How can we help women lose weight after child birth? Formative findings from the WeighWell weight management study

Weighwell Team

    Research output: Contribution to journalMeeting abstract

    Abstract

    Pregnancy is a life stage where excess weight gain may occur and the post partum period is often characterised by weight retention, which often has negative implications for future health(1). For the overweight or obese mother, weight loss is desirable for her own well-being, to meet the physical demands of parenting, to reduce the risk of obesity-related complications in further pregnancies(2) and to promote future family health.

    The WeighWell study is a scoping and feasibility study which aims to develop and implement a weight loss intervention for post-partum women living in areas of social deprivation, prior to undertaking a randomised controlled trial (RCT). The results of the formative work used to inform the design of the feasibility study protocol are described here.

    Ten face-to-face interviews with key stakeholders working with the target group (midwives, health visitors and community support staff) were undertaken. The interviews explored diet and activity interventions, routes for communicating with the target group, and ways of obtaining optimal recruitment and retention rates. The interviews were complemented by five focus-group discussions with mothers >1 year post partum with a BMI over 25 kg/m2 and living in areas of deprivation in Tayside and Sheffield. Discussions explored barriers and facilitators to adopting healthy diet and activity practices, routes to lifestyle change, structured and unstructured approaches, recruitment avenues and preferences for the intervention design and delivery.

    The key findings from the formative work were:

    • The post-partum period is perceived as a challenging time for weight loss. Barriers include body weight being a low priority, healthy food and exercise being perceived as expensive, a lack of time, energy, self-confidence or motivation and post-partum mental health problems.
    • Motivators included the concept of ‘dropping a dress size’ as a goal, regular weight monitoring, personalisation and providing advice that could also benefit the baby and the rest of the family.
    • A range of opportunities for recruiting the target group were identified e.g. via community groups, midwives and health visitors. Face-to-face contact was considered the most desirable.
    • Suggested time for post-partum recruitment highlighted avoiding the initial 1–3 months and noting preferences and challenges for childcare (e.g. many women do not like using crèches).
    • Preferences for group v. individualised support varied. Home-based exercise received mixed views, but positive experiences of new technology (e.g. Nintendo Wii™) were reported.These findings have informed the design of the WeighWell feasibility study currently being undertaken in women between 6 and 18 months post partum in Tayside. The intervention incorporates personalised advice over a 3-month period. This is provided via monthly counselling sessions, goal setting according to personally identified goals, weight monitoring and literature advising on low-cost lifestyle changes that can be adopted by the whole family and undertaken in the home environment.

    Funding was provided by the Medical Research Council.

    1. Villamor, E & Cnattingius, S (2006) Interpregnancy weight change and risk of adverse pregnancy outcomes: a population-based study. Lancet 368, 1164–1170.
    2. Galtier-Dereure, F, Boegner, C & Bringer, J (2000) Obesity and pregnancy: complications and cost. Am J Clin Nutr 71 1242S–1248S.
    Original languageEnglish
    Article numberE429
    Number of pages1
    JournalProceedings of the Nutrition Society
    Volume69
    Issue numberOCE6
    DOIs
    Publication statusPublished - 2010
    EventNutrition Society Summer Meeting - Edinburgh, United Kingdom
    Duration: 28 Jun 20101 Jul 2010

    Fingerprint

    Feasibility Studies
    Parturition
    Weights and Measures
    Weight Loss
    Community Health Nurses
    Midwifery
    Interviews
    Life Style
    Obesity
    Mothers
    Exercise
    Costs and Cost Analysis
    Pregnancy
    Pregnancy Complications
    Family Health
    Parenting
    Pregnancy Outcome
    Focus Groups
    Weight Gain
    Biomedical Research

    Cite this

    @article{f41c297ab3914b718344c7d19cadbcb1,
    title = "How can we help women lose weight after child birth? Formative findings from the WeighWell weight management study",
    abstract = "Pregnancy is a life stage where excess weight gain may occur and the post partum period is often characterised by weight retention, which often has negative implications for future health(1). For the overweight or obese mother, weight loss is desirable for her own well-being, to meet the physical demands of parenting, to reduce the risk of obesity-related complications in further pregnancies(2) and to promote future family health. The WeighWell study is a scoping and feasibility study which aims to develop and implement a weight loss intervention for post-partum women living in areas of social deprivation, prior to undertaking a randomised controlled trial (RCT). The results of the formative work used to inform the design of the feasibility study protocol are described here. Ten face-to-face interviews with key stakeholders working with the target group (midwives, health visitors and community support staff) were undertaken. The interviews explored diet and activity interventions, routes for communicating with the target group, and ways of obtaining optimal recruitment and retention rates. The interviews were complemented by five focus-group discussions with mothers >1 year post partum with a BMI over 25 kg/m2 and living in areas of deprivation in Tayside and Sheffield. Discussions explored barriers and facilitators to adopting healthy diet and activity practices, routes to lifestyle change, structured and unstructured approaches, recruitment avenues and preferences for the intervention design and delivery. The key findings from the formative work were: • The post-partum period is perceived as a challenging time for weight loss. Barriers include body weight being a low priority, healthy food and exercise being perceived as expensive, a lack of time, energy, self-confidence or motivation and post-partum mental health problems. • Motivators included the concept of ‘dropping a dress size’ as a goal, regular weight monitoring, personalisation and providing advice that could also benefit the baby and the rest of the family. • A range of opportunities for recruiting the target group were identified e.g. via community groups, midwives and health visitors. Face-to-face contact was considered the most desirable. • Suggested time for post-partum recruitment highlighted avoiding the initial 1–3 months and noting preferences and challenges for childcare (e.g. many women do not like using cr{\`e}ches). • Preferences for group v. individualised support varied. Home-based exercise received mixed views, but positive experiences of new technology (e.g. Nintendo Wii™) were reported.These findings have informed the design of the WeighWell feasibility study currently being undertaken in women between 6 and 18 months post partum in Tayside. The intervention incorporates personalised advice over a 3-month period. This is provided via monthly counselling sessions, goal setting according to personally identified goals, weight monitoring and literature advising on low-cost lifestyle changes that can be adopted by the whole family and undertaken in the home environment. Funding was provided by the Medical Research Council. 1. Villamor, E & Cnattingius, S (2006) Interpregnancy weight change and risk of adverse pregnancy outcomes: a population-based study. Lancet 368, 1164–1170. 2. Galtier-Dereure, F, Boegner, C & Bringer, J (2000) Obesity and pregnancy: complications and cost. Am J Clin Nutr 71 1242S–1248S.",
    author = "Craigie, {A. M.} and Barbour, {R. S.} and Anderson, {A. S.} and {Weighwell Team}",
    year = "2010",
    doi = "10.1017/S0029665110002922",
    language = "English",
    volume = "69",
    journal = "Proceedings of the Nutrition Society",
    issn = "0029-6651",
    publisher = "Cambridge University Press",
    number = "OCE6",

    }

    How can we help women lose weight after child birth? Formative findings from the WeighWell weight management study. / Weighwell Team.

    In: Proceedings of the Nutrition Society, Vol. 69, No. OCE6, E429, 2010.

    Research output: Contribution to journalMeeting abstract

    TY - JOUR

    T1 - How can we help women lose weight after child birth? Formative findings from the WeighWell weight management study

    AU - Craigie, A. M.

    AU - Barbour, R. S.

    AU - Anderson, A. S.

    AU - Weighwell Team

    PY - 2010

    Y1 - 2010

    N2 - Pregnancy is a life stage where excess weight gain may occur and the post partum period is often characterised by weight retention, which often has negative implications for future health(1). For the overweight or obese mother, weight loss is desirable for her own well-being, to meet the physical demands of parenting, to reduce the risk of obesity-related complications in further pregnancies(2) and to promote future family health. The WeighWell study is a scoping and feasibility study which aims to develop and implement a weight loss intervention for post-partum women living in areas of social deprivation, prior to undertaking a randomised controlled trial (RCT). The results of the formative work used to inform the design of the feasibility study protocol are described here. Ten face-to-face interviews with key stakeholders working with the target group (midwives, health visitors and community support staff) were undertaken. The interviews explored diet and activity interventions, routes for communicating with the target group, and ways of obtaining optimal recruitment and retention rates. The interviews were complemented by five focus-group discussions with mothers >1 year post partum with a BMI over 25 kg/m2 and living in areas of deprivation in Tayside and Sheffield. Discussions explored barriers and facilitators to adopting healthy diet and activity practices, routes to lifestyle change, structured and unstructured approaches, recruitment avenues and preferences for the intervention design and delivery. The key findings from the formative work were: • The post-partum period is perceived as a challenging time for weight loss. Barriers include body weight being a low priority, healthy food and exercise being perceived as expensive, a lack of time, energy, self-confidence or motivation and post-partum mental health problems. • Motivators included the concept of ‘dropping a dress size’ as a goal, regular weight monitoring, personalisation and providing advice that could also benefit the baby and the rest of the family. • A range of opportunities for recruiting the target group were identified e.g. via community groups, midwives and health visitors. Face-to-face contact was considered the most desirable. • Suggested time for post-partum recruitment highlighted avoiding the initial 1–3 months and noting preferences and challenges for childcare (e.g. many women do not like using crèches). • Preferences for group v. individualised support varied. Home-based exercise received mixed views, but positive experiences of new technology (e.g. Nintendo Wii™) were reported.These findings have informed the design of the WeighWell feasibility study currently being undertaken in women between 6 and 18 months post partum in Tayside. The intervention incorporates personalised advice over a 3-month period. This is provided via monthly counselling sessions, goal setting according to personally identified goals, weight monitoring and literature advising on low-cost lifestyle changes that can be adopted by the whole family and undertaken in the home environment. Funding was provided by the Medical Research Council. 1. Villamor, E & Cnattingius, S (2006) Interpregnancy weight change and risk of adverse pregnancy outcomes: a population-based study. Lancet 368, 1164–1170. 2. Galtier-Dereure, F, Boegner, C & Bringer, J (2000) Obesity and pregnancy: complications and cost. Am J Clin Nutr 71 1242S–1248S.

    AB - Pregnancy is a life stage where excess weight gain may occur and the post partum period is often characterised by weight retention, which often has negative implications for future health(1). For the overweight or obese mother, weight loss is desirable for her own well-being, to meet the physical demands of parenting, to reduce the risk of obesity-related complications in further pregnancies(2) and to promote future family health. The WeighWell study is a scoping and feasibility study which aims to develop and implement a weight loss intervention for post-partum women living in areas of social deprivation, prior to undertaking a randomised controlled trial (RCT). The results of the formative work used to inform the design of the feasibility study protocol are described here. Ten face-to-face interviews with key stakeholders working with the target group (midwives, health visitors and community support staff) were undertaken. The interviews explored diet and activity interventions, routes for communicating with the target group, and ways of obtaining optimal recruitment and retention rates. The interviews were complemented by five focus-group discussions with mothers >1 year post partum with a BMI over 25 kg/m2 and living in areas of deprivation in Tayside and Sheffield. Discussions explored barriers and facilitators to adopting healthy diet and activity practices, routes to lifestyle change, structured and unstructured approaches, recruitment avenues and preferences for the intervention design and delivery. The key findings from the formative work were: • The post-partum period is perceived as a challenging time for weight loss. Barriers include body weight being a low priority, healthy food and exercise being perceived as expensive, a lack of time, energy, self-confidence or motivation and post-partum mental health problems. • Motivators included the concept of ‘dropping a dress size’ as a goal, regular weight monitoring, personalisation and providing advice that could also benefit the baby and the rest of the family. • A range of opportunities for recruiting the target group were identified e.g. via community groups, midwives and health visitors. Face-to-face contact was considered the most desirable. • Suggested time for post-partum recruitment highlighted avoiding the initial 1–3 months and noting preferences and challenges for childcare (e.g. many women do not like using crèches). • Preferences for group v. individualised support varied. Home-based exercise received mixed views, but positive experiences of new technology (e.g. Nintendo Wii™) were reported.These findings have informed the design of the WeighWell feasibility study currently being undertaken in women between 6 and 18 months post partum in Tayside. The intervention incorporates personalised advice over a 3-month period. This is provided via monthly counselling sessions, goal setting according to personally identified goals, weight monitoring and literature advising on low-cost lifestyle changes that can be adopted by the whole family and undertaken in the home environment. Funding was provided by the Medical Research Council. 1. Villamor, E & Cnattingius, S (2006) Interpregnancy weight change and risk of adverse pregnancy outcomes: a population-based study. Lancet 368, 1164–1170. 2. Galtier-Dereure, F, Boegner, C & Bringer, J (2000) Obesity and pregnancy: complications and cost. Am J Clin Nutr 71 1242S–1248S.

    U2 - 10.1017/S0029665110002922

    DO - 10.1017/S0029665110002922

    M3 - Meeting abstract

    VL - 69

    JO - Proceedings of the Nutrition Society

    JF - Proceedings of the Nutrition Society

    SN - 0029-6651

    IS - OCE6

    M1 - E429

    ER -