title: Acceptability of a Weight Management Intervention for Pregnant and Postpartum Women with BMI ≥30 kg/m2: A Qualitative Evaluation of an Individualized, Home-Based Service.
abstract: OBJECTIVE
  There have been recent calls for more evidence regarding effective antenatal and postnatal interventions to address the serious health risks of maternal obesity and associated childhood obesity. The Maternal and Early Years Healthy Weight Service (MAEYS) is an innovative service, delivered by specialist healthy weight advisors, for obese women (BMI ≥30 kg/m2) during pregnancy and up to 2 years after delivery. The service focuses on healthy gestational weight gain, postpartum weight loss and establishing healthy infant feeding and active play. MAEYS was adopted by six local health organizations in the U.K. as a 1 year pilot program. The aim of the present research was to assess the acceptability of this intervention among MAEYS participants.
  
  
  METHODS
  Semi-structured interviews with 20 women, with data analyzed thematically.
  
  
  RESULTS
  High levels of acceptability were reported. The convenience and comfort of home visits, personalized advice on diet and physical activity, supportive approach of the healthy weight advisor and regular weight monitoring were all cited as advantages of the service. Service users suggested that more frequent contact with advisors and practical support such as recipes would improve the service.
  
  
  CONCLUSIONS
  MAEYS is a novel, community-based intervention delivered in the home which has demonstrated acceptability to its recipients. It therefore shows promise as an early intervention to reduce the risks of maternal obesity and subsequently reduce childhood obesity. An evaluation of the efficacy of MAEYS in preventing excess gestational weight gain and losing weight postpartum is now needed.
authors.affiliation: Faculty of Health and Life Sciences, Coventry University, Priory Street, Coventry, CV1 5FB, UK. l.atkinson@coventry.ac.uk.
authors.forename: Lou
authors.initials: L
authors.lastname: Atkinson
authors.affiliation: Centre for Maternal and Child Health Research, School of Health Sciences, City University, Northampton Square, London, EC1V 0HB, UK.
authors.forename: Ellinor K
authors.initials: EK
authors.lastname: Olander
authors.affiliation: School of Psychological Sciences, University of Manchester, Oxford Road, Manchester, M13 9PL, UK.
authors.forename: David P
authors.initials: DP
authors.lastname: French
mesh_terms: D000328:Adult; D015992:Body Mass Index; D004032:Diet / Q000592:standards* / Q000706:statistics & numerical data; D005260:Female; D006699:Home Care Services / Q000592:standards*; D006801:Humans; D063766:Pediatric Obesity / Q000517:prevention & control; D011181:Postnatal Care / Q000379:methods*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000517:prevention & control; D011295:Prenatal Care / Q000379:methods*; D036301:Qualitative Research; D061217:Weight Reduction Programs / Q000592:standards*
keywords: Intervention; Obesity; Pregnancy; Qualitative; Service evaluation