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Challenges of Integrating an Evidence‐based Intervention in Health Departments to Prevent Excessive Gestational Weight Gain among Low‐income Women
Author(s) -
Yeo SeonAe,
SamuelHodge Carmen D.,
Smith Rachael,
Leeman Jennifer,
Ferraro Amanda M.,
AsafuAdjei Josephine K.
Publication year - 2016
Publication title -
public health nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.471
H-Index - 55
eISSN - 1525-1446
pISSN - 0737-1209
DOI - 10.1111/phn.12255
Subject(s) - intervention (counseling) , nursing , context (archaeology) , medicine , prenatal care , adaptation (eye) , psychology , family medicine , environmental health , population , paleontology , biology , neuroscience
Abstract Objective To examine health departments' ( HD ) capacity to adapt and implement an intervention to prevent excessive gestational weight gain. Design and Sample Seventy‐seven stakeholders (nurses, nutritionists, social workers, health educators, health directors, and multilingual service providers) in nine HD s participated. A descriptive mixed methods approach was used to collect data at workshops held onsite to introduce the evidence‐based intervention ( EBI ) and discuss its adaptation. Measures A survey was administered to assess the intervention's fit with the HD s context. Generalized logit mixed models were used to analyze the survey data. The discussions of adaptation were audiotaped and thematically analyzed to identify factors influencing implementation. Results The majority of stakeholders desired to participate in the training portion of the EBI , but they were reluctant to adopt it, and noted a lack of adequate resources. From the audiotaped narratives, three themes emerged: (1) Patient needs and resources, (2) Perception about adaptability of the EBI , and (3) The complexity of the EBI for pregnant populations. Conclusion Although the EBI was effective for low‐income nonpregnant populations in southeastern regions, pregnancy and complex antenatal services make this intervention unrealistic to be adapted as a part of prenatal care at HD s.