Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/30501
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles
Peer Review Status: Refereed
Title: Using the theoretical domains framework to explore primary health care practitioner's perspectives and experiences of preconception physical activity guidance and promotion
Author(s): Sissions, Aileen
Grant, Aileen
Kirkland, Andrew
Currie, Sinéad
Contact Email: andrew.kirkland@stir.ac.uk
Keywords: Preconception care
physical activity
primary health care
general practitioners
pharmacists
theoretical domains framework
Issue Date: 23-Oct-2019
Citation: Sissions A, Grant A, Kirkland A & Currie S (2019) Using the theoretical domains framework to explore primary health care practitioner's perspectives and experiences of preconception physical activity guidance and promotion. Psychology, Health and Medicine. https://doi.org/10.1080/13548506.2019.1679846
Abstract: Preconception physical activity is one of the main predictors of continued engagement in physical activity during and after pregnancy and subsequently, improves the health of women and their child. In the UK, guidance states that Primary Care health Professionals (PCPs) should assess and discuss the lifestyle of preconception women, in routine appointments, in order to address potentially modifiable risk factors. However, knowledge and provision of this guidance in the UK is unknown. It is not clear if individuals actively seek preconception guidance from PCPs, what guidance they request, and whether PCPs have the knowledge and skills to provide this support in line with current guidelines. This research aimed to explore current practice and the perspectives of PCPs in delivering physical activity guidance to preconception patients. Fifteen semi-structured interviews were conducted with PCPs (GPs and community pharmacists) in the UK. Data was analysed using the Theoretical Domains Framework (TDF). Our findings showed patients did not frequently present solely for pre-conception physical activity guidance, but occasionally enquired when consulting about another issue. PCPs lacked motivation to implement physical activity guidance due to the perception that their advice would have no impact on behaviour change. There were a number of perceived opportunities to implement preconception physical activity guidance. These findings illustrate the need for consistent and specific preconception lifestyle and PA guidance for PCPs. ARTICLE HISTORY
DOI Link: 10.1080/13548506.2019.1679846
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Notes: Output Status: Forthcoming/Available Online

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