Volume 10, Issue 3 (2022)
Health Educ Health Promot 2022, 10(3): 555-563 |
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Kianfard L, Niknami S, Amin SHokravi F, Rakhshanderou S. Determine Facilitators, Barriers, and Structural Factors of Physical Activity in Nulliparous Pregnant Women: A Qualitative Study Using Maxqda. Health Educ Health Promot 2022; 10 (3) :555-563
URL: http://hehp.modares.ac.ir/article-5-59409-en.html
URL: http://hehp.modares.ac.ir/article-5-59409-en.html
1- Department of Health Education and Health Promotion, Faculty of Medical Sciences, Tarbiat Modares University, Tehran, Iran
2- Department of Health Education and Health Promotion, Faculty of Medical Sciences, Shahid Beheshti University, Tehran, Iran
2- Department of Health Education and Health Promotion, Faculty of Medical Sciences, Shahid Beheshti University, Tehran, Iran
Abstract: (1548 Views)
Aims: There is evidence that physical activity plays an essential role in preventing illnesses during pregnancy. This study aimed to determine facilitators, barriers, and structural factors of physical activity in nulliparous pregnant women: A qualitative study using Maxqda.
Participants & Methods: This qualitative study was conducted from January to June 2020 in nulliparous pregnant women. Forty participants selected randomly from the Pounak Health Center of Tehran City, Iran, answered open-ended questions about the obstacles that deprived them of physical activity during pregnancy. Data were analyzed by MAXQDA 12 software.
Findings: According to the results, 620 primary codes, 42 secondary codes, 11 sub-themes, and 6 themes were extracted. These themes were divided into the PEN-3 categories; facilitators, barriers, and structural factors. The nurture factors as facilitators had communication and support from others as sub-themes. Barriers consisted of socio-cultural (participate in pregnancy loss with a companion; social beliefs; culture of poverty), socioeconomic (financial problems), individual factors (physical, psycho-emotional, and spiritual dimensions), and structural factors consisting of environmental (equipment) and organizational (possibilities in health centers) factors.
Conclusion: It is essential to comprehend why pregnant women face obstacles to physical activity. Many issues are proposed: the need for enough information on the advantages of physical activity and the role of nurturing factors that need to be motivated to physical activity. Therefore, its a need to investigate structural problems in the community to provide facilities for pregnant women to have physical activity during pregnancy.
Participants & Methods: This qualitative study was conducted from January to June 2020 in nulliparous pregnant women. Forty participants selected randomly from the Pounak Health Center of Tehran City, Iran, answered open-ended questions about the obstacles that deprived them of physical activity during pregnancy. Data were analyzed by MAXQDA 12 software.
Findings: According to the results, 620 primary codes, 42 secondary codes, 11 sub-themes, and 6 themes were extracted. These themes were divided into the PEN-3 categories; facilitators, barriers, and structural factors. The nurture factors as facilitators had communication and support from others as sub-themes. Barriers consisted of socio-cultural (participate in pregnancy loss with a companion; social beliefs; culture of poverty), socioeconomic (financial problems), individual factors (physical, psycho-emotional, and spiritual dimensions), and structural factors consisting of environmental (equipment) and organizational (possibilities in health centers) factors.
Conclusion: It is essential to comprehend why pregnant women face obstacles to physical activity. Many issues are proposed: the need for enough information on the advantages of physical activity and the role of nurturing factors that need to be motivated to physical activity. Therefore, its a need to investigate structural problems in the community to provide facilities for pregnant women to have physical activity during pregnancy.
Article Type: Qualitative Research |
Subject:
Quality of Life
Received: 2022/01/8 | Accepted: 2022/03/12 | Published: 2022/07/19
Received: 2022/01/8 | Accepted: 2022/03/12 | Published: 2022/07/19
References
1. Koletzko B, Godfrey KM, Poston L, Szajewska H, van Goudoever JB, de Waard M, et al. Nutrition during pregnancy, lactation and early childhood and its implications for maternal and long-term child health: the early nutrition project recommendations. Ann Nutr Metab. 2019;74(2):93-106. [Link] [DOI:10.1159/000496471]
2. Warburton DER, Nicol CW, Bredin SSD. Health benefits of physical activity: the evidence. CMAJ. 2006;174(6):801-9. [Link] [DOI:10.1503/cmaj.051351]
3. Dempsey J, Sorensen T, Williams M, Lee IM, Miller R, Dashow E, et al. A prospective study of gestational diabetes mellitus risk in relation to physical activity before and during pregnancy. Am J Obstet Gynecol. 2003;189(6):S106. [Link] [DOI:10.1016/j.ajog.2003.10.153]
4. Kieffer EC, Willis SK, Arellano N, Guzman R. Perspectives of pregnant and postpartLatinoino women on diabetes, physical activity, and health. Health Educ Behav. 2002;29(5):542-56. [Link] [DOI:10.1177/109019802237023]
5. American College of Obstetricians and Gynecologists. Exercise during pregnancy and the postpartum period. Clin Obstet Gynecol. 2003;46(2):496-9. [Link]
6. Artal R, O'Toole M. Guidelines of the American College of Obstetricians and Gynecologists for exercise during pregnancy and the postpartum period. Br J Sports Med. 2003;37(1):6-12. [Link] [DOI:10.1136/bjsm.37.1.6]
7. ACOG Committee Obstetric Practice. ACOG Committee Opinion. Number 267, January. 2002: exercise during pregnancy and the postpartum period. Obstet Gynecol. 2002;99(1):171-3. [Link] [DOI:10.1016/S0029-7844(01)01749-5]
8. Artal R, Catanzaro RB, Gavard JA, Mostello DJ, Friganza JC. A lifestyle intervention of weight-gain restriction: diet and exercise in obese women with gestational diabetes mellitus. Appl Physiol Nutr Metab. 2007;32(3):596-601. [Link] [DOI:10.1139/H07-024]
9. Godin G, Shephard RJ. Use of attitude-behavior models in exercise promotion. Sports Med. 1990;10(2):103-21. [Link] [DOI:10.2165/00007256-199010020-00004]
10. Nascimento SL, Surita FG, Cecatti JG. Physical exercise during pregnancy: a systematic review. Curr Opin Obstet Gynecol. 2012;24(6):387-94. [Link] [DOI:10.1097/GCO.0b013e328359f131]
11. Fazzi C, Saunders D, Reynolds R. Sedentary behaviors during pregnancy: a systematic review. Int J Behav Nutr Phys Act. 2017;14(1):32. [Link] [DOI:10.1186/s12966-017-0485-z]
12. Bullinger M, Quitmann J. Quality of life as patient-reported outcomes: principles of assessment. Dialogues Clin Neurosci. 2014;16(2):137-45. [Link] [DOI:10.31887/DCNS.2014.16.2/mbullinger]
13. de Bourdeaudhuij I, van Cauwenberghe E, Spittaels H, Oppert JM, Rostami C, Brug J, et al. School-based interventions promoting both physical activity and healthy eating in Europe: a systematic review within the HOPE project. Obes Rev. 2011;12(3):205-16. [Link] [DOI:10.1111/j.1467-789X.2009.00711.x]
14. Clarke PE, Gross H. Women's behavior, beliefs, and information sources about physical exercise in pregnancy. Midwifery. 2004;20(2):133-41. [Link] [DOI:10.1016/j.midw.2003.11.003]
15. Rajabi A, Maharlouei N. Physical activities (exercises or choruses) during pregnancy and mode of delivery in nulliparous women: a prospective cohort study. Taiwanese J Obstet Gynecol. 2015;57(1):18-22. [Link] [DOI:10.1016/j.tjog.2017.12.003]
16. Neergaard MA, Olesen F, Sand Andersen R, Sondergaard J. Qualitative description - the poor cousin of health research?. BMC Med Res Methodol. 2009;9:52. [Link] [DOI:10.1186/1471-2288-9-52]
17. Masjoudi M, Aslani A, Khazaeian S, Fathnezhad-Kazemi A. Explaining the experience of prenatal care and investigating the association between psychological factors with self-care in pregnant women during COVID-19 pandemic: a mixed-method study protocol. Reprod Health. 2020;17:98. [Link] [DOI:10.1186/s12978-020-00949-0]
18. Giatras N, Wanninkhof E, Leontowitsch M, Lewis B, Taylor A, Cooper S, et al. Lessons learned from the London exercise and pregnant (LEAP) smokers randomised controlled trial process evaluation: implications for the design of physical activity for smoking cessation interventions during pregnancy. BMC Public Health. 2017;17(1):85. [Link] [DOI:10.1186/s12889-017-4013-5]
19. Saunders B, Sim J, Kingstone T, Baker S, Waterfield J, Bartlam B, et al. Saturation in qualitative research: exploring its conceptualization and operationalization. Qual Quant. 2018;52(4):1893-907. [Link] [DOI:10.1007/s11135-017-0574-8]
20. Sutton J, Austin Z. Qualitative research: data collection, analysis, and management. Can J Hosp Pharm. 2015;68(3):226-31. [Link] [DOI:10.4212/cjhp.v68i3.1456]
21. Gale NK, Heath G, Cameron E, Rashid S, Redwood S. Using the framework method for the analysis of qualitative data in multi-disciplinary health research. BMC Med Res Methodol. 2013;13:117. [Link] [DOI:10.1186/1471-2288-13-117]
22. Cargo M, Mercer SL. The value and challenges of participatory research: strengthening its practice. Annu Rev Public Health. 2008;29:325-50. [Link] [DOI:10.1146/annurev.publhealth.29.091307.083824]
23. Jeffery RW, Wing R, Sherwood NE, Tate DF. Physical activity and weight loss: Does prescribe higher physical activity goals improve outcomes?. Am J Clin Nutr. 2003;78(4):684-9. [Link] [DOI:10.1093/ajcn/78.4.684]
24. Eysenbach G. Consumer health informatics. BMJ. 2000;320(7251):1713-6. [Link] [DOI:10.1136/bmj.320.7251.1713]
25. Heidari M, Amin Shokravi F, Zayeri F, Azin SA, Merghati-Khoei E. Sexual life during pregnancy: effect of an educational intervention on the sexuality of Iranian couples-a quasi-experimental study. J Sex Marital Ther. 2018;44(1):45-55. [Link] [DOI:10.1080/0092623X.2017.1313799]
26. Downs DS, Hausenblas HA. Women's exercise beliefs and behaviors during their pregnancy and postpartum. J Midwifery Womens Health. 2004;49(2):138-44. [Link] [DOI:10.1016/j.jmwh.2003.11.009]
27. Swift DL, Johannsen NM, Lavie CJ, Earnest CP, Church TS. The role of exercise and physical activity in weight loss and maintenance. Prog Cardiovasc Dis. 2014;56(4):441-7. [Link] [DOI:10.1016/j.pcad.2013.09.012]
28. Tamimi H, Noroozi A. Determinants of physical activity in high school girl students: study based on health promotion model (HPM). J Health. 2016;6(5):527-37. [Persian] [Link]
29. Brown MJ, Sinclair M, Liddle D, Hill AJ, Stockdale J, Madden E. Motivating pregnant women to eat healthily and engage in physical activity for weight management: an exploration of routine midwife instruction. Evid Based Midwifery. 2013;11(4):120-7. [Link]
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