title: Evaluation of 'Just4Mums' - A community based healthy eating and physical activity course for obese pregnant women.
abstract: Current NICE guidelines state that women in England need to be supported regarding eating healthily and being physically active during pregnancy. In response to these guidelines, the Just4Mums service was developed - a free six week community-based course for obese (BMI⩾30) pregnant women. The service encouraged a healthy weight gain in pregnancy through the provision of information on healthy eating and opportunities to be physically active. The aim of this evaluation was to provide preliminary evidence on efficacy.
  
  
  METHODS
  Participants' were assessed at the beginning and end of the course, in terms of healthy eating and physical activity (PA) behaviour, mental well-being, and mediating variables (i.e. intentions, self-efficacy and attitudes towards healthy eating and PA).
  
  
  RESULTS
  Thirty-four out of 60 women (57%) women completed the course. There were few differences between those women who completed and did not complete the course. After attending the service, the intention-to-treat analysis showed an improvement in healthy eating (higher intake of fruit and vegetables, lower intake of fast food), no change in PA, reduction in sedentary behaviour and an improvement in mental well-being. Participants also increased their attitude, intention and self-efficacy towards engaging in PA and intention to eat fruit and vegetables.
  
  
  CONCLUSIONS
  These findings suggest that women who completed the Just4Mums service improved their health behaviours. More research is needed to identify why so many women dropped out of the service.
authors.affiliation: City University London, United Kingdom.
authors.forename: Ellinor K
authors.initials: EK
authors.lastname: Olander
authors.affiliation: City University London, United Kingdom.
authors.forename: Lou
authors.initials: L
authors.lastname: Atkinson
authors.affiliation: City University London, United Kingdom.
authors.forename: David P
authors.initials: DP
authors.lastname: French