Is a motivational interviewing based lifestyle intervention for obese pregnant women across Europe implemented as planned? : process evaluation of the DALI study

Judith G. M. Jelsma; David Simmons; Nina Gobat; Stephen Rollnick; Kinga Blumska; Goele Jans; Sander Galjaard; Gernot Desoye; Rosa Corcoy; Fabiola Juarez; Alexandra Kautzky-Willer; Jürgen Harreiter; Andre van Assche; Roland Devlieger; Dirk Timmerman; David Hill; Peter Damm; Elisabeth R. Mathiesen; Ewa Wender-Ożegowska; Agnieszka Zawiejska; Annunziata Lapolla; Maria G. Dalfrü; Stefano Del Prato; Alessandra Bertolotto; Fidelma Dunne; Dorte M. Jensen; Liselotte Andersen; Frank J. Snoek; Mireille N. M. van Poppel

doi:10.1186/s12884-017-1471-9

Is a motivational interviewing based lifestyle intervention for obese pregnant women across Europe implemented as planned? : process evaluation of the DALI study

Judith G. M. Jelsma, David Simmons, Nina Gobat, Stephen Rollnick, Kinga Blumska, Goele Jans, Sander Galjaard, Gernot Desoye, Rosa Corcoy, Fabiola Juarez, Alexandra Kautzky-Willer, Jürgen Harreiter, Andre van Assche, Roland Devlieger, Dirk Timmerman, David Hill, Peter Damm, Elisabeth R. Mathiesen, Ewa Wender-Ożegowska, Agnieszka ZawiejskaAnnunziata Lapolla, Maria G. Dalfrü, Stefano Del Prato, Alessandra Bertolotto, Fidelma Dunne, Dorte M. Jensen, Liselotte Andersen, Frank J. Snoek, Mireille N. M. van Poppel

Western Sydney University

Research output: Contribution to journal › Article › peer-review

5 Citations (Scopus)

Abstract

Background: Process evaluation is an essential part of designing and assessing complex interventions. The vitamin D and lifestyle intervention study (DALI) study is testing different strategies to prevent development of gestational diabetes mellitus among European obese pregnant women with a body mass index â‰¥29kg/m2. The intervention includes guidance on physical activity and/or healthy eating by a lifestyle coach trained in motivational interviewing (MI). The aim of this study was to assess the process elements: reach, dose delivered, fidelity and satisfaction and to investigate whether these process elements were associated with changes in gestational weight gain (GWG). Methods: Data on reach, dose delivered, fidelity, and satisfaction among 144 participants were collected. Weekly recruitment reports, notes from meetings, coach logs and evaluation questionnaires (n=110) were consulted. Fidelity of eight (out of twelve) lifestyle coach practitioners was assessed by analysing audio recorded counselling sessions using the MI treatment integrity scale. Furthermore, associations between process elements and GWG were assessed with linear regression analyses. Results: A total of 20% of the possible study population (reach) was included in this analysis. On average 4.0 (of the intended 5) face-to-face sessions were delivered. Mean MI fidelity almost reached 'expert opinion' threshold for the global scores, but was below 'beginning proficiency' for the behavioural counts. High variability in quality of MI between practitioners was identified. Participants were highly satisfied with the intervention, the lifestyle coach and the intervention materials. No significant associations were found between process elements and GWG. Conclusion: Overall, the intervention was well delivered and received by the study population, but did not comply with all the principles of MI. Ensuring audio recording of lifestyle sessions throughout the study would facilitate provision of individualized feedback to improve MI skills. A larger sample size is needed to confirm the lack of association between process elements and GWG. Trial registration: ISRCTN registry: ISRCTN70595832 ; Registered 12 December 2011.

Original language	English
Pages (from-to)	1-14
Number of pages	14
Journal	BMC Pregnancy and Childbirth
Volume	17
Issue number	1
DOIs	https://doi.org/10.1186/s12884-017-1471-9
Publication status	Published - 2017

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© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), 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 (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Keywords

counseling
health aspects
lifestyles
motivational interviewing
pregnant women
weight gain

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1186/s12884-017-1471-9

Cite this

Jelsma, J. G. M., Simmons, D., Gobat, N., Rollnick, S., Blumska, K., Jans, G., Galjaard, S., Desoye, G., Corcoy, R., Juarez, F., Kautzky-Willer, A., Harreiter, J., Assche, A. V., Devlieger, R., Timmerman, D., Hill, D., Damm, P., Mathiesen, E. R., Wender-Ożegowska, E., ... Poppel, M. N. M. V. (2017). Is a motivational interviewing based lifestyle intervention for obese pregnant women across Europe implemented as planned? : process evaluation of the DALI study. BMC Pregnancy and Childbirth, 17(1), 1-14. https://doi.org/10.1186/s12884-017-1471-9

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title = "Is a motivational interviewing based lifestyle intervention for obese pregnant women across Europe implemented as planned? : process evaluation of the DALI study",

abstract = "Background: Process evaluation is an essential part of designing and assessing complex interventions. The vitamin D and lifestyle intervention study (DALI) study is testing different strategies to prevent development of gestational diabetes mellitus among European obese pregnant women with a body mass index {\^a}‰¥29kg/m2. The intervention includes guidance on physical activity and/or healthy eating by a lifestyle coach trained in motivational interviewing (MI). The aim of this study was to assess the process elements: reach, dose delivered, fidelity and satisfaction and to investigate whether these process elements were associated with changes in gestational weight gain (GWG). Methods: Data on reach, dose delivered, fidelity, and satisfaction among 144 participants were collected. Weekly recruitment reports, notes from meetings, coach logs and evaluation questionnaires (n=110) were consulted. Fidelity of eight (out of twelve) lifestyle coach practitioners was assessed by analysing audio recorded counselling sessions using the MI treatment integrity scale. Furthermore, associations between process elements and GWG were assessed with linear regression analyses. Results: A total of 20% of the possible study population (reach) was included in this analysis. On average 4.0 (of the intended 5) face-to-face sessions were delivered. Mean MI fidelity almost reached 'expert opinion' threshold for the global scores, but was below 'beginning proficiency' for the behavioural counts. High variability in quality of MI between practitioners was identified. Participants were highly satisfied with the intervention, the lifestyle coach and the intervention materials. No significant associations were found between process elements and GWG. Conclusion: Overall, the intervention was well delivered and received by the study population, but did not comply with all the principles of MI. Ensuring audio recording of lifestyle sessions throughout the study would facilitate provision of individualized feedback to improve MI skills. A larger sample size is needed to confirm the lack of association between process elements and GWG. Trial registration: ISRCTN registry: ISRCTN70595832 ; Registered 12 December 2011.",

keywords = "counseling, health aspects, lifestyles, motivational interviewing, pregnant women, weight gain",

author = "Jelsma, {Judith G. M.} and David Simmons and Nina Gobat and Stephen Rollnick and Kinga Blumska and Goele Jans and Sander Galjaard and Gernot Desoye and Rosa Corcoy and Fabiola Juarez and Alexandra Kautzky-Willer and J{\"u}rgen Harreiter and Assche, {Andre van} and Roland Devlieger and Dirk Timmerman and David Hill and Peter Damm and Mathiesen, {Elisabeth R.} and Ewa Wender-O{\.z}egowska and Agnieszka Zawiejska and Annunziata Lapolla and Dalfr{\"u}, {Maria G.} and {Del Prato}, Stefano and Alessandra Bertolotto and Fidelma Dunne and Jensen, {Dorte M.} and Liselotte Andersen and Snoek, {Frank J.} and Poppel, {Mireille N. M. van}",

year = "2017",

doi = "10.1186/s12884-017-1471-9",

language = "English",

volume = "17",

pages = "1--14",

journal = "BMC Pregnancy and Childbirth",

issn = "1471-2393",

publisher = "BioMed Central Ltd.",

number = "1",

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Jelsma, JGM, Simmons, D, Gobat, N, Rollnick, S, Blumska, K, Jans, G, Galjaard, S, Desoye, G, Corcoy, R, Juarez, F, Kautzky-Willer, A, Harreiter, J, Assche, AV, Devlieger, R, Timmerman, D, Hill, D, Damm, P, Mathiesen, ER, Wender-Ożegowska, E, Zawiejska, A, Lapolla, A, Dalfrü, MG, Del Prato, S, Bertolotto, A, Dunne, F, Jensen, DM, Andersen, L, Snoek, FJ & Poppel, MNMV 2017, 'Is a motivational interviewing based lifestyle intervention for obese pregnant women across Europe implemented as planned? : process evaluation of the DALI study', BMC Pregnancy and Childbirth, vol. 17, no. 1, pp. 1-14. https://doi.org/10.1186/s12884-017-1471-9

TY - JOUR

T1 - Is a motivational interviewing based lifestyle intervention for obese pregnant women across Europe implemented as planned? : process evaluation of the DALI study

AU - Jelsma, Judith G. M.

AU - Simmons, David

AU - Gobat, Nina

AU - Rollnick, Stephen

AU - Blumska, Kinga

AU - Jans, Goele

AU - Galjaard, Sander

AU - Desoye, Gernot

AU - Corcoy, Rosa

AU - Juarez, Fabiola

AU - Kautzky-Willer, Alexandra

AU - Harreiter, Jürgen

AU - Assche, Andre van

AU - Devlieger, Roland

AU - Timmerman, Dirk

AU - Hill, David

AU - Damm, Peter

AU - Mathiesen, Elisabeth R.

AU - Wender-Ożegowska, Ewa

AU - Zawiejska, Agnieszka

AU - Lapolla, Annunziata

AU - Dalfrü, Maria G.

AU - Del Prato, Stefano

AU - Bertolotto, Alessandra

AU - Dunne, Fidelma

AU - Jensen, Dorte M.

AU - Andersen, Liselotte

AU - Snoek, Frank J.

AU - Poppel, Mireille N. M. van

PY - 2017

Y1 - 2017

N2 - Background: Process evaluation is an essential part of designing and assessing complex interventions. The vitamin D and lifestyle intervention study (DALI) study is testing different strategies to prevent development of gestational diabetes mellitus among European obese pregnant women with a body mass index â‰¥29kg/m2. The intervention includes guidance on physical activity and/or healthy eating by a lifestyle coach trained in motivational interviewing (MI). The aim of this study was to assess the process elements: reach, dose delivered, fidelity and satisfaction and to investigate whether these process elements were associated with changes in gestational weight gain (GWG). Methods: Data on reach, dose delivered, fidelity, and satisfaction among 144 participants were collected. Weekly recruitment reports, notes from meetings, coach logs and evaluation questionnaires (n=110) were consulted. Fidelity of eight (out of twelve) lifestyle coach practitioners was assessed by analysing audio recorded counselling sessions using the MI treatment integrity scale. Furthermore, associations between process elements and GWG were assessed with linear regression analyses. Results: A total of 20% of the possible study population (reach) was included in this analysis. On average 4.0 (of the intended 5) face-to-face sessions were delivered. Mean MI fidelity almost reached 'expert opinion' threshold for the global scores, but was below 'beginning proficiency' for the behavioural counts. High variability in quality of MI between practitioners was identified. Participants were highly satisfied with the intervention, the lifestyle coach and the intervention materials. No significant associations were found between process elements and GWG. Conclusion: Overall, the intervention was well delivered and received by the study population, but did not comply with all the principles of MI. Ensuring audio recording of lifestyle sessions throughout the study would facilitate provision of individualized feedback to improve MI skills. A larger sample size is needed to confirm the lack of association between process elements and GWG. Trial registration: ISRCTN registry: ISRCTN70595832 ; Registered 12 December 2011.

AB - Background: Process evaluation is an essential part of designing and assessing complex interventions. The vitamin D and lifestyle intervention study (DALI) study is testing different strategies to prevent development of gestational diabetes mellitus among European obese pregnant women with a body mass index â‰¥29kg/m2. The intervention includes guidance on physical activity and/or healthy eating by a lifestyle coach trained in motivational interviewing (MI). The aim of this study was to assess the process elements: reach, dose delivered, fidelity and satisfaction and to investigate whether these process elements were associated with changes in gestational weight gain (GWG). Methods: Data on reach, dose delivered, fidelity, and satisfaction among 144 participants were collected. Weekly recruitment reports, notes from meetings, coach logs and evaluation questionnaires (n=110) were consulted. Fidelity of eight (out of twelve) lifestyle coach practitioners was assessed by analysing audio recorded counselling sessions using the MI treatment integrity scale. Furthermore, associations between process elements and GWG were assessed with linear regression analyses. Results: A total of 20% of the possible study population (reach) was included in this analysis. On average 4.0 (of the intended 5) face-to-face sessions were delivered. Mean MI fidelity almost reached 'expert opinion' threshold for the global scores, but was below 'beginning proficiency' for the behavioural counts. High variability in quality of MI between practitioners was identified. Participants were highly satisfied with the intervention, the lifestyle coach and the intervention materials. No significant associations were found between process elements and GWG. Conclusion: Overall, the intervention was well delivered and received by the study population, but did not comply with all the principles of MI. Ensuring audio recording of lifestyle sessions throughout the study would facilitate provision of individualized feedback to improve MI skills. A larger sample size is needed to confirm the lack of association between process elements and GWG. Trial registration: ISRCTN registry: ISRCTN70595832 ; Registered 12 December 2011.

KW - counseling

KW - health aspects

KW - lifestyles

KW - motivational interviewing

KW - pregnant women

KW - weight gain

UR - http://handle.westernsydney.edu.au:8081/1959.7/uws:43825

U2 - 10.1186/s12884-017-1471-9

DO - 10.1186/s12884-017-1471-9

M3 - Article

SN - 1471-2393

VL - 17

SP - 1

EP - 14

JO - BMC Pregnancy and Childbirth

JF - BMC Pregnancy and Childbirth

IS - 1

ER -

Is a motivational interviewing based lifestyle intervention for obese pregnant women across Europe implemented as planned? : process evaluation of the DALI study

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Keywords

UN SDGs

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