Are antenatal interventions effective in improving multiple health behaviours among pregnant women? A systematic review protocol.

Hollis, JL; Doherty, E; Dray, J; Tremain, D; Hunter, M; Takats, K; Williams, CM; Murray, H; Pennell, CE; Tully, B; Wiggers, J; Daly, JB; Kingsland, M

Are antenatal interventions effective in improving multiple health behaviours among pregnant women? A systematic review protocol.

Hollis, JL Doherty, E Dray, J

Tremain, D Hunter, M Takats, K Williams, CM Murray, H Pennell, CE Tully, B Wiggers, J Daly, JB Kingsland, M

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Publisher:: Springer Nature
Publication Type:: Journal Article
Citation:: Syst Rev, 2020, 9, (1), pp. 204
Issue Date:: 2020-09-02

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Field	Value	Language
dc.contributor.author	Hollis, JL
dc.contributor.author	Doherty, E
dc.contributor.author	Dray, J https://orcid.org/0000-0003-4613-2634
dc.contributor.author	Tremain, D
dc.contributor.author	Hunter, M
dc.contributor.author	Takats, K
dc.contributor.author	Williams, CM
dc.contributor.author	Murray, H
dc.contributor.author	Pennell, CE
dc.contributor.author	Tully, B
dc.contributor.author	Wiggers, J
dc.contributor.author	Daly, JB
dc.contributor.author	Kingsland, M
dc.date.accessioned	2024-04-24T09:37:30Z
dc.date.available	2020-08-13
dc.date.available	2024-04-24T09:37:30Z
dc.date.issued	2020-09-02
dc.identifier.citation	Syst Rev, 2020, 9, (1), pp. 204
dc.identifier.issn	2046-4053
dc.identifier.issn	2046-4053
dc.identifier.uri	http://hdl.handle.net/10453/178332
dc.description.abstract	BACKGROUND: Maternal behaviours in pregnancy associated with adverse pregnancy, birth and health outcomes include tobacco smoking, poor nutrition, alcohol consumption and low physical activity, collectively referred to as the SNAP risk factors. Due to the high prevalence, co-occurrence and possible interactive health effects of such health behaviours in pregnancy, antenatal interventions that support pregnant women to improve multiple SNAP behaviours have a greater potential impact on the health outcomes of women and their children than interventions addressing single behaviours. The objective of this review is to determine the effectiveness of interventions delivered as part of antenatal care that aim to improve multiple SNAP behaviours among pregnant women. METHODS: Seven electronic databases will be searched for potentially eligible studies. Eligible studies will include those where pregnant women are attending antenatal care. Studies that examine the effect of an intervention that addresses multiple SNAP behaviours (≥ 2 behaviours) during pregnancy and are delivered or instigated through antenatal care in a healthcare service will be included. Systematic reviews of randomised controlled trials (RCTs), RCTs, cluster RCTs, stepped-wedge RCTs and non-randomised control trials will be eligible. Studies that include a no-intervention control, wait-list control group, standard/usual care, or another active single behavioural intervention (e.g. addressing one behaviour only) will be considered. Two independent reviewers will conduct study screening, data extraction and risk of bias assessment. Discrepancies will be resolved by consensus or a third reviewer if required. A random effects model will be used to synthesise the results. Alternative synthesis methods will be investigated in instances where a meta-analysis is not appropriate, such as summarising effect estimates, combining P values, vote counting based on direction of effect, or synthesis in narrative form. DISCUSSION: The review will synthesise the evidence on the effect of interventions that address multiple SNAP behaviours in antenatal care and will help researchers, policy-makers and health services to develop and deliver best practice integrated models of antenatal care that have the potential to impact on both the short- and long-term health outcomes for women and their children. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42018095315.
dc.format	Electronic
dc.language	eng
dc.publisher	Springer Nature
dc.relation.ispartof	Syst Rev
dc.relation.isbasedon	10.1186/s13643-020-01453-z
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	11 Medical and Health Sciences
dc.subject.classification	32 Biomedical and clinical sciences
dc.subject.classification	42 Health sciences
dc.subject.mesh	Child
dc.subject.mesh	Exercise
dc.subject.mesh	Female
dc.subject.mesh	Health Behavior
dc.subject.mesh	Humans
dc.subject.mesh	Parturition
dc.subject.mesh	Pregnancy
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Systematic Reviews as Topic
dc.subject.mesh	Humans
dc.subject.mesh	Exercise
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Health Behavior
dc.subject.mesh	Pregnancy
dc.subject.mesh	Parturition
dc.subject.mesh	Child
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Female
dc.subject.mesh	Systematic Reviews as Topic
dc.subject.mesh	Child
dc.subject.mesh	Exercise
dc.subject.mesh	Female
dc.subject.mesh	Health Behavior
dc.subject.mesh	Humans
dc.subject.mesh	Parturition
dc.subject.mesh	Pregnancy
dc.subject.mesh	Pregnant Women
dc.subject.mesh	Prenatal Care
dc.subject.mesh	Systematic Reviews as Topic
dc.title	Are antenatal interventions effective in improving multiple health behaviours among pregnant women? A systematic review protocol.
dc.type	Journal Article
utslib.citation.volume	9
utslib.location.activity	England
utslib.for	11 Medical and Health Sciences
pubs.organisational-group	University of Technology Sydney
pubs.organisational-group	University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.date.updated	2024-04-24T09:37:27Z
pubs.issue	1
pubs.publication-status	Published online
pubs.volume	9
utslib.citation.issue	1

Abstract:

BACKGROUND: Maternal behaviours in pregnancy associated with adverse pregnancy, birth and health outcomes include tobacco smoking, poor nutrition, alcohol consumption and low physical activity, collectively referred to as the SNAP risk factors. Due to the high prevalence, co-occurrence and possible interactive health effects of such health behaviours in pregnancy, antenatal interventions that support pregnant women to improve multiple SNAP behaviours have a greater potential impact on the health outcomes of women and their children than interventions addressing single behaviours. The objective of this review is to determine the effectiveness of interventions delivered as part of antenatal care that aim to improve multiple SNAP behaviours among pregnant women. METHODS: Seven electronic databases will be searched for potentially eligible studies. Eligible studies will include those where pregnant women are attending antenatal care. Studies that examine the effect of an intervention that addresses multiple SNAP behaviours (≥ 2 behaviours) during pregnancy and are delivered or instigated through antenatal care in a healthcare service will be included. Systematic reviews of randomised controlled trials (RCTs), RCTs, cluster RCTs, stepped-wedge RCTs and non-randomised control trials will be eligible. Studies that include a no-intervention control, wait-list control group, standard/usual care, or another active single behavioural intervention (e.g. addressing one behaviour only) will be considered. Two independent reviewers will conduct study screening, data extraction and risk of bias assessment. Discrepancies will be resolved by consensus or a third reviewer if required. A random effects model will be used to synthesise the results. Alternative synthesis methods will be investigated in instances where a meta-analysis is not appropriate, such as summarising effect estimates, combining P values, vote counting based on direction of effect, or synthesis in narrative form. DISCUSSION: The review will synthesise the evidence on the effect of interventions that address multiple SNAP behaviours in antenatal care and will help researchers, policy-makers and health services to develop and deliver best practice integrated models of antenatal care that have the potential to impact on both the short- and long-term health outcomes for women and their children. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD42018095315.

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http://hdl.handle.net/10453/178332