Mobiele menu

Empowerment of pregnant women to have a healthier dietary intake. The development, implementation and evaluation of an integral strategy.

Projectomschrijving

Bevorderen van gezonde voeding tijdens de zwangerschap

Vraagstuk

Het bevorderen van gezonde voeding tijdens de zwangerschap is veelbelovend. Zwangere vrouwen zien verloskundigen als betrouwbare experts. Echter, de huidige voedingsinformatie sluit vaak niet goed aan bij de behoeften, vaardigheden en het dagelijks leven van zwangere vrouwen met een lage sociaal economische status (SES). Daarnaast vinden verloskundigen het lastig om bij te dragen aan een gezondere voeding van zwangere vrouwen omdat een integrale strategie binnen de huidige verloskundige praktijk ontbreekt.

Onderzoek en verwachte uitkomst

In dit project wordt een integrale strategie ontwikkeld, geïmplementeerd en geëvalueerd samen met en door alle betrokkenen, inclusief zwangere vrouwen en hun partners. Het project beoogt hiermee bij te dragen aan de gezondheid van zwangere vrouwen met een lage SES en hun kinderen.

Het project wordt uitgevoerd door Wageningen Universiteit samen met o.a. Geboortezorg Consortia, KNOV, Voedingscentrum, NVD, Pharos, Ziekenhuis Gelderse Vallei en verloskundige praktijken.

Producten

Titel: Paving the way to better maternal and neonatal health outcomes. Identifying factors that influence dietary quality in low SES pregnant women: a literature review.
Auteur: Olivia Baggen
Titel: Power 4 Gezond Zwanger: Verloskundige praktijken gezocht! Flyer.
Auteur: Cremers S, Lonkhuijzen R van, Wagemakers A, Vries JHM de.
Titel: Empowerment of Dutch midwives. Improving healthy nutrition in pregnant women through empowering midwives in the Netherlands.
Auteur: Dingemans B
Titel: De eerste 1000 dagen: samen werken aan een kansrijke start Ede.
Auteur: Meeren, M van der
Titel: Improving healthy nutrition behaviour in low socioeconomic pregnant women through dietitians.
Auteur: Kimmel H
Titel: Gesprekskaart - Wat wil jij graag bespreken?
Auteur: Cremers S, Lonkhuijzen R van, Wagemakers A, Vries JHM de.
Titel: Factsheet zwangerschap en diëtetiek.
Auteur: Super S, Beulen Y, Remijnse W, Wagemakers
Titel: Diepte-interviews empowerment. Leidraad voor zwangere vrouwen met lage SES.
Auteur: Sabina Super, Anneamrie Wagemakers.
Titel: Power 4 Gezond Zwanger – Implementatie in de verloskundige praktijk. Handleiding voor verloskundige en diëtisten.
Auteur: Cremers S, Lonkhuijzen R van, Wagemakers A, Vries JHM de.
Titel: Interventiekaart Power 4 Gezond Zwanger.
Auteur: Cremers S, Lonkhuijzen R van, Wagemakers A, Vries JHM de.
Titel: Verloskundigen en diëtisten werven voor de empowerment strategie en voor deelname aan het onderzoek
Auteur: Renske van Lonkhuijzen en Susanne Cremers
Titel: Power 4 a Healthy Pregnancy-intervention: the impact on empowerment and diet quality of pregnant women. METC goedkeuring.
Auteur: Annemarie Wagemakers
Titel: Why pregnant women eat what they eat. Factors influencing dietary intake among pregnant women from low SES groups.
Auteur: Steffie Loenen
Titel: Literature review about collaboration between midwives, dieticians and other professionals in prenatal care working together with regard to nutrition in poorly educated pregnant women.
Auteur: J. Holtjer
Titel: Power 4 Gezond Zwanger: De impact op empowerment en voedingskwaliteit. Flyer voor P4GZ in CenteringPregnancy.
Auteur: Cremers S, Lonkhuijzen R van.
Titel: Power 4 Gezond Zwanger. Een overzicht van de belangrijkste resultaten.
Auteur: Super S, Beulen Y, Vries J de, Feskens E, Koelen MA, Wagemakers A.
Titel: Zwangere vrouwen werven voor deelname aan de strategie en het onderzoek. Filmpje.
Auteur: Renske van Lonkhuijzen
Titel: Empowerment programmes for pregnant women to obtain a healthier dietary intake. A systematic literature review.
Auteur: Jetty Kok
Titel: Power 4 gezond zwanger. Implementatie in de verloskundige praktijk. Factsheet voor verloskundigen en diëtisten.
Auteur: Cremers S, Lonkhuijzen R van, Wagemakers A.
Titel: Midwives’ Experiences with and Perspectives on Online (Nutritional) Counselling and mHealth Applications for Pregnant Women; an Explorative Qualitative Study
Auteur: Wit RF, Lucassen DA, Beulen YH, Faessen JPM, Bos-de Vos M, van Dongen JM, Feskens EJM, Wagemakers A, Brouwer-Brolsma EM
Magazine: International Journal of Environmental Research and Public Health
Titel: Optimizing Low–Socioeconomic Status Pregnant Women’s Dietary Intake in the Netherlands: Protocol for a Mixed Methods Study.
Auteur: Beulen YH, Geelen A, Vries JHM de, Super S, Koelen MA, Feskens EJM, Wagemakers
Magazine: JMIR Research Protocols
Titel: Understanding empowerment for a healthy dietary intake during pregnancy.
Auteur: Super S, Wagemakers A.
Magazine: International Journal of Qualitative Studies on Health and Well-being
Titel: What is needed to facilitate healthy dietary behaviours in pregnant women: A qualitative study of Dutch midwives’ perceptions of current versus preferred nutrition communication practices in antenatal care
Auteur: Yvette H.Beulen, Sabina Super, Auke Rothoff, Nalonya M.van der Laan, Jeanne H.M.de Vries, Maria A.Koelen, Edith J.M.Feskens, Annemarie Wagemakers
Magazine: Midwifery
Link: https://www.sciencedirect.com/science/article/pii/S0266613821002394?via%3Dihub
Titel: Evaluating ‘Power 4 a Healthy Pregnancy’ (P4HP) – protocol for a cluster randomized controlled trial and process evaluation to empower pregnant women towards improved diet quality.
Auteur: Lonkhuijzen, RMR van, Cremers SM, Vries JHMJ, Feskens E, Wagemakers MAE.
Magazine: BMC Public Health
Titel: What is needed to facilitate healthy dietary behaviours in pregnant women: A qualitative study of Dutch midwives’ perceptions of current versus preferred nutrition communication practices.
Auteur: Beulen YH, Super S, Rothoff A, Laan N van der, Vries JHM de, Koelen MA, Feskens EJM, Wagemakers A.
Magazine: Midwifery
Titel: Opportunities for dietitians to promote a healthy dietary intake in pregnant women with a low socio-economic status within antenatal care practices in the Netherlands: a qualitative study.
Auteur: Super S, Beulen Y, Koelen MA, Wagemakers A.
Magazine: Journal of Health, Population and Nutrition
Titel: Midwives’ Experiences with and Perspectives on Online (Nutritional) Counselling and mHealth Applications for Pregnant Women; an Explorative Qualitative Study.
Auteur: Wit RF, Lucassen DA, Beulen YH, Faessen JPM, Bos-de Vos M, van Dongen JM, Feskens EJM, Wagemakers A, Brouwer-Brolsma EM.
Magazine: International Journal of Environmental Research and Public Health.
Titel: Dietary interventions for healthy pregnant women: A systematic review of tools to promote a healthy antenatal dietary intake.
Auteur: Beulen YH, Super S, de Vries JHM, Koelen MA, Feskens E, Wagemakers A.
Magazine: Nutrients
Titel: Opportunities for dietitians to promote a healthy dietary intake in pregnant women with a low socio-economic status within antenatal care practices in the Netherlands: a qualitative study.
Auteur: Sabina Super, Yvette Beulen, Maria Koelen, Annemarie Wagemakers
Magazine: European Journal of Public Health
Titel: Understanding empowerment for a healthy dietary intake during pregnancy
Auteur: Sabina Super, Annemarie Wagemakers
Magazine: International Journal of Qualitative Studies on Health and Well-being
Titel: Dietary interventions for healthy pregnant women: A systematic review of tools to promote a healthy antenatal dietary intake.
Auteur: Beulen YH, Super S, de Vries JHM, Koelen MA, Feskens E, Wagemakers A.
Magazine: Nutrients
Titel: Development and implementation of the P4HP intervention: a strategy to empower pregnant women to improve dietary quality.
Auteur: Susanne Cremers, Renske van Lonkhuijzen, Jeanne de Vries, Annemarie Wagemakers.
Titel: Development of a Dutch Diet History Questionnaire to assess the dietary intake of low SES pregnant women.
Auteur: Beulen YH, Borgonjen-van den Berg K, Wagemakers A, Vries JHM de.
Link: https://www.icdamportal.org/past-meetings.html
Titel: Power 4 a Healthy Pregnancy (P4HP) interventie: de impact op empowerment en voedingskwaliteit van zwangere vrouwen.
Auteur: Susanne Cremers, Renske van Lonkhuijzen, Annemarie Wagemakers, Jeanne de Vries
Titel: Power 4 Gezond Zwanger. Ontwikkeling van Empowerment Strategie voor het bevorderen van een gezonde voeding van zwangere vrouwen.
Auteur: Super S, Beulen Y, Wagemakers A.
Titel: Empowerment for healthy nutrition.
Auteur: Super S, Wagemakers A.
Titel: Collaboration between midwives and dietitians in improving dietary intake of low SES women.
Auteur: Super S, Beulen Y, Wagemakers A.
Titel: Developing Power 4 a Healthy Pregnancy’ – an intervention to empower pregnant women towards improved diet quality.
Auteur: Renske van Lonkhuijzen, Annemarie Wagemakers, J. de Vries
Titel: Empowerment for healthy nutrition.
Auteur: Super S, Wagemakers A.
Titel: Is empowerment the way to go? Reducing nutrition inequity in pregnant women within the Netherlands
Auteur: Renske van Lonkhuijzen, Susanne Cremers
Titel: Een empowerment strategie voor een gezonde voeding van zwangere vrouwen.
Auteur: Wagemakers, A, Beulen Y, Super S.
Titel: Power 4 Gezond Zwanger. Ontwikkeling van Empowerment Strategie voor het bevorderen van een gezonde voeding van zwangere vrouwen.
Auteur: Super S, Beulen Y, Lonkhuijzen R van, Wagemakers A.
Titel: Power 4 Gezond Zwanger. Ontwikkeling van Empowerment Strategie voor het bevorderen van een gezonde voeding van zwangere vrouwen.
Auteur: Super S, Beulen Y, Lonkhuijzen R van, Wagemakers A.
Titel: Reported changes in diet quality of pregnant women who participated in the P4HP Intervention. An explorative qualitative study.
Auteur: Prins, S.
Titel: Power 4 Gezond Zwanger – Implementatie in de verloskundige praktijk. Handleiding voor verloskundige en diëtisten.
Titel: Power 4 Gezond Zwanger. Empowerment Strategie voor het bevorderen van een gezonde voeding van zwangere vrouwen.
Auteur: Super S, Beulen Y, Lonkhuijzen R van, Vries J de, Feskens E, Wagemakers A.
Titel: Zwangere vrouwen werven voor deelname aan de strategie en aan het onderzoek.
Auteur: Lonkhuijzen, R van, Cremers S.
Link: https://youtu.be/eoEdbw6OaoQ
Titel: Developing Power 4 a Healthy Pregnancy’ – an intervention to empower pregnant women towards improved diet quality.
Auteur: • Lonkhuijzen, R van, Wagemakers A, Vries J de.
Link: https://youtu.be/92ssbnmwFaA

Verslagen


Samenvatting van de aanvraag

The overall goal of this research project is to improve the dietary intake of low socioeconomic status (SES) pregnant women. This project aims to develop, implement and evaluate an integral strategy that empowers low SES pregnant women to have a healthier dietary intake. This is relevant for both society and science, as maternal nutrition is crucial for optimal foetal development and population health. Pregnant women are receptive to changing dietary intake during pregnancy. Midwives acknowledge their potential role in promoting healthier dietary intake, but lack time and specific knowledge and skills for an integral strategy tailored to the needs of low SES pregnant women, their everyday life, family situation, and physical and social environment. Moreover, there is currently no integral strategy fitting concurrent antenatal care that focuses on empowering pregnant women to have a healthier dietary intake. In this project, such an integral strategy will be developed, implemented and evaluated jointly with all stakeholders, including pregnant women and their partners. The three research questions are: 1. What are low SES pregnant women’s perceptions of a healthy dietary intake and what factors contribute to empowering them to have a healthy dietary intake? 2. What is needed in the multidisciplinary collaboration between midwives and other (health) professionals to implement a strategy that empowers low SES pregnant women to have a healthy dietary intake? 3. What is the impact of the developed strategy on low SES pregnant women’s empowerment, dietary intake and pregnancy-related outcomes? The research questions will be answered by mixed methods, i.e. literature research, in-depth interviews, observations, questionnaires and data obtained from physical examinations by midwives. Participation of stakeholders is put centre core: 10 expert meetings with pregnant women and their partners and 6 expert meetings with midwives and other (health) professionals and experts will be organised to discuss recruitment methods, research activities and the strategy. In the first two years, the strategy will be developed based on input from stakeholders, including pregnant women and their partners, in order to take into account what is important to them, e.g. their social environment and financial situation. This means that neither the strategy’s content/form nor research methods can be described in detail in advance, e.g. extra individual consultations or group (e.g. CenteringPregnancy: CPr) meetings. The strategy will be implemented as a pilot and evaluated as a multiple case study in the third and fourth year. The pilot will entail 5–10 midwives implementing the strategy with 50–100 low SES pregnant women. To evaluate the strategy, a ‘one-group pre-test/post-test’ design will be used, and the barriers and success factors for implementing the strategy will be monitored. The research will be guided by the socioecological model of health to include different influences on empowerment and dietary intake on multiple levels. The Behaviour Change Wheel (BCW) will be used to conceptualise and assess empowerment. The Healthy Alliances (HALL) framework will be used to unravel the factors in the multidisciplinary collaboration relevant to the implementation of the strategy. The project partners and researchers are confident of conducting a successful project. Factors contributing to feasibility are 1) a multidisciplinary project group including key stakeholders from practice and science; 2) strong stakeholder participation, including pregnant women and their partners; 3) a flexible recruitment protocol with sufficient time and budget; 4) the usage of existing networks, activities and data; 5) the integration of a tool to assess dietary intake developed by the project ‘Why pregnant women eat what they eat’; 6) a large research capacity through the assistance of master’s students; and finally 7) previous experience with similar integral projects and low SES target groups. Key outputs are: • An integral strategy to empower pregnant women to have a healthier dietary intake. • Insight into the experiences of low SES pregnant women on empowerment and dietary intake. • Insight into the impact of the strategy on empowerment, dietary intake/food choices and pregnancy outcomes. • Insight into the barriers and facilitating factors for multidisciplinary collaboration between midwives and other (health) professionals. • A format for multidisciplinary collaboration to implement the strategy. • An empowerment measurement instrument or test specific to pregnant women’s dietary intake. • Four peer-reviewed papers.

Kenmerken

Projectnummer:
543003101
Looptijd: 100%
Looptijd: 100 %
2018
2023
Onderdeel van programma:
Gerelateerde subsidieronde:
Projectleider en penvoerder:
prof. dr. ir. MAE Wagemakers PhD
Verantwoordelijke organisatie:
Wageningen University & Research