Reducing the decline in physical activity during pregnancy: a systematic review of behaviour change interventions.
<h4>Purpose</h4>Physical activity (PA) typically declines throughout pregnancy. Low levels of PA are associated with excessive weight gain and subsequently increase risk of pre-eclampsia, gestational diabetes mellitus, hypertension disorders, delivery by caesarean section and stillbirth....
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2013-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0066385&type=printable |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849704491006296064 |
|---|---|
| author | Sinead Currie Marlene Sinclair Marie H Murphy Elaine Madden Lynn Dunwoody Dianne Liddle |
| author_facet | Sinead Currie Marlene Sinclair Marie H Murphy Elaine Madden Lynn Dunwoody Dianne Liddle |
| author_sort | Sinead Currie |
| collection | DOAJ |
| description | <h4>Purpose</h4>Physical activity (PA) typically declines throughout pregnancy. Low levels of PA are associated with excessive weight gain and subsequently increase risk of pre-eclampsia, gestational diabetes mellitus, hypertension disorders, delivery by caesarean section and stillbirth. Systematic reviews on PA during pregnancy have not explored the efficacy of behaviour change techniques or related theory in altering PA behaviour. This systematic review evaluated the content of PA interventions to reduce the decline of PA in pregnant women with a specific emphasis on the behaviour change techniques employed to elicit this change.<h4>Search and review methodology</h4>Literature searches were conducted in eight databases. Strict inclusion and exclusion criteria were employed. Two reviewers independently evaluated each intervention using the behaviour change techniques (BCT) taxonomy to identify the specific behaviour change techniques employed. Two reviewers independently assessed the risk of bias using the guidelines from the Cochrane Collaboration. Overall quality was determined using the GRADE approach.<h4>Findings</h4>A total of 1140 potentially eligible papers were identified from which 14 studies were selected for inclusion. Interventions included counselling (n = 6), structured exercise (n = 6) and education (n = 2). Common behaviour change techniques employed in these studies were goal setting and planning, feedback, repetition and substitution, shaping knowledge and comparison of behaviours. Regular face-to-face meetings were also commonly employed. PA change over time in intervention groups ranged from increases of 28% to decreases of 25%. In 8 out of 10 studies, which provided adequate data, participants in the intervention group were more physically active post intervention than controls.<h4>Conclusions and implications</h4>Physical activity interventions incorporating behaviour change techniques help reduce the decline in PA throughout pregnancy. Range of behaviour change techniques can be implemented to reduce this decline including goals and planning, shaping knowledge and comparison of outcomes. A lack of high quality interventions hampers conclusions of intervention effectiveness. |
| format | Article |
| id | doaj-art-677df98915814abf9555a4d8bbe8d0a2 |
| institution | DOAJ |
| issn | 1932-6203 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-677df98915814abf9555a4d8bbe8d0a22025-08-20T03:16:45ZengPublic Library of Science (PLoS)PLoS ONE1932-62032013-01-0186e6638510.1371/journal.pone.0066385Reducing the decline in physical activity during pregnancy: a systematic review of behaviour change interventions.Sinead CurrieMarlene SinclairMarie H MurphyElaine MaddenLynn DunwoodyDianne Liddle<h4>Purpose</h4>Physical activity (PA) typically declines throughout pregnancy. Low levels of PA are associated with excessive weight gain and subsequently increase risk of pre-eclampsia, gestational diabetes mellitus, hypertension disorders, delivery by caesarean section and stillbirth. Systematic reviews on PA during pregnancy have not explored the efficacy of behaviour change techniques or related theory in altering PA behaviour. This systematic review evaluated the content of PA interventions to reduce the decline of PA in pregnant women with a specific emphasis on the behaviour change techniques employed to elicit this change.<h4>Search and review methodology</h4>Literature searches were conducted in eight databases. Strict inclusion and exclusion criteria were employed. Two reviewers independently evaluated each intervention using the behaviour change techniques (BCT) taxonomy to identify the specific behaviour change techniques employed. Two reviewers independently assessed the risk of bias using the guidelines from the Cochrane Collaboration. Overall quality was determined using the GRADE approach.<h4>Findings</h4>A total of 1140 potentially eligible papers were identified from which 14 studies were selected for inclusion. Interventions included counselling (n = 6), structured exercise (n = 6) and education (n = 2). Common behaviour change techniques employed in these studies were goal setting and planning, feedback, repetition and substitution, shaping knowledge and comparison of behaviours. Regular face-to-face meetings were also commonly employed. PA change over time in intervention groups ranged from increases of 28% to decreases of 25%. In 8 out of 10 studies, which provided adequate data, participants in the intervention group were more physically active post intervention than controls.<h4>Conclusions and implications</h4>Physical activity interventions incorporating behaviour change techniques help reduce the decline in PA throughout pregnancy. Range of behaviour change techniques can be implemented to reduce this decline including goals and planning, shaping knowledge and comparison of outcomes. A lack of high quality interventions hampers conclusions of intervention effectiveness.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0066385&type=printable |
| spellingShingle | Sinead Currie Marlene Sinclair Marie H Murphy Elaine Madden Lynn Dunwoody Dianne Liddle Reducing the decline in physical activity during pregnancy: a systematic review of behaviour change interventions. PLoS ONE |
| title | Reducing the decline in physical activity during pregnancy: a systematic review of behaviour change interventions. |
| title_full | Reducing the decline in physical activity during pregnancy: a systematic review of behaviour change interventions. |
| title_fullStr | Reducing the decline in physical activity during pregnancy: a systematic review of behaviour change interventions. |
| title_full_unstemmed | Reducing the decline in physical activity during pregnancy: a systematic review of behaviour change interventions. |
| title_short | Reducing the decline in physical activity during pregnancy: a systematic review of behaviour change interventions. |
| title_sort | reducing the decline in physical activity during pregnancy a systematic review of behaviour change interventions |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0066385&type=printable |
| work_keys_str_mv | AT sineadcurrie reducingthedeclineinphysicalactivityduringpregnancyasystematicreviewofbehaviourchangeinterventions AT marlenesinclair reducingthedeclineinphysicalactivityduringpregnancyasystematicreviewofbehaviourchangeinterventions AT mariehmurphy reducingthedeclineinphysicalactivityduringpregnancyasystematicreviewofbehaviourchangeinterventions AT elainemadden reducingthedeclineinphysicalactivityduringpregnancyasystematicreviewofbehaviourchangeinterventions AT lynndunwoody reducingthedeclineinphysicalactivityduringpregnancyasystematicreviewofbehaviourchangeinterventions AT dianneliddle reducingthedeclineinphysicalactivityduringpregnancyasystematicreviewofbehaviourchangeinterventions |