Excessive gestational weight gain: Assessing patients' and providers' perceptions
| Autor: | Stephanie Godard, Jackie Bellaire, Adriana Di Stefano |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Counseling
medicine.medical_specialty Psychological intervention Health literacy Prenatal care Weight Gain Pregnancy Medicine Humans Social determinants of health Social isolation Socioeconomic status Qualitative Research business.industry Research Prenatal Care General Medicine Focus group Gestational Weight Gain Family medicine Female Perception medicine.symptom Family Practice business Qualitative research |
| Zdroj: | Can Fam Physician |
| ISSN: | 1715-5258 |
| Popis: | Objective To assess counseling practices for gestational weight gain (GWG) among primary care providers (PCPs) at 2 clinics to identify barriers and potential health interventions for patients from diverse cultural backgrounds. Design Qualitative interviews with data analyzed for emerging themes using a modified grounded theory method. Setting Interviews at the South East Toronto Family Health Team and Flemingdon Health Centre in Toronto, Ont, from September 2016 to February 2018. Participants Family practice obstetric providers and pregnant patients. Methods Semistructured interviews and focus groups were audiorecorded and transcribed. Analysis used a constant comparative approach to identify themes. Main findings Patients had a limited understanding of risks associated with excessive GWG and reported infrequent weight counseling by PCPs. Patients at the South East Toronto Family Health Team had high health literacy and were proactive in seeking health information but had difficulty navigating reliable resources. Patients at Flemingdon Health Centre had lower health literacy and more passive interactions with PCPs, relying on family advice and cultural practices to inform health behaviour. Barriers for this group included social isolation and limited funds. Both groups desired increased proactive health counseling and resources. Physicians were knowledgeable about excessive GWG and reported counseling their patients, although patient retention and limited time were barriers. Conclusion Healthy lifestyle in pregnancy is an important but underemphasized topic in antenatal care owing to barriers faced by patients and physicians, with unique socioeconomic considerations. This gap provides an opportunity to increase education of patients and providers and to develop patient-centred weight management interventions. By contrasting patient groups, our study reflected the importance of addressing social determinants of health in comprehensive care. |
| Databáze: | OpenAIRE |
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