Reducing the Decline in Physical Activity during Pregnancy: A Systematic Review of Behaviour Change Interventions
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{"title"=>"Reducing the Decline in Physical Activity during Pregnancy: A Systematic Review of Behaviour Change Interventions", "type"=>"journal", "authors"=>[{"first_name"=>"Sinead", "last_name"=>"Currie", "scopus_author_id"=>"55769548000"}, {"first_name"=>"Marlene", "last_name"=>"Sinclair", "scopus_author_id"=>"7202410387"}, {"first_name"=>"Marie H.", "last_name"=>"Murphy", "scopus_author_id"=>"7403901000"}, {"first_name"=>"Elaine", "last_name"=>"Madden", "scopus_author_id"=>"55305569500"}, {"first_name"=>"Lynn", "last_name"=>"Dunwoody", "scopus_author_id"=>"6602299821"}, {"first_name"=>"Dianne", "last_name"=>"Liddle", "scopus_author_id"=>"8751834400"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"issn"=>"19326203", "scopus"=>"2-s2.0-84879168448", "pui"=>"369140316", "doi"=>"10.1371/journal.pone.0066385", "isbn"=>"1932-6203", "sgr"=>"84879168448", "pmid"=>"23799096"}, "id"=>"98e67346-9a60-34fd-928b-02e5e283e4b5", "abstract"=>"PURPOSE 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. SEARCH AND REVIEW METHODOLOGY 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. FINDINGS 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. CONCLUSIONS AND IMPLICATIONS 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.", "link"=>"http://www.mendeley.com/research/reducing-decline-physical-activity-during-pregnancy-systematic-review-behaviour-change-interventions-9", "reader_count"=>112, "reader_count_by_academic_status"=>{"Unspecified"=>2, "Professor > Associate Professor"=>1, "Librarian"=>1, "Researcher"=>8, "Student > Doctoral Student"=>11, "Student > Ph. D. Student"=>20, "Student > Postgraduate"=>6, "Student > Master"=>37, "Other"=>5, "Student > Bachelor"=>17, "Lecturer"=>2, "Professor"=>2}, "reader_count_by_user_role"=>{"Unspecified"=>2, "Professor > Associate Professor"=>1, "Librarian"=>1, "Researcher"=>8, "Student > Doctoral Student"=>11, "Student > Ph. D. Student"=>20, "Student > Postgraduate"=>6, "Student > Master"=>37, "Other"=>5, "Student > Bachelor"=>17, "Lecturer"=>2, "Professor"=>2}, "reader_count_by_subject_area"=>{"Unspecified"=>4, "Agricultural and Biological Sciences"=>8, "Arts and Humanities"=>1, "Business, Management and Accounting"=>2, "Chemical Engineering"=>1, "Computer Science"=>1, "Environmental Science"=>1, "Nursing and Health Professions"=>9, "Medicine and Dentistry"=>42, "Design"=>1, "Sports and Recreations"=>13, "Psychology"=>13, "Social Sciences"=>16}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>42}, "Social Sciences"=>{"Social Sciences"=>16}, "Sports and Recreations"=>{"Sports and Recreations"=>13}, "Psychology"=>{"Psychology"=>13}, "Unspecified"=>{"Unspecified"=>4}, "Environmental Science"=>{"Environmental Science"=>1}, "Chemical Engineering"=>{"Chemical Engineering"=>1}, "Arts and Humanities"=>{"Arts and Humanities"=>1}, "Design"=>{"Design"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>8}, "Computer Science"=>{"Computer Science"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>9}}, "reader_count_by_country"=>{"Canada"=>1, "United States"=>1, "Brazil"=>2}, "group_count"=>11}

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  • {"files"=>["https://ndownloader.figshare.com/files/1089348"], "description"=>"1<p>Adapted from GRADE <a href=\"http://www.plosone.org/article/info:doi/10.1371/journal.pone.0066385#pone.0066385-Oxman1\" target=\"_blank\">[40]</a>.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Non-clinical medicine", "Health care policy", "Health education and awareness", "Health services research", "Obstetrics and gynecology", "pregnancy", "Pregnancy complications", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "women's health", "psychology", "behavior"], "article_id"=>722003, "categories"=>["Medicine", "Sociology"], "users"=>["Sinead Currie", "Marlene Sinclair", "Marie H. Murphy", "Elaine Madden", "Lynn Dunwoody", "Dianne Liddle"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0066385.t001", "stats"=>{"downloads"=>0, "page_views"=>6, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Definitions_for_quality_assessment_1_external_validity_/722003", "title"=>"Definitions for quality assessment<sup>1</sup> (external validity).", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-14 00:33:23"}
  • {"files"=>["https://ndownloader.figshare.com/files/1089349"], "description"=>"<div><p>Purpose</p><p>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.</p><p>Search and Review Methodology</p><p>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.</p><p>Findings</p><p>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.</p><p>Conclusions and Implications</p><p>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.</p></div>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Non-clinical medicine", "Health care policy", "Health education and awareness", "Health services research", "Obstetrics and gynecology", "pregnancy", "Pregnancy complications", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "women's health", "psychology", "behavior", "systematic", "behaviour"], "article_id"=>722004, "categories"=>["Medicine", "Sociology"], "users"=>["Sinead Currie", "Marlene Sinclair", "Marie H. Murphy", "Elaine Madden", "Lynn Dunwoody", "Dianne Liddle"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0066385", "stats"=>{"downloads"=>5, "page_views"=>12, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Reducing_the_Decline_in_Physical_Activity_during_Pregnancy_A_Systematic_Review_of_Behaviour_Change_Interventions_/722004", "title"=>"Reducing the Decline in Physical Activity during Pregnancy: A Systematic Review of Behaviour Change Interventions", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-14 00:33:24"}
  • {"files"=>["https://ndownloader.figshare.com/files/1089341"], "description"=>"<p>The PRISMA flow diagram depicts the flow of information throughout the different phases of this systematic review. It includes the number of records identified, included and excluded and the reasons for exclusions.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Non-clinical medicine", "Health care policy", "Health education and awareness", "Health services research", "Obstetrics and gynecology", "pregnancy", "Pregnancy complications", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "women's health", "psychology", "behavior", "diagram", "interventions"], "article_id"=>721996, "categories"=>["Medicine", "Sociology"], "users"=>["Sinead Currie", "Marlene Sinclair", "Marie H. Murphy", "Elaine Madden", "Lynn Dunwoody", "Dianne Liddle"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0066385.g001", "stats"=>{"downloads"=>1, "page_views"=>28, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_PRISMA_flow_diagram_of_literature_search_for_physical_activity_interventions_in_pregnancy_/721996", "title"=>"PRISMA flow diagram of literature search for physical activity interventions in pregnancy.", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-06-14 00:33:16"}
  • {"files"=>["https://ndownloader.figshare.com/files/1089343"], "description"=>"<p>The pie chart depicts the number of studies which employ specific BCT combinations.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Non-clinical medicine", "Health care policy", "Health education and awareness", "Health services research", "Obstetrics and gynecology", "pregnancy", "Pregnancy complications", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "women's health", "psychology", "behavior", "bct", "combinations", "interventions"], "article_id"=>721998, "categories"=>["Medicine", "Sociology"], "users"=>["Sinead Currie", "Marlene Sinclair", "Marie H. Murphy", "Elaine Madden", "Lynn Dunwoody", "Dianne Liddle"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0066385.g002", "stats"=>{"downloads"=>1, "page_views"=>18, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Breakdown_of_BCT_combinations_in_physical_activity_interventions_n_8202_8202_14_/721998", "title"=>"Breakdown of BCT combinations in physical activity interventions (n = 14).", "pos_in_sequence"=>0, "defined_type"=>1, "published_date"=>"2013-06-14 00:33:18"}
  • {"files"=>["https://ndownloader.figshare.com/files/1089344"], "description"=>"<p>Risk of Bias assessment within studies.</p>", "links"=>[], "tags"=>["Clinical research design", "meta-analyses", "Systematic reviews", "Non-clinical medicine", "Health care policy", "Health education and awareness", "Health services research", "Obstetrics and gynecology", "pregnancy", "Pregnancy complications", "Public health", "Behavioral and social aspects of health", "Sports and exercise medicine", "women's health", "psychology", "behavior"], "article_id"=>721999, "categories"=>["Medicine", "Sociology"], "users"=>["Sinead Currie", "Marlene Sinclair", "Marie H. Murphy", "Elaine Madden", "Lynn Dunwoody", "Dianne Liddle"], "doi"=>"https://dx.doi.org/10.1371/journal.pone.0066385.t004", "stats"=>{"downloads"=>0, "page_views"=>4, "likes"=>0}, "figshare_url"=>"https://figshare.com/articles/_Risk_of_Bias_assessment_within_studies_/721999", "title"=>"Risk of Bias assessment within studies.", "pos_in_sequence"=>0, "defined_type"=>3, "published_date"=>"2013-06-14 00:33:19"}

PMC Usage Stats | Further Information

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Relative Metric

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