Why don't many obese pregnant and post-natal women engage with a weight management service?

Lou Atkinson, E. Olander, D. French

    Research output: Contribution to journalArticle

    14 Citations (Scopus)

    Abstract

    Objective: This study investigated the views and experiences of obese pregnant and post-natal women who had declined or disengaged from an evidence-based weight management service, and their reasons for doing so. Background: Despite significant risks of maternal obesity to both mother and baby, the majority of obese women offered tailored weight management support during or after pregnancy declined to use it, and many women who accepted the service disengaged soon after. Methods: Semi-structured interviews regarding women's views and experiences were conducted with obese pregnant and post-natal women who declined the service (N = 7) and women who disengaged from the service (N = 11) and analysed thematically. Results: Four main themes were identified. 'First contact counts' related to inadequate explanation of the service by the referrer, being offended by the referral, and negative expectations of the service. 'Missed opportunities for support' describes what support declining women identified as desirable, such as regular weight monitoring. 'No need for help', and 'Service not meeting needs' related to personal choices regarding weight management, including not wanting support and preferring group-based services. Conclusions: While some obese pregnant and post-natal women did not want any type of weight management support, many did but failed to engage with the service on offer due to a variety of barriers. A more sensitive and transparent referral process and further tailoring of the service to meet individual needs may increase uptake and continued use of this service. The inclusion of non-participants and non-completers formed a valuable element of service evaluation.
    Original languageEnglish
    Pages (from-to)245-256
    JournalJournal of Reproductive and Infant Psychology
    Volume31
    Issue number3
    DOIs
    Publication statusPublished - 2013

    Fingerprint

    Weights and Measures
    Referral and Consultation
    Mothers
    Obesity
    Interviews
    Pregnancy

    Bibliographical note

    The full text of this item is not available from the repository.
    This is an electronic version of an article published in the Journal of Reproductive and Infant Psychology, 31 (3), pp. 245-256. The Journal of Reproductive and Infant Psychology is available online at: http://www.tandfonline.com/doi/abs/10.1080/02646838.2013.809518#.U6mE4UpwZ3w

    Keywords

    • interviews
    • maternal obesity
    • post-natal
    • pregnancy
    • qualitative research
    • service evaluation

    Cite this

    Why don't many obese pregnant and post-natal women engage with a weight management service? / Atkinson, Lou; Olander, E.; French, D.

    In: Journal of Reproductive and Infant Psychology, Vol. 31, No. 3, 2013, p. 245-256.

    Research output: Contribution to journalArticle

    @article{de84c48e2ef04d598e8284230c1d8d8c,
    title = "Why don't many obese pregnant and post-natal women engage with a weight management service?",
    abstract = "Objective: This study investigated the views and experiences of obese pregnant and post-natal women who had declined or disengaged from an evidence-based weight management service, and their reasons for doing so. Background: Despite significant risks of maternal obesity to both mother and baby, the majority of obese women offered tailored weight management support during or after pregnancy declined to use it, and many women who accepted the service disengaged soon after. Methods: Semi-structured interviews regarding women's views and experiences were conducted with obese pregnant and post-natal women who declined the service (N = 7) and women who disengaged from the service (N = 11) and analysed thematically. Results: Four main themes were identified. 'First contact counts' related to inadequate explanation of the service by the referrer, being offended by the referral, and negative expectations of the service. 'Missed opportunities for support' describes what support declining women identified as desirable, such as regular weight monitoring. 'No need for help', and 'Service not meeting needs' related to personal choices regarding weight management, including not wanting support and preferring group-based services. Conclusions: While some obese pregnant and post-natal women did not want any type of weight management support, many did but failed to engage with the service on offer due to a variety of barriers. A more sensitive and transparent referral process and further tailoring of the service to meet individual needs may increase uptake and continued use of this service. The inclusion of non-participants and non-completers formed a valuable element of service evaluation.",
    keywords = "interviews, maternal obesity, post-natal, pregnancy, qualitative research, service evaluation",
    author = "Lou Atkinson and E. Olander and D. French",
    note = "The full text of this item is not available from the repository. This is an electronic version of an article published in the Journal of Reproductive and Infant Psychology, 31 (3), pp. 245-256. The Journal of Reproductive and Infant Psychology is available online at: http://www.tandfonline.com/doi/abs/10.1080/02646838.2013.809518#.U6mE4UpwZ3w",
    year = "2013",
    doi = "10.1080/02646838.2013.809518",
    language = "English",
    volume = "31",
    pages = "245--256",
    journal = "Journal of Reproductive and Infant Psychology",
    issn = "0264-6838",
    publisher = "Taylor & Francis",
    number = "3",

    }

    TY - JOUR

    T1 - Why don't many obese pregnant and post-natal women engage with a weight management service?

    AU - Atkinson, Lou

    AU - Olander, E.

    AU - French, D.

    N1 - The full text of this item is not available from the repository. This is an electronic version of an article published in the Journal of Reproductive and Infant Psychology, 31 (3), pp. 245-256. The Journal of Reproductive and Infant Psychology is available online at: http://www.tandfonline.com/doi/abs/10.1080/02646838.2013.809518#.U6mE4UpwZ3w

    PY - 2013

    Y1 - 2013

    N2 - Objective: This study investigated the views and experiences of obese pregnant and post-natal women who had declined or disengaged from an evidence-based weight management service, and their reasons for doing so. Background: Despite significant risks of maternal obesity to both mother and baby, the majority of obese women offered tailored weight management support during or after pregnancy declined to use it, and many women who accepted the service disengaged soon after. Methods: Semi-structured interviews regarding women's views and experiences were conducted with obese pregnant and post-natal women who declined the service (N = 7) and women who disengaged from the service (N = 11) and analysed thematically. Results: Four main themes were identified. 'First contact counts' related to inadequate explanation of the service by the referrer, being offended by the referral, and negative expectations of the service. 'Missed opportunities for support' describes what support declining women identified as desirable, such as regular weight monitoring. 'No need for help', and 'Service not meeting needs' related to personal choices regarding weight management, including not wanting support and preferring group-based services. Conclusions: While some obese pregnant and post-natal women did not want any type of weight management support, many did but failed to engage with the service on offer due to a variety of barriers. A more sensitive and transparent referral process and further tailoring of the service to meet individual needs may increase uptake and continued use of this service. The inclusion of non-participants and non-completers formed a valuable element of service evaluation.

    AB - Objective: This study investigated the views and experiences of obese pregnant and post-natal women who had declined or disengaged from an evidence-based weight management service, and their reasons for doing so. Background: Despite significant risks of maternal obesity to both mother and baby, the majority of obese women offered tailored weight management support during or after pregnancy declined to use it, and many women who accepted the service disengaged soon after. Methods: Semi-structured interviews regarding women's views and experiences were conducted with obese pregnant and post-natal women who declined the service (N = 7) and women who disengaged from the service (N = 11) and analysed thematically. Results: Four main themes were identified. 'First contact counts' related to inadequate explanation of the service by the referrer, being offended by the referral, and negative expectations of the service. 'Missed opportunities for support' describes what support declining women identified as desirable, such as regular weight monitoring. 'No need for help', and 'Service not meeting needs' related to personal choices regarding weight management, including not wanting support and preferring group-based services. Conclusions: While some obese pregnant and post-natal women did not want any type of weight management support, many did but failed to engage with the service on offer due to a variety of barriers. A more sensitive and transparent referral process and further tailoring of the service to meet individual needs may increase uptake and continued use of this service. The inclusion of non-participants and non-completers formed a valuable element of service evaluation.

    KW - interviews

    KW - maternal obesity

    KW - post-natal

    KW - pregnancy

    KW - qualitative research

    KW - service evaluation

    U2 - 10.1080/02646838.2013.809518

    DO - 10.1080/02646838.2013.809518

    M3 - Article

    VL - 31

    SP - 245

    EP - 256

    JO - Journal of Reproductive and Infant Psychology

    JF - Journal of Reproductive and Infant Psychology

    SN - 0264-6838

    IS - 3

    ER -