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A systematic review investigating healthy lifestyle interventions incorporating goal-setting strategies for preventing excess gestational weight gain

Biomedical Sciences Research Institute Computer Science Research Institute Environmental Sciences Research Institute Nanotechnology & Advanced Materials Research Institute

Brown, Mary Jane, Sinclair, M., Liddle, SD and Hill, Alyson (2012) A systematic review investigating healthy lifestyle interventions incorporating goal-setting strategies for preventing excess gestational weight gain. PLOS ONE8 pp [Internet publication]

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URL: http://dx.plos.org/10.1371/journal.pone.0039503

Abstract

ABSTRACTBackground: Excess gestational weight gain (GWG) is an important risk factor for long term obesity in women. However, current interventions aimed at preventing excess GWG appear to have a limited effect. Several studies have highlighted the importance of linking theory with empirical evidence for producing effective interventions for behaviour change. Theorists have demonstrated that goals can be an important source of human motivation and goal setting has shown promise in promoting diet and physical activity behaviour change within non-pregnant individuals. The use of goal setting as a behaviour change strategy has been systematically evaluated within overweight and obese individuals, yet its use within pregnancy has not yet been systematically explored.Aim of review: To explore the use of goal setting within healthy lifestyle interventions for the prevention of excess GWG. Data collection and analysis: Literature searches were conducted in seven databases supplemented by hand searching of relevant journals and citation tracking. Studies were included if they reported interventions using goal setting (either explicitly or non-explicitly) alongside modification to diet and/ or physical activity levels with an aim to prevent excess GWG. The PRISMA guidelines were followed and a two-stage methodological approach was used. Stage one focused on systematically evaluating the methodological quality of included interventions. The second stage assessed intervention integrity and the implementation of key goal setting components.Findings: From a total of 839 citations, 54 full-text articles were assessed for eligibility and 5 studies met the inclusion criteria. Among interventions reporting positive results a combination of individualised diet and physical activity goals, self-monitoring and performance feedback indicators were described as active components.Conclusion: Interventions based on goal setting appear to be useful for helping women achieve optimal weight gain during pregnancy. However, overweight and obese women may require more theoretically-designed interventions. Further high quality, theoretically-designed interventions need to be developed and tested to determine the most effective and replicable components for optimal weight gain during pregnancy.

Item Type:Internet publication
Faculties and Schools:Faculty of Life and Health Sciences
Faculty of Life and Health Sciences > School of Biomedical Sciences
Faculty of Life and Health Sciences > School of Health Sciences
Faculty of Life and Health Sciences > School of Nursing
Research Institutes and Groups:Biomedical Sciences Research Institute
Institute of Nursing and Health Research
Biomedical Sciences Research Institute > Diabetes
Institute of Nursing and Health Research > Centre for Health and Rehabilitation Technologies
Institute of Nursing and Health Research > Maternal, Fetal and Infant Research
ID Code:22792
Deposited By:Professor Marlene Sinclair
Deposited On:17 Jul 2012 11:32
Last Modified:17 Jul 2012 11:32

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