Impact of nutrition education in improving dietary pattern during pregnancy based on pender's health promotion model: A randomized clinical trial

Abstract

Background:Different types of nutrients in adequate amounts are required to meet the increased demands of the mother and the developing fetus. Therefore, we examined the impact of nutrition education on the number of food servings per day.Materials and Methods:Pregnant mothers were recruited to a prospective, randomized clinical trial from May to September, 2016. At 6–10 weeks of gestation, the participants were randomly divided into the intervention (n = 96) or the control group (n = 96), and were followed-up until the end of pregnancy. Each woman in the experimental group met the study nutritionist at the time of enrollment and an individualized nutrition plan was developed. In addition, the nutrition education based on Pender's Health Promotion Model (HPM) was designed, including three 45–60 min training sessions in 6–10, 18, and 26 weeks of pregnancy. The participants' usual food intake using a three-day dietary record was assessed at 6–10 weeks and 34–36 weeks of gestation.Results:The mean scores of the perceived benefits, self-efficacy, activity-related affect, interpersonal influences (husband support), and commitment to action increased while the competing demand scores decreased in the interventional group compared with the control group. The mean standard deviation (SD) of food portions from grain [10.40 (1.96) versus 12.70 (1.93) in the control group], vegetable [3.88 (1.33) versus 2.96 (0.91)], fruit [4.02 (0.05) versus 3.95 (0.91)], dairy [2.33 (0.68) versus 2.11 (0.45)], and meat [3.17 (0.68) versus 2.96 (0.67)] were improved in the experimental group.Conclusions:Pender's HPM for nutrition education is effective based on the compliance of pregnant women to the dietary guideline and the food guide pyramid.

Effects of guided counseling during pregnancy on birth weight of newborns in West Gojjam Zone, Ethiopia: a cluster-randomized controlled trial

“…The indirect effect through path1 (intervention effect through dietary practice) was significant. Previous studies also reported the positive effect of nutrition counseling in improving the dietary practice of pregnant women [ 52 , 56 ] which, in turn, improved birth weight [ 57 ].…”

Pender's Health Promotion Model Based Nursing Care in Young Adult Individual with Acute Myocardial Infarction

“…Kontrol grubunda ise acil rekabetçi talepler ile sebze tüketimi arasında negatif ilişki bulunmuştur. 24 Bu çalışmada, eş desteğinin davranış değişiminde etkili olduğu saptanmıştır. Çalışmamızda da, olgunun eşinin diyet ve fiziksel aktivite yaparak destek olması davranış değişiminde etkili olmuş ve acil rekabetçi talep olarak ara öğünlerde meyve veya yoğurt yemeyi tercih etmiştir.…”

Applying the Pender’s Health Promotion Model to Identify the Factors Related to Older Adults’ Participation in Community-Based Health Promotion Activities

“…The Health Promotion Model identifies factors that influence health behaviors. Pender’s Health Promotion Model is one of the most widely used models to identify and change unhealthy behaviors and promote health [ 10 , 11 ]. Predicting factors and explanatory constructs of health behavior in Pender’s model include perceived benefits, barriers, and self-efficacy; behavioral emotions; and interpersonal and situational influencers [ 12 ].…”

“…Pender’s Health Promotion Model has been widely adopted to explore different health promotion behaviors [ 10 , 11 , 19 ] and has achieved concrete results. However, limited studies have utilized this model to investigate older adults’ engagement in community-based health promotion activities.…”