Healthcare providers' gestational weight gain counselling practises and the influence of knowledge and attitudes: a cross-sectional mixed methods study
Objective To understand current gestational weight gain (GWG) counselling practices of healthcare providers, and the relationships between practices, knowledge and attitudes. Design Concurrent mixed methods with data integration: cross-sectional survey and semistructured interviews. Participants Prenatal healthcare providers in Canada: general practitioners, obstetricians, midwives, nurse practitioners and registered nurses in primary care settings. Results Typically, GWG information was provided early in pregnancy, but not discussed again unless there was a concern. Few routinely provided women with individualised GWG advice (21%), rate of GWG (16%) or discussed the risks of inappropriate GWG to mother and baby (20% and 19%). More routinely discussed physical activity (46%) and food requirements (28%); midwives did these two activities more frequently than all other disciplines (P<0.001). Midwives interviewed noted a focus on overall wellness instead of weight, and had longer appointment times which allowed them to provide more in-depth counselling. Regression results identified that the higher priority level that healthcare providers place on GWG, the more likely they were to report providing GWG advice and discussing risks of GWG outside recommendations (beta=0.71, P<0.001) and discussing physical activity and food requirements (beta=0.341, P<0.001). Interview data linked the priority level of GWG to length of appointments, financial compensation methods for healthcare providers and the midwifery versus medical model of care. Conclusions Interventions for healthcare providers to enhance GWG counselling practices should consider the range of factors that influence the priority level healthcare providers place on GWG counselling.
机构:
Hebei Med Univ, Neurosurg Intens Care Unit, Hosp 1, Shijiazhuang, Peoples R ChinaHebei Med Univ, Neurosurg Intens Care Unit, Hosp 1, Shijiazhuang, Peoples R China
Zuo, Shanshan
Liu, Linlin
论文数: 0引用数: 0
h-index: 0
机构:
Hebei Med Univ, Dept Neurosurg, Hosp 1, Shijiazhuang, Peoples R ChinaHebei Med Univ, Neurosurg Intens Care Unit, Hosp 1, Shijiazhuang, Peoples R China
Liu, Linlin
Li, Wentao
论文数: 0引用数: 0
h-index: 0
机构:
Hebei Med Univ, Dept Emergency, Hosp 1, Shijiazhuang, Peoples R ChinaHebei Med Univ, Neurosurg Intens Care Unit, Hosp 1, Shijiazhuang, Peoples R China
Li, Wentao
Zhao, Jian
论文数: 0引用数: 0
h-index: 0
机构:
Hebei Med Univ, Ventilator Management Ctr, Hosp 1, Shijiazhuang 050000, Peoples R ChinaHebei Med Univ, Neurosurg Intens Care Unit, Hosp 1, Shijiazhuang, Peoples R China
机构:
Univ Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, Brazil
de Alencar Britto, Revilane Parente
Toledo Florencio, Telma Maria
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Alagoas, Fac Nutr, Maceio, Alagoas, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, Brazil
Toledo Florencio, Telma Maria
Benedito Silva, Ana Amelia
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Escola Artes Ciencias & Humanidades, Sao Paulo, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, Brazil
Benedito Silva, Ana Amelia
Sesso, Ricardo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Sao Paulo, Dept Med, Div Nephrol, Escola Paulista Med, Sao Paulo, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, Brazil
Sesso, Ricardo
Cavalcante, Jairo Calado
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Alagoas, Fac Med, Maceio, Alagoas, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, Brazil
Cavalcante, Jairo Calado
Sawaya, Ana Lydia
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, Brazil
机构:
Sichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Ma, Dan
Luo, Hong
论文数: 0引用数: 0
h-index: 0
机构:
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R China
Sichuan Univ, West China Univ Hosp 2, Dept Pediat, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Luo, Hong
Wang, Yanhong
论文数: 0引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Wang, Yanhong
Zhou, Wei
论文数: 0引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Zhou, Wei
Lu, Yongguang
论文数: 0引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Lu, Yongguang
Lv, Binhao
论文数: 0引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Lv, Binhao
Zhang, Li
论文数: 0引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Zhang, Li
Hua, Yimin
论文数: 0引用数: 0
h-index: 0
机构:
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R China
Sichuan Univ, West China Univ Hosp 2, Dept Pediat, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
机构:
Hebei Med Univ, Neurosurg Intens Care Unit, Hosp 1, Shijiazhuang, Peoples R ChinaHebei Med Univ, Neurosurg Intens Care Unit, Hosp 1, Shijiazhuang, Peoples R China
Zuo, Shanshan
Liu, Linlin
论文数: 0引用数: 0
h-index: 0
机构:
Hebei Med Univ, Dept Neurosurg, Hosp 1, Shijiazhuang, Peoples R ChinaHebei Med Univ, Neurosurg Intens Care Unit, Hosp 1, Shijiazhuang, Peoples R China
Liu, Linlin
Li, Wentao
论文数: 0引用数: 0
h-index: 0
机构:
Hebei Med Univ, Dept Emergency, Hosp 1, Shijiazhuang, Peoples R ChinaHebei Med Univ, Neurosurg Intens Care Unit, Hosp 1, Shijiazhuang, Peoples R China
Li, Wentao
Zhao, Jian
论文数: 0引用数: 0
h-index: 0
机构:
Hebei Med Univ, Ventilator Management Ctr, Hosp 1, Shijiazhuang 050000, Peoples R ChinaHebei Med Univ, Neurosurg Intens Care Unit, Hosp 1, Shijiazhuang, Peoples R China
机构:
Univ Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, Brazil
de Alencar Britto, Revilane Parente
Toledo Florencio, Telma Maria
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Alagoas, Fac Nutr, Maceio, Alagoas, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, Brazil
Toledo Florencio, Telma Maria
Benedito Silva, Ana Amelia
论文数: 0引用数: 0
h-index: 0
机构:
Univ Sao Paulo, Escola Artes Ciencias & Humanidades, Sao Paulo, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, Brazil
Benedito Silva, Ana Amelia
Sesso, Ricardo
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Sao Paulo, Dept Med, Div Nephrol, Escola Paulista Med, Sao Paulo, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, Brazil
Sesso, Ricardo
Cavalcante, Jairo Calado
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Alagoas, Fac Med, Maceio, Alagoas, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, Brazil
Cavalcante, Jairo Calado
Sawaya, Ana Lydia
论文数: 0引用数: 0
h-index: 0
机构:
Univ Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, BrazilUniv Fed Sao Paulo, Escola Paulista Med, Programa Posgrad Ciencias Endocrinol, Sao Paulo, Brazil
机构:
Sichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Ma, Dan
Luo, Hong
论文数: 0引用数: 0
h-index: 0
机构:
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R China
Sichuan Univ, West China Univ Hosp 2, Dept Pediat, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Luo, Hong
Wang, Yanhong
论文数: 0引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Wang, Yanhong
Zhou, Wei
论文数: 0引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Zhou, Wei
Lu, Yongguang
论文数: 0引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Lu, Yongguang
Lv, Binhao
论文数: 0引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Lv, Binhao
Zhang, Li
论文数: 0引用数: 0
h-index: 0
机构:
Sichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China
Zhang, Li
Hua, Yimin
论文数: 0引用数: 0
h-index: 0
机构:
Key Lab Birth Defects & Related Dis Women & Childr, Chengdu, Sichuan, Peoples R China
Sichuan Univ, West China Univ Hosp 2, Dept Pediat, Chengdu, Sichuan, Peoples R ChinaSichuan Univ, West China Univ Hosp 2, Dept Rehabil Med, Chengdu, Sichuan, Peoples R China