FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2978423505> ?p ?o ?g. }

• W2978423505 endingPage "176" @default.
• W2978423505 startingPage "1" @default.
• W2978423505 abstract "Background Increasing numbers of UK women have overweight or obese body mass index scores when they become pregnant, or gain excessive weight in pregnancy, increasing their risk of adverse outcomes. Failure to manage postnatal weight is linked to smoking, non-healthy dietary choices, lack of regular exercise and poorer longer-term health. Women living in areas of higher social deprivation are more likely to experience weight management problems postnatally. Objectives The objectives were to assess the feasibility of conducting a definitive randomised controlled trial to determine the clinical effectiveness and cost-effectiveness of lifestyle information and access to a commercial weight management group focusing on self-monitoring, goal-setting and motivation to achieve dietary change commencing 8–16 weeks postnatally to achieve and maintain weight management and positive lifestyle behaviour. Design The design was a randomised two-arm feasibility trial with a nested mixed-methods process evaluation. Setting The setting was a single centre in an inner city setting in the south of England. Participants Participants were women with body mass index scores of > 25 kg/m 2 at antenatal ‘booking’ and women with normal body mass index scores (18.0–24.9 kg/m 2 ) at antenatal booking who developed excessive gestational weight gain as assessed at 36 weeks’ gestation. Main outcome measures Recruitment, retention, acceptability of trial processes and identification of relevant economic data were the feasibility objectives. The proposed primary outcome was difference between groups in weight at 12 months postnatally, expressed as percentage weight change and weight loss from antenatal booking. Other proposed outcomes included assessment of diet, physical activity, smoking, alcohol consumption, body image, maternal esteem, mental health, infant feeding and NHS costs. Results Most objectives were achieved. A total of 193 women were recruited, 98 allocated to the intervention arm and 95 to the control arm. High follow-up rates (> 80%) were achieved to 12 months. There was an 8.8% difference in weight loss at 12 months between women allocated to the intervention arm and women allocated to the control arm (13.0% vs. 4.2%, respectively; p = 0.062); 47% of women in the intervention arm attended at least one weight management session, with low risk of contamination between arms. The greatest benefit was among women who attended ≥ 10 sessions. Barriers to attending sessions included capability, opportunity and motivation issues. Data collection tools were appropriate to support economic evaluation in a definitive trial, and economic modelling is feasible to quantify resource impacts and outcomes not directly measurable within a trial. Limitations The trial recruited from only one site. It was not possible to recruit women with normal body mass index scores who developed excessive pregnancy weight gain. Conclusions It was feasible to recruit and retain women with overweight or obese body mass index scores at antenatal booking to a trial comparing postnatal weight management plus standard care with standard care only and collect relevant data to assess outcomes. Approaches to recruit women with normal body mass index scores who gain excessive gestational weight need to be considered. Commercial weight management groups could support women’s weight management as assessed at 12 months postnatally, with probable greater benefit from attending ≥ 10 sessions. Process evaluation findings highlighted the importance of providing more information about the intervention on trial allocation, extended duration of time to commence sessions following birth and extended number of sessions offered to enhance uptake and retention. Results support the conduct of a future randomised controlled trial. Trial registration Current Controlled Trials ISRCTN39186148. Funding This project was funded by the National Institute for Health Research (NIHR) Public Health Research programme and will be published in full in Public Health Research ; Vol. 8, No. 9. See the NIHR Journals Library website for further project information." @default.
• W2978423505 created "2019-10-10" @default.
• W2978423505 creator A5007547899 @default.
• W2978423505 creator A5011938739 @default.
• W2978423505 creator A5017597127 @default.
• W2978423505 creator A5018324739 @default.
• W2978423505 creator A5019012827 @default.
• W2978423505 creator A5022934670 @default.
• W2978423505 creator A5032021009 @default.
• W2978423505 creator A5032448943 @default.
• W2978423505 creator A5039847732 @default.
• W2978423505 creator A5041736096 @default.
• W2978423505 creator A5045203195 @default.
• W2978423505 creator A5045479236 @default.
• W2978423505 creator A5072094034 @default.
• W2978423505 creator A5072148442 @default.
• W2978423505 creator A5075658400 @default.
• W2978423505 creator A5088824301 @default.
• W2978423505 date "2020-07-01" @default.
• W2978423505 modified "2023-10-10" @default.
• W2978423505 title "Lifestyle information and access to a commercial weight management group to promote maternal postnatal weight management and positive lifestyle behaviour: the SWAN feasibility RCT" @default.
• W2978423505 cites W1493174102 @default.
• W2978423505 cites W1574602235 @default.
• W2978423505 cites W166560170 @default.
• W2978423505 cites W1679099184 @default.
• W2978423505 cites W1763774740 @default.
• W2978423505 cites W1800014650 @default.
• W2978423505 cites W1852003516 @default.
• W2978423505 cites W1863728472 @default.
• W2978423505 cites W1915157772 @default.
• W2978423505 cites W1919319998 @default.
• W2978423505 cites W1964041730 @default.
• W2978423505 cites W1965124767 @default.
• W2978423505 cites W1965151641 @default.
• W2978423505 cites W1965387366 @default.
• W2978423505 cites W1967967870 @default.
• W2978423505 cites W1968288492 @default.
• W2978423505 cites W1973499097 @default.
• W2978423505 cites W1974550323 @default.
• W2978423505 cites W1976315188 @default.
• W2978423505 cites W1976731368 @default.
• W2978423505 cites W1977593290 @default.
• W2978423505 cites W1978034401 @default.
• W2978423505 cites W1979739024 @default.
• W2978423505 cites W1980329518 @default.
• W2978423505 cites W1982428837 @default.
• W2978423505 cites W1984288721 @default.
• W2978423505 cites W1985959880 @default.
• W2978423505 cites W1987046672 @default.
• W2978423505 cites W1987293051 @default.
• W2978423505 cites W1993138318 @default.
• W2978423505 cites W1994672908 @default.
• W2978423505 cites W1997951465 @default.
• W2978423505 cites W1999176752 @default.
• W2978423505 cites W2000354259 @default.
• W2978423505 cites W2005823943 @default.
• W2978423505 cites W2008841877 @default.
• W2978423505 cites W2009396016 @default.
• W2978423505 cites W2011020841 @default.
• W2978423505 cites W2013126628 @default.
• W2978423505 cites W2017558222 @default.
• W2978423505 cites W2021684084 @default.
• W2978423505 cites W2024959104 @default.
• W2978423505 cites W2029269100 @default.
• W2978423505 cites W2029317114 @default.
• W2978423505 cites W2029611789 @default.
• W2978423505 cites W2033240383 @default.
• W2978423505 cites W2034989302 @default.
• W2978423505 cites W2036392798 @default.
• W2978423505 cites W2045495273 @default.
• W2978423505 cites W2046658792 @default.
• W2978423505 cites W2050555449 @default.
• W2978423505 cites W2051058458 @default.
• W2978423505 cites W2054103341 @default.
• W2978423505 cites W2061623382 @default.
• W2978423505 cites W2061758597 @default.
• W2978423505 cites W2066076836 @default.
• W2978423505 cites W2068503927 @default.
• W2978423505 cites W2069259610 @default.
• W2978423505 cites W2071937255 @default.
• W2978423505 cites W2074172014 @default.
• W2978423505 cites W2077995521 @default.
• W2978423505 cites W2078301010 @default.
• W2978423505 cites W2079925872 @default.
• W2978423505 cites W2083081439 @default.
• W2978423505 cites W2084677871 @default.
• W2978423505 cites W2085001923 @default.
• W2978423505 cites W2085350865 @default.
• W2978423505 cites W2089742427 @default.
• W2978423505 cites W2091034183 @default.
• W2978423505 cites W2091893013 @default.
• W2978423505 cites W2093887873 @default.
• W2978423505 cites W2094876682 @default.
• W2978423505 cites W2102764203 @default.
• W2978423505 cites W2104836599 @default.
• W2978423505 cites W2105392896 @default.
• W2978423505 cites W2108248108 @default.
• W2978423505 cites W2109635143 @default.

• next