The influence of intervention co-design strategies on weight management and health in overweight and obese postpartum women

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Hanley, S.J. ORCID: 0000-0002-5260-4450, 2021. The influence of intervention co-design strategies on weight management and health in overweight and obese postpartum women. PhD, Nottingham Trent University.

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Abstract

Postpartum women experience an array of barriers to physical activity and healthy eating during and following pregnancy. These barriers undoubtedly influence women’s ability to engage in a healthy postpartum lifestyle. It is not known, however, if (i) overweight and obese women experience the same barriers to physical activity and diet as normal weight women and (ii) if involving women in the co-design of lifestyle interventions encourages successful outcomes. Therefore, the aim of this thesis was to understand the perceived barriers to healthy eating and physical activity during and following pregnancy, with the aim of co-creating a lifestyle intervention with postpartum women to minimise these perceived barriers and encourage weight management and health in overweight and obese women following childbirth. Chapter 3 highlights that, through the use of semi-structured interviews, overweight and obese women experience many barriers when attempting to engage in physical activity and eat healthily during and following pregnancy. The delivery of Patient and Public Involvement work in Chapter 4 allowed postpartum women to provide their thoughts and opinions on the design and delivery of a dietary and physical activity intervention, whilst considering the barriers highlighted by women in Chapter 3. Chapter 5 demonstrated that co-designed dietary and physical activity interventions were effective in encouraging postpartum weight loss, improvements in physical activity and eating behaviours in overweight and obese women. Women in the diet and exercise groups experienced a 5.83 ± 3.41kg (7.54 ± 4.84%) and 3.98 ± 2.98kg (5.17 ± 3.76%) weight loss, from baseline to follow-up. This study was the first to offer postpartum women the choice of engaging in a diet or physical activity intervention and demonstrated the importance of involving women in the co-design of lifestyle programs in encouraging successful post-intervention outcomes. In behaviour change settings, postpartum women should be provided with individualised support and autonomy over lifestyle choices and given the opportunity to offer their inputs into the delivery of lifestyle support programs following childbirth.

Item Type:	Thesis
Creators:	Hanley, S.J.
Date:	February 2021
Rights:	This work is the intellectual property of the author, and may also be owned by the research sponsor(s) and/or Nottingham Trent University. You may copy up to 5% of this work for private study, or personal, non-commercial research. Any re-use of the information contained within this document should be fully references, quoting the author, title, university, degree level and pagination. Queries or requests for any other use, or if a more substantial copy is required, should be directed in the first instance to the author.
Divisions:	Schools > School of Science and Technology
Record created by:	Jeremy Silvester
Date Added:	29 Jul 2021 15:58
Last Modified:	29 Jul 2021 15:58
URI:	https://irep.ntu.ac.uk/id/eprint/43663