The Effectiveness of a Physical Activity Educational Campaign in a Rural Obstetrics and Gynecology Office

Melton, Bridget F.; Bland, Helen W.; Marshall, Elaine S.; Bigham, Lauren E.

doi:10.1007/s10995-016-2039-4

Cited by 9 publications

(15 citation statements)

References 32 publications

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“…Our study supported the ndings that (1) pregnant women who bene t from PA counseling by trained health professionals are more likely to report it [14] and (2) this counseling tends to be in line with the recommendations. Similar results were found for the overweight pregnant women whose obstetric care counseling has been suboptimal up to now [15].…”

Section: Discussionsupporting

confidence: 87%

Physical Activity Counseling Received Throughout Pregnancy: Effect on Behaviors: A Quasi-experimental Study.

Ruart

Sinnapah

Hue

et al. 2020

Preprint

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Background: Pregnant women declare perceived barriers to physical activity. Although physical activity is not often dispensed, effective counseling by health professionals is recommended. Health professionals training has been proposed as a target to improve physical activity effective counseling. The objective was to evaluate the physical activity counseling of trained and untrained health professionals given to pregnant women and the effect on the women’s physical activity behaviors.Methods: In a quasi-experimental trial, 72 pregnant women were allocated to a control or intervention group. Physical activity counseling was dispensed to the women in the intervention group by trained healthcare providers throughout pregnancy. The women in the control group followed the usual consultations. The counseling and physical activity levels were evaluated by Chi2 tests and repeated measures ANOVAs respectively.Results: Overall, the women received little counseling in accordance with the recommendations, although the intervention group women received it more frequently (p=0.049). All women who received counseling throughout pregnancy limited their decline in physical activity more than the others. The decline in sports activity among normal-weight pregnant women was reduced in the intervention group (p=0.032), and sedentary activity was preserved among the pre-pregnancy overweight women (p=0.027). The total quantity of physical activity was not different in women who received counseling in accordance with recommendations compared with that of the others.Conclusion: Our intervention showed the effectiveness of counseling on physical activity behaviors, although the effect was limited. Training for professionals should be strengthened to ensure that counseling in line with the recommendations is provided throughout pregnancy.Pregnant women should be encouraged to engage in physical activity from the beginning of pregnancy.Trial registration: The database for this study was retrospectively registered under No. MR 5815250919.

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Section: Discussionsupporting

confidence: 87%

Physical Activity Counseling Received Throughout Pregnancy: Effect on Behaviors: A Quasi-experimental Study.

Ruart

Sinnapah

Hue

et al. 2020

Preprint

View full text Add to dashboard Cite

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“…Over half of the articles in our sample originated from the United States (n = 11) ( Batsis et al, 2020 , Batsis et al, 2021 , Currie et al, 2018 , Greaney et al, 2017 , Melton et al, 2016 , Peterson and Cheng, 2013 , Reed et al, 2018 , Reed et al, 2020 , Sherman et al, 2007 , Batsis et al, 2021 , Robles et al, 2014 ), followed by Australia (n = 3) ( Paul et al, 2019 , Eakin et al, 2012 , Sangster et al, 2016 ), Canada (n = 2) ( Miedema et al, 2015 , Davis et al, 2016 ), and the United Kingdom (n = 2; Table 3 ) ( Connelly et al, 2017 , Lee et al, 2007 ). Most studies were longitudinal or prospective cohort studies (n = 8) ( Batsis et al, 2020 , Batsis et al, 2021 , Davis et al, 2016 , Peterson and Cheng, 2013 , Reed et al, 2020 , Sherman et al, 2007 , Batsis et al, 2021 , Robles et al, 2014 ) or randomized control trials (n = 7) ( Reed et al, 2018 , Connelly et al, 2017 , Greaney et al, 2017 , Currie et al, 2018 , Eakin et al, 2012 , Lee et al, 2007 , Sangster et al, 2016 ).…”

Section: Resultsmentioning

confidence: 99%

Physical activity promotion in rural health care settings: A rapid realist review

Pelletier

Cornish

Amyot

et al. 2022

Preventive Medicine Reports

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“…39 In addition, the prenatal health care environment has been shown to be an effective space to provide education related to exercise during pregnancy for women living in rural communities. 40 It would also allow women who commute long distances for prenatal care to engage in exercise and receive prenatal care in one place. This could increase adherence to both prenatal appointments and exercise classes.…”

Section: Discussionmentioning

confidence: 99%

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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The Effectiveness of a Physical Activity Educational Campaign in a Rural Obstetrics and Gynecology Office

Cited by 9 publications

References 32 publications

Physical Activity Counseling Received Throughout Pregnancy: Effect on Behaviors: A Quasi-experimental Study.

Physical Activity Counseling Received Throughout Pregnancy: Effect on Behaviors: A Quasi-experimental Study.

Physical activity promotion in rural health care settings: A rapid realist review

Exploring Beliefs About Exercise Among Pregnant Women in Rural Communities

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