PMID- 37920876
OWN - NLM
STAT- Publisher
LR  - 20231220
IS  - 1369-7625 (Electronic)
IS  - 1369-6513 (Print)
IS  - 1369-6513 (Linking)
VI  - 27
IP  - 1
DP  - 2023 Nov 3
TI  - Co-designing a community lifestyle intervention program to reduce postpartum 
      weight retention.
LID - 10.1111/hex.13905 [doi]
LID - e13905
AB  - BACKGROUND: Postpartum weight retention is a major contributor to obesity in 
      later life resulting in long-term health consequences in women. Postpartum 
      lifestyle interventions are known to be effective in reducing postpartum weight 
      retention and improving the overall health and wellbeing of mothers but have poor 
      reach and engagement. This study describes the engagement of mothers with young 
      children in the development of a theory- and evidence-based intervention to 
      reduce postpartum weight retention. METHODS: A participatory design methodology 
      with input from a community mothers' group, literature reviews and an expert 
      advisory group was applied. Mothers who were members of 'Mothers of Preschoolers' 
      (MOPS) were invited to participate in a focus group discussion and two co-design 
      workshop sessions. RESULTS: Thirteen women participated in a focus group 
      discussion and 12 women in each co-design workshop. We found that mothers valued 
      having social support from their peers, practical support such as meal delivery, 
      and learning opportunities that focus on the mother's health and wellbeing. The 
      advisory group suggested leveraging the unique skills and prior experiences of 
      mothers within the group and developing a curriculum that mothers can be trained 
      to deliver. CONCLUSION: A program that emphasizes the strengths and value of 
      mothers can increase their self-worth and self-confidence resulting in intrinsic 
      motivation to improve lifestyle behaviours. An intervention designed to be 
      implemented by MOPS for its members and incorporated into their regular sessions 
      has the potential for feasibility and acceptability among mothers with young 
      children. PATIENT OR PUBLIC CONTRIBUTION: Mothers with young children were part 
      of the program planners and were involved in the design and conduct of this study 
      and in the interpretation of the findings. A member of a community mothers' group 
      recruited other mothers with young children within the group to participate in a 
      series of sessions to discuss their experiences of the postpartum period and 
      preferences for a lifestyle program. The mothers identified the behavioural 
      outcomes and program goals for a postpartum lifestyle program and then generated 
      the program ideas based on these.
CI  - (c) 2023 The Authors. Health Expectations published by John Wiley & Sons Ltd.
FAU - Makama, Maureen
AU  - Makama M
AUID- ORCID: 0000-0002-4164-3702
AD  - Monash Centre for Health Research and Implementation, Monash University, Clayton, 
      Victoria, Australia.
FAU - Skouteris, Helen
AU  - Skouteris H
AUID- ORCID: 0000-0001-9959-5750
AD  - Health and Social Care Unit, School of Public Health and Preventive Medicine, 
      Monash University, Melbourne, Victoria, Australia.
AD  - Warwick Business School, Warwick University, Coventry, UK.
FAU - Moran, Lisa J
AU  - Moran LJ
AUID- ORCID: 0000-0001-5772-6484
AD  - Monash Centre for Health Research and Implementation, Monash University, Clayton, 
      Victoria, Australia.
FAU - Hill, Briony
AU  - Hill B
AUID- ORCID: 0000-0003-4993-3963
AD  - Health and Social Care Unit, School of Public Health and Preventive Medicine, 
      Monash University, Melbourne, Victoria, Australia.
FAU - Redman, Leanne M
AU  - Redman LM
AUID- ORCID: 0000-0002-7267-7374
AD  - Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, 
      Louisiana, USA.
FAU - Lim, Siew
AU  - Lim S
AUID- ORCID: 0000-0002-5333-6451
AD  - Health Systems and Equity, Eastern Health Clinical School, Monash University, Box 
      Hill, Victoria, Australia.
LA  - eng
GR  - R01 DK124806/DK/NIDDK NIH HHS/United States
GR  - R01NR017644/NH/NIH HHS/United States
GR  - 101169/WT_/Wellcome Trust/United Kingdom
GR  - R01DK124806/NH/NIH HHS/United States
GR  - R01 NR017644/NR/NINR NIH HHS/United States
PT  - Journal Article
DEP - 20231103
PL  - England
TA  - Health Expect
JT  - Health expectations : an international journal of public participation in health 
      care and health policy
JID - 9815926
SB  - IM
PMC - PMC10726270
OTO - NOTNLM
OT  - community
OT  - mothers' groups
OT  - participatory design methodology
OT  - postpartum lifestyle intervention
OT  - program components
COIS- The authors declare no conflict of interest.
EDAT- 2023/11/03 06:43
MHDA- 2023/11/03 06:43
PMCR- 2023/11/03
CRDT- 2023/11/03 04:08
PHST- 2023/09/12 00:00 [revised]
PHST- 2023/06/24 00:00 [received]
PHST- 2023/10/22 00:00 [accepted]
PHST- 2023/11/03 06:43 [medline]
PHST- 2023/11/03 06:43 [pubmed]
PHST- 2023/11/03 04:08 [entrez]
PHST- 2023/11/03 00:00 [pmc-release]
AID - HEX13905 [pii]
AID - 10.1111/hex.13905 [doi]
PST - aheadofprint
SO  - Health Expect. 2023 Nov 3;27(1):e13905. doi: 10.1111/hex.13905.