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首页> 外文期刊>BMC Pregnancy and Childbirth >Knowledge translation tool to improve pregnant women’s awareness of gestational weight gain goals and risks of gaining outside recommendations: a non-randomized intervention study
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Knowledge translation tool to improve pregnant women’s awareness of gestational weight gain goals and risks of gaining outside recommendations: a non-randomized intervention study

机译：一项知识翻译工具，可提高孕妇对妊娠体重增加目标的认识以及获得外界建议的风险：一项非随机干预研究

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Background There is an urgent need to prevent excessive pregnancy weight gain, a contributor to both maternal and child obesity. However, the majority of women had reported not being counseled to gain an appropriate amount of gestational weight by their health care providers. We developed a knowledge translation (KT) tool designed to facilitate the clinical interaction between pregnant women and their health care providers (HCPs). We piloted the tool on the impact on women’s knowledge of gestational weight gain (GWG) goals, and evaluated its potential in promoting appropriate knowledge about GWG within the 2009 Institute of Medicine guidelines. Methods We conducted a prospective cohort study, comparing women’s knowledge about GWG after the KT tool to women from the same clinics and care providers the year prior. Our primary outcome was the proportion of women who reported receiving an appropriate GWG recommendation from their care provider. We evaluated knowledge on a survey conducted at enrollment in the cohort at?≤?20?weeks gestation and evaluated participant satisfaction with the KT tool in the third trimester. We performed univariate and multivariable logistic regression analyses for differences in outcomes with historical controls from the same clinics. Our a priori sample size calculation required 130 participants to demonstrate a 15% increase in reported counseling about gestational weight gain. Results One hundred and forty-six women were recruited and 131 (90%) completed the enrollment survey. Women who received the KT tool were more likely to report receiving a specific GWG recommendation from their HCP (adjusted odds ratio [AOR] 3.45, 95% confidence interval [CI] 2.22-5.37) and discussing GWG topics with their HCP (AOR 7.96, 95% CI 4.41-14.37), and believing that there were risks to their infants with inadequate GWG (AOR 2.48, 95% CI 1.14-5.37). Half of women (49.5%) indicated that they would recommend the tool to a friend. Conclusions Women who received the KT tool reported receiving more counseling on GWG from their HCPs and were more aware of the risks of gaining outside appropriate GWG recommendations. The association between GWG education and GWG requires further research.
机译：背景技术迫切需要防止过多的孕妇体重增加，这是造成孕产妇和儿童肥胖的原因。但是，据报告，大多数妇女没有得到保健人员的劝告以增加适当的妊娠体重。我们开发了一种知识翻译（KT）工具，旨在促进孕妇与其医疗保健提供者之间的临床互动。我们试用了该工具，以期对妇女的妊娠体重增加（GWG）目标知识产生影响，并评估了其在2009年美国医学研究所指南中推广有关GWG知识的潜力。方法我们进行了一项前瞻性队列研究，将女性在使用KT工具后对GWG的知识与一年前来自相同诊所和护理提供者的女性进行了比较。我们的主要结局是报告从其护理提供者处收到适当的GWG建议的妇女比例。我们在入组队列≤20周时进行的一项调查中评估了知识，并在孕晚期评估了参与者对KT工具的满意度。我们使用来自同一诊所的历史对照对结果的差异进行了单变量和多变量逻辑回归分析。我们的先验样本量计算要求130名参与者证明所报告的关于妊娠体重增加的咨询增加15％。结果招募了146名女性，完成调查的131名（占90％）。接受了KT工具的女性更有可能报告从其HCP获得了特定的GWG建议（调整后的优势比[AOR] 3.45、95％置信区间[CI] 2.22-5.37），并与其HCP讨论了GWG主题（AOR 7.96， 95％CI 4.41-14.37），并认为其婴儿的GWG不足存在风险（AOR 2.48，95％CI 1.14-5.37）。一半的女性（49.5％）表示会推荐该工具给朋友。结论接受了KT工具的女性报告说，他们的HCP接受了更多关于GWG的咨询，并且更加意识到获得适当的GWG建议之外的风险。 GWG教育与GWG之间的关联需要进一步研究。

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