分析了影响新的生活方式干预措施采用的因素。障碍因素包括时间限制、基础知识差、家庭文化、食物获取便利性和缺乏相关数据来源。促进因素是为自己和孩子的健康而保持动机、家庭和社会支持、提供所需信息的整体交付平台，在适当的时间提供，定期反馈、设定目标和提示。根据这项研究的结果，我们提出了理想的生活方式干预措施的组成部分，包括：（i）采取整体生命历程的方法进行教育；（ii）使用移动健康平台来减少障碍，提供个性化反馈并促进目标设定；（iii）健康提示，以培养可持续的生活习惯。
