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Title: Developing a lifestyle intervention program for overweight or obese preconception, pregnant and postpartum women using qualitative methods
Authors: Ku, Chee Wai
Leow, Shu Hui
Ong, Lay See
Erwin, Christina
Ong, Isabella
Ng, Xiang Wen
Tan, Jacinth J. X.
Yap, Fabian
Chan, Jerry Kok Yen
Loy, See Ling
Keywords: Science::Medicine
Issue Date: 2022
Source: Ku, C. W., Leow, S. H., Ong, L. S., Erwin, C., Ong, I., Ng, X. W., Tan, J. J. X., Yap, F., Chan, J. K. Y. & Loy, S. L. (2022). Developing a lifestyle intervention program for overweight or obese preconception, pregnant and postpartum women using qualitative methods. Scientific Reports, 12(1), 2511-.
Project: NMRC/CG/ M003/2017
Journal: Scientific Reports
Abstract: The time period before, during and after pregnancy represents a unique opportunity for interventions to cultivate sustained healthy lifestyle behaviors to improve the metabolic health of mothers and their offspring. However, the success of a lifestyle intervention is dependent on uptake and continued compliance. To identify enablers and barriers towards engagement with a lifestyle intervention, thematic analysis of 15 in-depth interviews with overweight or obese women in the preconception, pregnancy or postpartum periods was undertaken, using the integrated-Promoting Action on Research Implementation in Health Services framework as a guide to systematically chart factors influencing adoption of a novel lifestyle intervention. Barrier factors include time constraints, poor baseline knowledge, family culture, food accessibility, and lack of relevant data sources. Enabling factors were motivation to be healthy for themselves and their offspring, family and social support, a holistic delivery platform providing desired information delivered at appropriate times, regular feedback, goal setting, and nudges. From the findings of this study, we propose components of an idealized lifestyle intervention including (i) taking a holistic life-course approach to education, (ii) using mobile health platforms to reduce barriers, provide personalized feedback and promote goal-setting, and (iii) health nudges to cultivate sustained lifestyle habits.
ISSN: 2045-2322
DOI: 10.1038/s41598-022-06564-2
Schools: Lee Kong Chian School of Medicine (LKCMedicine) 
Organisations: Yong Loo Lin School of Medicine, NUS
KK Women’s and Children’s Hospital
Rights: © The Author(s) 2022. Open Access. This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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