Eating for 1, Healthy and Active for 2; feasibility of delivering novel, compact training for midwives to build knowledge and confidence in giving nutrition, physical activity and weight management advice during pregnancy

Hdl Handle:
http://hdl.handle.net/10034/596325
Title:
Eating for 1, Healthy and Active for 2; feasibility of delivering novel, compact training for midwives to build knowledge and confidence in giving nutrition, physical activity and weight management advice during pregnancy
Authors:
Basu, Andrea J.; Kennedy, Lynne; Tocque, Karen; Jones, Sharn
Abstract:
Background: Women in Wales are more likely to be obese in pregnancy than in any other United Kingdom (UK) country. Midwives are ideally placed to explore nutrition, physical activity and weight management concerns however qualitative studies indicate they lack confidence in raising the sensitive issue of weight. Acknowledging this and the reality of finite time and resources, this study aimed to deliver compact training on nutrition, physical activity and weight management during pregnancy to increase the knowledge and confidence of midwives in this subject. Methods A compact training package for midwives was developed comprising of evidence based nutrition, physical activity and weight management guidance for pregnancy. Training was promoted via midwifery leads and delivered within the Health Board. Questionnaires based on statements from national public health guidance were used to assess changes in self-reported knowledge and confidence pre and post training. Descriptive statistics were applied and 95% confidence intervals were calculated. Results 43 midwives registered for training, 32 (74%) attended and completed the questionnaires. Although, pre training knowledge and confidence varied between participants, statistically significant improvements in self-reported knowledge and confidence were observed post training. 97% indicated knowledge of pregnancy specific food and nutrition messages as ‘better’ (95% CI 85 to 100), as opposed to 3% stating ‘stayed the same’ – 60% stated ‘much better’. 83% indicated confidence to explain the risks of raised BMI in pregnancy was either ‘much’ or ‘somewhat better’ (95% CI 66 to 93), as opposed to 17% stating ‘stayed the same’. 89% indicated confidence to discuss eating habits and physical activity was ‘much’ or ‘somewhat better’ (95% CI 73 to 97) as opposed to 11% stating ‘stayed the same’. Emergent themes highlighted that training was positively received and relevant to midwifery practice. Conclusions This study provides early indications that a compact nutrition, physical activity and weight management training package improves midwives self-reported knowledge and confidence. Cascading training across the midwifery service in the Health Board and conducting further studies to elicit longer term impact on midwifery practice and patient outcomes are recommended.
Affiliation:
University of Chester; Wrexham Maelor Hospital
Citation:
Basu, A., Kennedy, L., Tocque, K., Jones, S. (2014). Eating for 1, Healthy and Active for 2; feasibility of delivering novel, compact training for midwives to build knowledge and confidence in giving nutrition, physical activity and weight management advice during pregnancy. BMC Pregnancy and Childbirth, 14(1), 218. DOI: 10.1186/1471-2393-14-218
Publisher:
BioMed Central
Journal:
BMC Pregnancy and Childbirth
Publication Date:
4-Jul-2014
URI:
http://hdl.handle.net/10034/596325
DOI:
10.1186/1471-2393-14-218
Additional Links:
http://www.ncbi.nlm.nih.gov/pubmed/24996422
Type:
Article
Language:
en
Description:
Gold OA
EISSN:
1471-2393
Appears in Collections:
Gold OA; Clinical Sciences and Nutrition

Full metadata record

DC FieldValue Language
dc.contributor.authorBasu, Andrea J.en
dc.contributor.authorKennedy, Lynneen
dc.contributor.authorTocque, Karenen
dc.contributor.authorJones, Sharnen
dc.date.accessioned2016-02-15T17:38:44Zen
dc.date.available2016-02-15T17:38:44Zen
dc.date.issued2014-07-04en
dc.identifier.citationBasu, A., Kennedy, L., Tocque, K., Jones, S. (2014). Eating for 1, Healthy and Active for 2; feasibility of delivering novel, compact training for midwives to build knowledge and confidence in giving nutrition, physical activity and weight management advice during pregnancy. BMC Pregnancy and Childbirth, 14(1), 218. DOI: 10.1186/1471-2393-14-218en
dc.identifier.doi10.1186/1471-2393-14-218en
dc.identifier.urihttp://hdl.handle.net/10034/596325en
dc.descriptionGold OAen
dc.description.abstractBackground: Women in Wales are more likely to be obese in pregnancy than in any other United Kingdom (UK) country. Midwives are ideally placed to explore nutrition, physical activity and weight management concerns however qualitative studies indicate they lack confidence in raising the sensitive issue of weight. Acknowledging this and the reality of finite time and resources, this study aimed to deliver compact training on nutrition, physical activity and weight management during pregnancy to increase the knowledge and confidence of midwives in this subject. Methods A compact training package for midwives was developed comprising of evidence based nutrition, physical activity and weight management guidance for pregnancy. Training was promoted via midwifery leads and delivered within the Health Board. Questionnaires based on statements from national public health guidance were used to assess changes in self-reported knowledge and confidence pre and post training. Descriptive statistics were applied and 95% confidence intervals were calculated. Results 43 midwives registered for training, 32 (74%) attended and completed the questionnaires. Although, pre training knowledge and confidence varied between participants, statistically significant improvements in self-reported knowledge and confidence were observed post training. 97% indicated knowledge of pregnancy specific food and nutrition messages as ‘better’ (95% CI 85 to 100), as opposed to 3% stating ‘stayed the same’ – 60% stated ‘much better’. 83% indicated confidence to explain the risks of raised BMI in pregnancy was either ‘much’ or ‘somewhat better’ (95% CI 66 to 93), as opposed to 17% stating ‘stayed the same’. 89% indicated confidence to discuss eating habits and physical activity was ‘much’ or ‘somewhat better’ (95% CI 73 to 97) as opposed to 11% stating ‘stayed the same’. Emergent themes highlighted that training was positively received and relevant to midwifery practice. Conclusions This study provides early indications that a compact nutrition, physical activity and weight management training package improves midwives self-reported knowledge and confidence. Cascading training across the midwifery service in the Health Board and conducting further studies to elicit longer term impact on midwifery practice and patient outcomes are recommended.en
dc.language.isoenen
dc.publisherBioMed Centralen
dc.relation.urlhttp://www.ncbi.nlm.nih.gov/pubmed/24996422en
dc.subjectNutritionen
dc.subjectWeight managementen
dc.subjectPhysical activityen
dc.subjectObesityen
dc.subjectTrainingen
dc.titleEating for 1, Healthy and Active for 2; feasibility of delivering novel, compact training for midwives to build knowledge and confidence in giving nutrition, physical activity and weight management advice during pregnancyen
dc.typeArticleen
dc.identifier.eissn1471-2393en
dc.contributor.departmentUniversity of Chester; Wrexham Maelor Hospitalen
dc.identifier.journalBMC Pregnancy and Childbirthen
dc.language.rfc3066enen
dc.rights.holderBasu et al.; licensee BioMed Central Ltd.en
dc.date.updated2015-09-16T19:35:49Zen
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