Implementation of Postpartum Nutritional Interventions in Healthcare, Community and eHealth: A Systematic Review.

Autor: Bernier E; École de nutrition, Université Laval, 2425, rue de l'Agriculture, local 1122, Québec, QC, G1V 0A6, Canada.; Centre de recherche Nutrition Santé et Société (NUTRISS) de l'Institut sur la nutrition et des aliments fonctionnels (INAF), Université Laval, Québec, Canada.; Axe Endocrinologie et Néphrologie, Centre de recherche du CHU de Québec-Université Laval, Québec, Canada., Simoneau C; École de nutrition, Université Laval, 2425, rue de l'Agriculture, local 1122, Québec, QC, G1V 0A6, Canada.; Centre de recherche Nutrition Santé et Société (NUTRISS) de l'Institut sur la nutrition et des aliments fonctionnels (INAF), Université Laval, Québec, Canada., Desroches S; École de nutrition, Université Laval, 2425, rue de l'Agriculture, local 1122, Québec, QC, G1V 0A6, Canada.; Centre de recherche Nutrition Santé et Société (NUTRISS) de l'Institut sur la nutrition et des aliments fonctionnels (INAF), Université Laval, Québec, Canada., Morisset AS; École de nutrition, Université Laval, 2425, rue de l'Agriculture, local 1122, Québec, QC, G1V 0A6, Canada.; Centre de recherche Nutrition Santé et Société (NUTRISS) de l'Institut sur la nutrition et des aliments fonctionnels (INAF), Université Laval, Québec, Canada.; Axe Endocrinologie et Néphrologie, Centre de recherche du CHU de Québec-Université Laval, Québec, Canada., Robitaille J; École de nutrition, Université Laval, 2425, rue de l'Agriculture, local 1122, Québec, QC, G1V 0A6, Canada. julie.robitaille@fsaa.ulaval.ca.; Centre de recherche Nutrition Santé et Société (NUTRISS) de l'Institut sur la nutrition et des aliments fonctionnels (INAF), Université Laval, Québec, Canada. julie.robitaille@fsaa.ulaval.ca.; Axe Endocrinologie et Néphrologie, Centre de recherche du CHU de Québec-Université Laval, Québec, Canada. julie.robitaille@fsaa.ulaval.ca.
Jazyk: angličtina
Zdroj: Maternal and child health journal [Matern Child Health J] 2024 Nov; Vol. 28 (11), pp. 1897-1910. Date of Electronic Publication: 2024 Sep 18.
DOI: 10.1007/s10995-024-03985-5
Abstrakt: Objectives: The efficacy of interventions targeting lifestyle habits, particularly dietary habits, among postpartum women is well established. However, whether these results can be translated into tangible changes in the care and services provided to this population remains unclear. Therefore, the aim is to examine the implementation outcomes of postpartum nutritional interventions delivered in healthcare, community, or eHealth settings.
Methods: A search was conducted in the MEDLINE, EMBASE, Web of Science, CINAHL, and Cochrane Library databases in July 2024, to identify all relevant studies. Included studies had to report at least 1 of the 8 implementation outcomes studied: acceptability, adoption, appropriateness, implementation cost, feasibility, fidelity, penetration, and sustainability. Study selection and data extraction were performed by two independent reviewers. Descriptive analysis of reported outcomes was performed.
Prospero Id: CRD42022351411.
Results: Of the 8907 unique studies identified, 26 interventions (24 publications) were included.There was a great heterogeneity among interventions studied and implementation outcomes reported. Acceptability, feasibility, and fidelity were the most studied implementation outcomes. Overall, postpartum nutritional interventions were found to be acceptable and useful, but improvements were suggested by participants, such as more frequent contacts and longer programs. Recruitment, retention, participation, and penetration rates widely varied across studies. Challenges hindering the delivery of nutritional interventions were reported by participants, such as lack of time and the presence of medical conditions following delivery. CONCLUSIONS FOR PRACTICE: This review demonstrates the potential for the delivery and implementation of nutritional interventions in real-world settings during the postpartum period.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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