scholarly journals Exploring the Perceived Barriers to Following a Mediterranean Style Diet in Childbearing Age: A Qualitative Study

Nutrients ◽  
2018 ◽  
Vol 10 (11) ◽  
pp. 1694 ◽  
Author(s):  
Harriet Kretowicz ◽  
Vanora Hundley ◽  
Fotini Tsofliou
Keyword(s):  
Qualitative Study ◽  
Focus Groups ◽  
Mediterranean Diet ◽  
Maternal Obesity ◽  
Information Source ◽  
Perceived Barriers ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Nulliparous Women ◽  
Practical Factors

A considerable amount of research has focused on interventions in pregnancy to promote health in current and future generations. This has yielded inconsistent results and focus has turned towards improving health in the preconception period. Promotion of healthy dietary patterns similar to a Mediterranean diet in the preconception years has been suggested as a dietary strategy to prevent maternal obesity and optimize offspring health. However, it is uncertain whether adoption is acceptable in women of childbearing age. This qualitative study aims to investigate the perceived barriers to following a Mediterranean diet in women of childbearing age. Semi-structured focus groups were used to generate deep insights to be used to guide the development of a future intervention. Nulliparous women aged between 20 and 47 years were recruited (n = 20). Six focus groups were digitally audio recorded and transcribed verbatim by the researcher. Thematic analysis was used to analyze data, which occurred in parallel with data collection to ascertain when data saturation was reached. Five core themes were identified: Mediterranean diet features, perceived benefits, existing dietary behavior and knowledge, practical factors, and information source. The present study highlights that a Mediterranean diet is acceptable to childbearing-aged women, and the insights generated will be helpful in developing an intervention to promote Mediterranean diet adoption.

scholarly journals Exploring the impact of a community participatory intervention on women's capability: a qualitative study in Gulu Northern Uganda

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Loubna Belaid ◽  
Emmanuel Ochola ◽  
Pontius Bayo ◽  
George William Alii ◽  
Martin Ogwang ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Social Status ◽  
Northern Uganda ◽  
Gender Inequalities ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Healthy Behaviors ◽  
Individual Interviews ◽  
Self Confidence ◽  
The Impact

Abstract Background Community participatory interventions mobilizing women of childbearing age are an effective strategy to promote maternal and child health. In 2017, we implemented this strategy in Gulu Northern Uganda. This study explored the perceived impact of this approach on women's capability. Methods We conducted a qualitative study based on three data collection methods: 14 in-depth individual interviews with participating women of childbearing age, five focus group discussions with female facilitators, and document analysis. We used the Sen capability approach as a conceptual framework and undertook a thematic analysis. Results Women adopted safe and healthy behaviors for themselves and their children. They were also able to respond to some of their family's financial needs. They reported a reduction in domestic violence and in mistreatment towards their children. The facilitators perceived improved communication skills, networking, self-confidence, and an increase in their social status. Nevertheless, the women still faced unfreedoms that deprived them of living the life they wanted to lead. These unfreedoms are related to their lack of access to economic opportunities and socio-cultural norms underlying gender inequalities. Conclusion To expand women's freedoms, we need more collective political actions to tackle gender inequalities and need to question the values underlying women's social status.

scholarly journals Factors Influencing Smoking Cessation Counselling: A Qualitative Study of Medical Residents

2013 ◽  
Vol 10 (1) ◽  
pp. 29-34 ◽  
Author(s):  
Stasi Lubansky ◽  
Corrine Y. Jurgens ◽  
Carla Boutin-Foster
Keyword(s):  
Smoking Cessation ◽  
Qualitative Study ◽  
Focus Groups ◽  
Qualitative Interviews ◽  
Perceived Barriers ◽  
Medical Residents ◽  
Practical Skills ◽  
Smoking Cessation Counselling ◽  
Continuous Care ◽  
Factors Influencing

Introduction: Physicians in training must be able to counsel their patients on smoking cessation, however, little is known about the barriers that they face to counselling their patients.Aims: The study sought to identify barriers to smoking cessation counselling specific to physicians in training.Methods: Qualitative interviews in the form of focus groups were conducted with 30 medical residents. Focus groups were audio taped, transcribed verbatim and coded by two independent reviewers. Similar codes were grouped to form categories and then aggregated to form themes.Results: Seven themes emerged describing resident barriers to provision of smoking cessation counselling : (1) Lack of self-efficacy for providing counselling; (2) their perception that patients are not willing to change; (3) a lack of available resources/information for providers and patients; (4) differences in supervising physician's recommendations; (5) perceived lack of time; (6) a perception of lack of continuous care; and (7) a lack of practical skills in counselling.Conclusions: This study highlighted residents’ perceived barriers to providing smoking cessation counselling. These barriers are similar to those encountered by other providers. Additional barriers specific to residency exist and more training is necessary.Practice Implications: The barriers that physicians encounter to smoking cessation counselling must be addressed early on in residency training.

scholarly journals Women’s experiences of ceasing to breastfeed: Australian qualitative study

BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e026234 ◽  
Author(s):  
Jennifer Elizabeth Ayton ◽  
Leigh Tesch ◽  
Emily Hansen
Keyword(s):  
Qualitative Study ◽  
Focus Groups ◽  
Exclusive Breastfeeding ◽  
Physical Capital ◽  
Well Being ◽  
Childbearing Age ◽  
Formula Milk ◽  
Multiple Issues ◽  
Study Questionnaire ◽  
Milk Feeding

ObjectiveTo investigate mothers’ infant feeding experiences (breastfeeding/formula milk feeding) with the aim of understanding how women experience cessation of exclusive breastfeeding.DesignMultimethod, qualitative study; questionnaire, focus groups and interviews.SettingNorthern and Southern Tasmania, Australia.Participants127 mothers of childbearing age from a broad sociodemographic context completed a questionnaire and participated in 22 focus groups or 19 interviews across Tasmania, 2011–2013.ResultsMothers view breastfeeding as ‘natural’ and ‘best’ and formula milk as ‘wrong’ and ‘unnatural’. In an effort to avoid formula and prolong exclusive breastfeeding, mothers will endure multiple issues (eg, pain, low milk supply, mastitis, public shaming) and make use of various forms of social and physical capital; resources such as father/partner support, expressing breast milk, bottles and dummies. The cessation of exclusive breastfeeding was frequently experienced as unexpected and ‘devastating’, leaving mothers with ‘breastfeeding grief’ (a prolonged sense of loss and failure).Conclusions and implicationsFor many mothers, the cessation of exclusive breastfeeding results in lingering feelings of grief and failure making it harmful to women’s emotional well-being. Reframing breastfeeding as a family practice where fathers/partners are incorporated as breastfeeding partners has the potential to help women negotiate and prolong breastfeeding. Proactive counselling and debriefing are needed to assist women who are managing feelings of ‘breastfeeding grief’.

scholarly journals Thoughts and Considerations of Women With Bipolar Disorder About Family Planning and Pregnancy: A Qualitative Study

2017 ◽  
Vol 24 (2) ◽  
pp. 118-126 ◽  
Author(s):  
Anja Wilhelmina Margaretha Maria Stevens ◽  
Thea Henrica Daggenvoorde ◽  
Samuel Martinus Dianshah van der Klis ◽  
Ralph Werner Kupka ◽  
Peter Jan Joseph Goossens
Keyword(s):  
Bipolar Disorder ◽  
Content Analysis ◽  
Family Planning ◽  
Qualitative Study ◽  
Specific Information ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Increased Risk ◽  
Planning Objective ◽  
Risk Of Relapse

BACKGROUND: Women with bipolar disorder have an increased risk of relapse during pregnancy and the postpartum period, and they often express broad concerns about family planning. OBJECTIVE: To explore the thoughts and considerations of women of childbearing age with bipolar disorder, about family planning and pregnancy. DESIGN: A qualitative study was conducted: 15 women with bipolar I disorder were individually interviewed. Content analysis was applied. RESULTS: Women worried about heritability of bipolar disorder, medication issues, and risk of relapse during pregnancy. They mentioned their fear to be incompetent as a mother during future mood episodes. Support of partner, family/friends, and professionals was mentioned as essential. CONCLUSIONS: Family planning is an essential topic in the treatment of every woman with bipolar disorder of childbearing age. These women expect early consultation with professionals for support, and specific information about heritability of the illness and use of medication during and after pregnancy.

The Correlation Analysis of Perceived Usefulness, Barriers, and Self Efficacy with the Selection of Tubectomy in Married Women of Childbearing Age

2020 ◽  
Vol 17 (7) ◽  
pp. 2999-3004
Author(s):  
Nur Alfi Hidayati ◽  
Ni Ketut Alit Armini ◽  
Tiyas Kusumaningrum
Keyword(s):  
Logistic Regression ◽  
Contraceptive Method ◽  
Self Efficacy ◽  
Married Women ◽  
Perceived Usefulness ◽  
Perceived Barriers ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
Independent Variables ◽  
Selection Of

Tubectomy is the most effective surgical contraception method to prevent pregnancy. Although tubectomy provides high effectiveness, the number of users of this contraceptive method tends to be still very few compared to the other contraceptives. Perceived usefulness, barriers, and self-efficacy are considered potential to affect one’s behavior, including married women of childbearing age when making decisions or finding reasons for the use of tubectomy. This study aims to identify the reasons why a married woman of childbearing age chooses tubectomy. This study employed a cross-sectional approach consisting of the dependent variable (selection of tubectomy in married women of childbearing age) and independent variables (perceived usefulness, barriers, and self-efficacy). The population was all married women of childbearing age who were new contraceptive acceptors in Dander Sub-district, Bojonegoro Regency, East Java, Indonesia in 2015. The sample s were taken using a purposive sampling type of non-probability sampling technique. The data were obtained using questionnaires and were analyzed using logistic regression with a significance level (p) of ≤ 0.05. The total respondents in this study were 92 people. The dominant age range was 36-49 years (53.3%). The major religious group was Islam (97.8%). The logistic regression indicated the level of significance in perceived usefulness (p = 0.018), but the scale was not significant between perceived barriers (p = 0.518) and self-efficacy (p = 0.707) with the selection of tubectomy. The factors related to the selection of tubectomy identified that the item in the independent variables (perceived usefulness, perceived barriers, and self-efficacy) that had a high probability was perceived usefulness. The greater the perceived usefulness was, the greater the behavior in choosing the contraceptive method. Perceived usefulness, barriers, and self-efficacy do not affect the decision making or reasons of why married women of childbearing age choose tubectomy.

scholarly journals Low Adherence to Mediterranean Diet in Portugal: Pregnant Women Nutrition in Portugal and its Repercussions

2016 ◽  
Vol 29 (10) ◽  
pp. 658 ◽  
Author(s):  
Luis Pereira-da-Silva ◽  
Elisabete Pinto
Keyword(s):  
Nutritional Status ◽  
Pregnant Women ◽  
Mediterranean Diet ◽  
Dietary Habits ◽  
Food Groups ◽  
Women Of Childbearing Age ◽  
Childbearing Age ◽  
The Mediterranean ◽  
National Studies ◽  
Status Of Women

Introduction: Portuguese population is drifting away from the Mediterranean diet-like pattern. In this context, the current nutritionalstatus of women of childbearing age and of pregnant Portuguese women and their growing fetuses is critically reviewed.Material and Methods: A narrative critical review was performed on recent published high quality studies assessing diet and nutritional status of women of childbearing age and pregnant women and its influence on the nutritional status of their offspring.Results: Data from five multinational ecological studies that included Portugal, two national official surveys on food availability, seven national studies on the diet and nutritional status of women of childbearing age and pregnant women, and five national studies on the effect of nutritional maternal factors on their growing fetuses were selected and analyzed. The prevalence of overweight/obesity has dramatically increased in Portuguese women of childbearing age and pregnant women, associated with the described trend of low adherence to Mediterranean diet. Variations in energy and macronutrients intakes during pregnancy seem to have no significantly impact on the nutritional status of growing fetuses. On contrary, pre-pregnancy overweight/obesity has been associated with increased offspring adiposity at birth, and an excessive gestational weight gain may be associated with offspring’s overweight status in childhood. Factors potentially contributing to low adherence to the Mediterranean diet, deserving further investigation, include European Union agriculture policies that have implemented the production of non-Mediterranean food groups at low cost, and insufficient financial capacity to afford foods of quality reported by Portuguese population.Conclusion: Retrieving traditional Mediterranean dietary habits should be incorporated into strategies for prevention and treatment ofoverweight/obesity in Portugal, especially in women of childbearing age.

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