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dc.contributor.authorMcLellan, Julie Men_UK
dc.contributor.authorO’Carroll, Ronan Een_UK
dc.contributor.authorCheyne, Helenen_UK
dc.contributor.authorDombrowski, Stephan Uen_UK
dc.description.abstractBackground In addition to their more traditional clinical role, midwives are expected to perform various health promotion practice behaviours (HePPBes) such as informing pregnant women about the benefits of physical activity during pregnancy and asking women about their alcohol consumption. There is evidence to suggest several barriers exist to performing HePPBes. The aim of the study was to investigate the barriers and facilitators midwives perceive to undertaking HePPBes. Methods The research compromised of two studies. Study 1: midwives based in a community setting (N = 11) took part in semi-structured interviews underpinned by the theoretical domains framework (TDF). Interviews were analysed using a direct content analysis approach to identify important barriers or facilitators to undertaking HePPBes. Study 2: midwives (N = 505) completed an online questionnaire assessing views on their HePPBes including free text responses (n = 61) which were coded into TDF domains. Study 2 confirmed and supplemented the barriers and facilitators identified in study 1. Results Midwives’ perceived a multitude of barriers and facilitators to carrying out HePPBes. Key barriers were requirements to perform an increasing amount of HePPBes on top of existing clinical work load, midwives’ cognitive resources, the quality of relationships with pregnant women, a lack of continuity of care and difficulty accessing appropriate training. Key facilitators included midwives’ motivation to support pregnant women to address their health. Study 1 highlighted strategies that midwives use to overcome the barriers they face in carrying out their HePPBes. Conclusions Despite high levels of motivation to carry out their health promotion practice, midwives perceive numerous barriers to carrying out these tasks in a timely and effective manner. Interventions that support midwives by addressing key barriers and facilitators to help pregnant women address their health behaviours are urgently needed.en_UK
dc.publisherSpringer Science and Business Media LLCen_UK
dc.relationMcLellan JM, O’Carroll RE, Cheyne H & Dombrowski SU (2019) Investigating midwives' barriers and facilitators to multiple health promotion practice behaviours: a qualitative study using the theoretical domains framework. Implementation Science, 14 (1), Art. No.: 64.
dc.rights© The Author(s). 2019 This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.en_UK
dc.subjectHealth promotionen_UK
dc.subjectMultiple health behavioursen_UK
dc.subjectTheoretical domains frameworken_UK
dc.titleInvestigating midwives' barriers and facilitators to multiple health promotion practice behaviours: a qualitative study using the theoretical domains frameworken_UK
dc.typeJournal Articleen_UK
dc.citation.jtitleImplementation Scienceen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.funderCSO Chief Scientist Officeen_UK
dc.contributor.affiliationUniversity of New Brunswicken_UK
dc.description.refREF Compliant by Deposit in Stirling's Repositoryen_UK
dc.relation.funderprojectTo Establish a Scottish Improvement Science R,D & KT Collaborating Centre (SISCC)en_UK
Appears in Collections:Psychology Journal Articles

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