Implementation of pregnancy weight management and obesity guidelines: a meta‐synthesis of healthcare professionals' barriers and facilitators using the Theoretical Domains Framework

Obesity in pregnancy is rising and is associated with severe health consequences for both the mother and the child. There is an increasing international focus on guidelines to manage the clinical risks of maternal obesity, and for pregnancy weight management. However, passive dissemination of guidel...

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Bibliographic Details
Published in:Obesity reviews 2014-06, Vol.15 (6), p.462-486
Main Authors: Heslehurst, N, Newham, J, Maniatopoulos, G, Fleetwood, C, Robalino, S, Rankin, J
Format: Article
Language:English
Subjects:
Adult
behavior change
Body Weight
children
Communication
Diet
Exercise
Female
Guidelines
Health Behavior
health care workers
Health Knowledge, Attitudes, Practice
Health Personnel
Health Priorities
health services
healthcare professionals
Humans
Maternal Nutritional Physiological Phenomena
MEDLINE
obesity
Obesity - complications
Obesity - psychology
Obesity - therapy
Practice Guidelines as Topic
Pregnancy
Pregnancy Complications - psychology
Pregnancy Complications - therapy
Prenatal Care
risk
systematic review
Theoretical Domains Framework
weight control
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Summary:Obesity in pregnancy is rising and is associated with severe health consequences for both the mother and the child. There is an increasing international focus on guidelines to manage the clinical risks of maternal obesity, and for pregnancy weight management. However, passive dissemination of guidelines is not effective and more active strategies are required for effective guideline implementation into practice. Implementation of guidelines is a form of healthcare professional behaviour change, and therefore implementation strategies should be based on appropriate behaviour change theory. This systematic review aimed to identify the determinants of healthcare professionals' behaviours in relation to maternal obesity and weight management. Twenty‐five studies were included. Data synthesis of the existing international qualitative and quantitative evidence base used the Theoretical Domains Framework to identify the barriers and facilitators to healthcare professionals' maternal obesity and weight management practice. The domains most frequently identified included ‘knowledge’, ‘beliefs about consequences’ and ‘environmental context and resources’. Healthcare professionals' weight management practice had the most barriers compared with any other area of maternal obesity practice. The results of this review will be used to inform the development of an intervention to support healthcare professional behaviour change.
ISSN:1467-7881
1467-789X
DOI:10.1111/obr.12160