Document Detail


The effects of a woman-focused, woman-held resource on preventive health behaviors during pregnancy: the pregnancy pocketbook.
MedLine Citation:
PMID:  20711948     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We evaluated the effectiveness of a woman-held pregnancy record ('The Pregnancy Pocketbook') on improving health behaviors important for maternal and infant health. The Pregnancy Pocketbook was developed as a woman-focused preventive approach to pregnancy health based on antenatal management guidelines, behavior-change evidence, and formative research with the target population and health service providers. The Pregnancy Pocketbook was evaluated using a quasi-experimental, two-group design; one clinic cohort received the Pregnancy Pocketbook (n = 163); the other received Usual Care (n = 141). Smoking, fruit and vegetable intake, and physical activity were assessed at baseline (service-entry) and 12-weeks. Approximately two-thirds of women in the Pregnancy Pocketbook clinic recalled receiving the resource. A small, but significantly greater proportion of women at the Pregnancy Pocketbook site (7.6%) than the UC site (2.1%) quit smoking. No significant effect was observed of the Pregnancy Pocketbook on fruit and vegetable intake or physical activity. Few women completed sections that required health professional assistance. The Pregnancy Pocketbook produced small, but significant effects on smoking cessation, despite findings that indicate minimal interaction about the resource between health staff and the women in their care. A refocus of antenatal care toward primary prevention is required to provide essential health information and behavior change tools more consistently for improved maternal and infant health outcomes.
Authors:
Shelley A Wilkinson; Yvette D Miller; Bernadette Watson
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Publication Detail:
Type:  Evaluation Studies; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Women & health     Volume:  50     ISSN:  1541-0331     ISO Abbreviation:  Women Health     Publication Date:  2010 Jun 
Date Detail:
Created Date:  2010-08-16     Completed Date:  2010-10-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7608076     Medline TA:  Women Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  342-58     Citation Subset:  IM    
Affiliation:
Mater Mothers' Hospital, Brisbane, and Research Centre for Clinical and Community Practice Innovation, Griffith University, Brisbane, Queensland, Australia. shelley.wilkinson@mater.org.au
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Diet
Exercise
Female
Health Behavior*
Health Education / methods*
Humans
Pamphlets*
Patient Compliance
Pregnancy
Prenatal Care*
Smoking / epidemiology
Smoking Cessation
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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