<scp>A</scp>merican rural women's exercise self‐efficacy and awareness of exercise benefits and safety during pregnancy

Melton, Bridget F.; Marshall, Elaine S.; Bland, Helen W.; Schmidt, Michael D.; Guion, W. K.

doi:10.1111/nhs.12057

Cited by 28 publications

(21 citation statements)

References 25 publications

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“…18 A previous study evaluated the self-efficacy for exercise during pregnancy among women who are pregnant who were living in rural communities in America. 19 Similar to the current study, the majority of the women reported decreasing energy levels as a concern for engaging in prenatal exercise, and this in turn reduced their self-efficacy for engaging in physical activity. 19 A decrease in energy levels is a concern for women because of the already increased level of fatigue they may be experiencing during pregnancy, especially during the first trimester.…”

Section: Discussionsupporting

confidence: 72%

“…19 Similar to the current study, the majority of the women reported decreasing energy levels as a concern for engaging in prenatal exercise, and this in turn reduced their self-efficacy for engaging in physical activity. 19 A decrease in energy levels is a concern for women because of the already increased level of fatigue they may be experiencing during pregnancy, especially during the first trimester. 20 Interestingly, improvement in energy levels is one of the known benefits of engaging in exercise during pregnancy, 21 along with an improvement in mood, 21 decreased risk of prenatal depression, 22 and improved sleep.…”

Section: Discussionsupporting

confidence: 72%

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Exploring Beliefs About Exercise Among Pregnant Women in Rural Communities

Tinius

Nagpal

Edens

et al. 2020

J Midwife Womens Health

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Introduction Women who are pregnant in rural communities are disproportionally impacted by obesity and sedentary behavior, and this could be related to having negative beliefs about exercise during pregnancy, leading to inactivity. The purpose of this study was to identify self‐reported beliefs about exercise among pregnant women in a rural community. Methods Pregnant participants (N = 70) between 8 and 16 weeks’ gestation were recruited from an obstetric clinic serving a rural population. An open‐ended questionnaire addressing beliefs about exercise and based on the constructs of the theory of planned behavior was administered. Descriptive survey results were analyzed by calculating means and frequencies. Open‐ended responses were assessed by inductive content analysis. Results Commonly reported advantages of exercise during pregnancy included improved perinatal health outcomes and weight management. Commonly reported disadvantages included an increase in fatigue and concerns for maternal and fetal safety. Common facilitators of exercise included access to resources, free time or a decrease in demands from work, and support systems including family and friends. Common barriers to exercise included a lack of time, physical changes including feelings of nausea and fatigue, and lack of access to resources. Discussion This study was the first to report beliefs about exercise during pregnancy in a rural setting. Responses in the current study suggest potential gaps in knowledge of evidence‐based information regarding physical activity during pregnancy. Beliefs as well as reported barriers and facilitators of physical activity during pregnancy were similar those reported in other populations. In addition, access to resources (or lack of) appears to be an important facilitator (or barrier) among women in rural settings; thus, developing strategies designed to overcome this barrier, specifically in rural areas, is critically important. Future intervention strategies need to be tailored specifically to the needs of women living in rural areas.

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Section: Discussionsupporting

confidence: 72%

Section: Discussionsupporting

confidence: 72%

Exploring Beliefs About Exercise Among Pregnant Women in Rural Communities

Tinius

Nagpal

Edens

et al. 2020

J Midwife Womens Health

View full text Add to dashboard Cite

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“…the awareness that exercise is beneficial during pregnancy may be unique to this group of women considering that many were college-educated. Melton et al [22] reported that in a sample of 88 American rural pregnant women (60.2% white), only 56.8% were convinced that they could exercise without consulting a physician and 61.4% knew that exercise could help prevent or treat gestational diabetes. related, in a study of 57 nulliparous pregnant women, 81% received some type of advice on PA at 16 weeks gestation; however, 67% of that group obtained most of their infor-mation from books and magazines, while 47% from friends and family, compared with only 18% from health professionals [23].…”

Section: Resultsmentioning

confidence: 99%

“…), healthcare providers and health professionals may be more effective in promoting their message. Further, according to Melton et al [22], only 21.6% of pregnant American rural women knew that exercise could increase energy levels. thus, it may be possible to inform women about the immediate energizing effects of exercise to help overcome the most commonly reported barrier of lacking energy.…”

Section: Resultsmentioning

confidence: 99%

Motives for and barriers to exercising across trimesters of pregnancy in health club members

White¹,

Pfeifer²,

Holzman³

et al. 2020

Hum Mov.

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Purpose. Determining the motives for and barriers to physical activity (PA) during pregnancy may help to promote PA throughout gestation. therefore, the purpose of this study was to describe the most frequent motives for and barriers to maternal exercise by trimester in exercising and non-exercising women who belonged to a health club. Methods. A retrospective, online survey was available to the participating women. they stated the top 3 motives and barriers for exercise during each trimester. Frequencies and chi-squared test proportions were calculated. Results. the study involved 295 women. the most commonly reported motives for exercise during each trimester was to stay healthy (37.4%, 35.5%, and 32.9%, respectively) and to control weight (19.8%, 27.1%, and 25.5%, respectively). the most commonly reported barrier to exercise was lack of energy/tiredness in all trimesters (27.0%, 18.9%, and 19.4%, respectively). During trimesters 1 and 3, trimester-specific barriers such as pregnancy-related illness (18.5%) and exercise being too uncomfortable (17.2%) emerged, respectively. Conclusions. PA motives and barriers did not change statistically significantly by trimester regardless of exercise status (p > 0.05). Although not explored in this study, tailoring PA messages to overcome the most salient barriers in each trimester, such as education regarding how to modify PA in the third trimester to make exercise more comfortable, may be more effective than promoting general health benefits of PA during pregnancy.

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“…For example, poor health, higher body mass index (BMI), advancing age, and depression have been negatively associated with physical activity levels in rural women (Olsen, 2013). Low income rural mothers, as well as pregnant and older rural women, have reported lack of knowledge of physical activity guidelines and health benefits (Atkinson, Billing, Desmond, Gold, & Tournas-Hardt, 2007;Bopp, Wilcox, Oberrecht, Kammermann, & McElmurray, 2004;Melton, Marshall, Bland, Schmidt, & Guion, 2013). Compared to women living in urban areas, rural women have conveyed more caregiver duties and more discouragement from others as barriers to physical activity (Wilcox et al, 2000).…”

mentioning

confidence: 99%