| 1. |
- Rindner, Lena, 1959, et al.
(författare)
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Prognostic factors for future mental, physical and urogenital health and work ability in women, 45-55 years: a six-year prospective longitudinal cohort study.
- 2020
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Ingår i: BMC women's health. - : Springer Science and Business Media LLC. - 1472-6874. ; 20:1
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Tidskriftsartikel (refereegranskat)abstract
- Impaired health due to stress is a common cause of long-term illness in women aged 45-55years. It is a common cause for visits to primary health care (PHC) and may influence work-ability. The aim of this study was to investigate prognostic factors for future mental, physical and urogenital health as well as work-ability in a population of average women aged 45-55years.This longitudinal cohort study initially assessed 142 women from PHC centers in southwestern Sweden. One houndred and ten accepted participation and were followed for 6years. They were assessed using the self-reported questionnaires: the Menopause Rating Scale (MRS), the Montgomery-Asberg Depression Rating Scale (MADRS-S), the Short-Form Health Survey (SF-36). Descriptive data are presented of health, education, relationships and if they are working. Multicollinearity testing and logistic regression were used to test the explanatory variables.Severity of symptoms in the MRS somatic and urogenital domains decreased while they increased in the psychological and depressive domains. Having tertiary education was associated with decreased overall mental health, vitality and social role functioning. Living with a partner was associated with increased physical role functioning, social role functioning and emotional role functioning.Quality of life seems to be enhanced by a good relationship with the partner, social support and work/life balance. Therefore, to improve women health women should early discuss ways in which these issues can be incorporated as they pursue their academic or career goals. Hence, we emphasize the importance of supporting women to gain increased awareness about a healthy life balance and to have realistic goals in work as well as in their social life.
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| 2. |
- Berg, Marie, 1955, et al.
(författare)
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Att bli förälder
- 2010
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Ingår i: Att stödja och stärka : vårdande vid barnafödande / Marie Berg, Ingela Lundgren (red.). - 9789144068206 ; , s. 69-84
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Bokkapitel (refereegranskat)
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| 3. |
- Berg, Marie, 1955, et al.
(författare)
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Minimizing pregnancy weight gain in women with obesity - a challenge for midwives
- 2017
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Ingår i: 31st International Confederation for Midwives Triennal Conference, 18-22 June, Toronto, Canada.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background: Maternal Obesity is an increasing ill health issue associated with increased risk of complications for mother and child, both in a short perinatal perspective and in a life-long perspective. The risk aggravates with increasing maternal BMI and aggravates with increasing gestational weight gain. Purpose/Objective: To investigate whether a lifestyle intervention project at primary care level, offered by midwives to pregnant women with BMI ≥30 would lower gestational weight gain and lower BMI at 3 months after childbirth. Secondary aims were to study if such intervention had positive impact on maternal and child health, to assess the cost efficacy of the intervention, and to explore participating women´s respectively midwives’ experiences. Method: The project was performed years 2011-2013 in Gothenburg, Sweden as a case control study of pregnant women with BMI ≥30 in early pregnancy (n=1165). A control group (n=700) got usual care. Intervention group (n=465) were offered 1) systematised counselling, motivational sessions with midwife concerning nutrition and physical activity 2) group discussions and completing food diary with dietician, 3) aqua aerobics class with midwife/physiotherapist 4) guidance to suitable and locally available health activities 5) availability of pedometers and walking poles. Key Findings: A pilot study show significant positive effect (±SD) on gestational weight gain in the intervention group (8.6±4.9 kg vs. 12.5±5.1kg), and significant better maternal weight at the postnatal checkup. A greater proportion of the intervention group restricted their gestational weight gain to < 7 kg (36% vs. 16%). Full findings will be presented at conference comprising: main outcome whole group (n=1165), cost effectiveness of intervention, and experiences of participating midwives and women. Discussion: To establish good evidence based routines for pregnant women with obesity is important and especially by midwives. This study will inform us if this relatively low intensive intervention can improve maternal and child health in pregnancy, childbirth and first months postpartum. References: Haby K, Glantz A, Hanås R, Premberg Å. Mighty Mums - An antenatal health care intervention can reduce gestational weight gain in women with obesity. Midwifery 2015; 31 (7):685- 692. Marchi, J., Berg, M., Dencker, A., Olander, E. K., & Begley, C. Risks associated with obesity in pregnancy, for the mother and baby: a systematic review of reviews. Obes. Rev. 2015;16(8):621-38. doi: 10.1111/obr.12288. Epub 2015 May 28.
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| 4. |
- Dencker, Anna, 1956, et al.
(författare)
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Adopting a healthy lifestyle when pregnant and obese – an interview study three years after childbirth.
- 2016
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Ingår i: BMC Pregnancy and Childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 16:1
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Background Obesity during pregnancy is increasing and is related to life-threatening and ill-health conditions in both mother and child. Initiating and maintaining a healthy lifestyle when pregnant with body mass index (BMI)≥30 kg/m2 can improve health and decrease risks during pregnancy and of long-term illness for the mother and the child. To minimise gestational weight gain women with BMI≥30 kg/m2 in early pregnancy were invited to a lifestyle intervention including advice and support on diet and physical activity in Gothenburg, Sweden. The aim of this study was to explore the experiences of women with BMI≥30 kg/m2 regarding minimising their gestational weight gain, and to assess how health professionals’ care approaches are reflected in the women’s narratives. Methods Semi-structured interviews were conducted with 17 women who had participated in a lifestyle intervention for women with BMI≥30 kg/m2 during pregnancy 3 years earlier. The interviews were digitally recorded and transcribed in full. Thematic analysis was used. Results The meaning of changing lifestyle for minimising weight gain and of the professional’s care approaches is described in four themes: the child as the main motivation for making healthy changes; a need to be seen and supported on own terms to establish healthy routines; being able to manage healthy activities and own weight; and need for additional support to maintain a healthy lifestyle. Conclusions To support women with BMI≥30 kg/m2 to make healthy lifestyle changes and limit weight gain during pregnancy antenatal health care providers should 1) address women’s weight in a non-judgmental way using BMI, and provide accurate and appropriate information about the benefits of limited gestational weight gain; 2) support the woman on her own terms in a collaborative relationship with the midwife; 3) work in partnership to give the woman the tools to self-manage healthy activities and 4) give continued personal support and monitoring to maintain healthy eating and regular physical activity habits after childbirth involving also the partner and family.
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| 5. |
- Dencker, Anna, 1956, et al.
(författare)
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Support to adopt a healthy lifestyle for pregnant women with BMI > 30
- 2016
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Ingår i: The NJF Congress (Nordiskt Jordemorförbund), Gothenburg, 12-14 May 2016. - 9789163742699
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Konferensbidrag (refereegranskat)abstract
- Background A change towards healthy habits during pregnancy and in early motherhood, including weight control, increased physical activity and optimal diet habits will promote health for the woman with body mass index (BMI) ≥ 30 kg/m2, her fetus/ child, as well as for the whole family. To optimise a healthy lifestyle from early pregnancy in women with BMI ≥ 30 kg/m2 an intervention called Mighty Mums, including advice and support on diet and physical activity was carried out in the maternity health care in Gothenburg, Sweden. . Aim To explore women´s experiences 3 years after participating in a lifestyle intervention targeting pregnant women with BMI ≥ 30 kg/m2. Methods Qualitative interviews were performed with 17 mothers who had participated in a lifestyle intervention 3 years earlier. The interviews were semi-structured and thematic analysis was used. Results All interviews were transcribed verbatim and read in full in the first analysis step. Second, initial codes were identified in the data. All features with a meaning were coded and initial codes were condensed and formed four themes. Conclusions The expected child was the main motivation for the women to participate in the intervention. The women needed to be seen and get personal support from the antenatal health care midwife and receive help to be able to control the selection and implementation of healthy activities. Extra support during pregnancy helped temporarily but there was still a need of support to maintain a healthy lifestyle in the long run.
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| 6. |
- Gyllensten, Hanna, 1979, et al.
(författare)
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Cost effectiveness of a controlled lifestyle intervention for pregnant women with obesity.
- 2021
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Ingår i: BMC pregnancy and childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 21:1
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Tidskriftsartikel (refereegranskat)abstract
- The Mighty Mums antenatal lifestyle intervention is a person-centered behavioral intervention focusing on nutrition and physical activity for pregnant women with obesity (body mass index [BMI] ≥30). The aim of this study was to evaluate the costs and clinical outcomes of adding the Mighty Mums intervention to standard antenatal care.Participants in the intervention group (n=434) received motivational talks with their midwife and a selection of physical and/or nutritional activities in addition to antenatal care. Control participants (n=867) from adjacent geographic areas received standard antenatal care. Costs for staff, unit costs for specific activities, and registered costs for specialized antenatal care were analyzed for associations with gestational weight gain and self-reported health. Results are reported for the intention-to-treat (ITT) population and a per protocol (PP) population identified by participation in the intervention. Analyses included bootstrapped linear regressions adjusted for background characteristics that differed significantly between groups.The average costs were SEK 9727 higher (95% confidence interval [CI]: 6677 to 12,777) among participants in the intervention group than in the control ITT population and SEK 8655 (95% CI 4586 to 12,724) higher than in the PP population. The cost increase per 1kg reduction in gestational weight gain was SEK 12,369 in the ITT population and SEK 7209 for the PP population.Participation in the Mighty Mums intervention was associated with higher costs, but also reduced gestational weight gain. The cost per kilogram reduction in gestational weight gain was low, particularly in the PP population. A future decision to implement this behavioral intervention in standard care should take into account society's willingness to pay per unit reduction in gestational weight gain.The study is registered at ClinicalTrials.gov , Identifier: NCT03147079 .
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| 7. |
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| 8. |
- Haby, Karin, 1960, et al.
(författare)
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A Lifestyle Intervention During Pregnancy and Its Effects on Child Weight 2.5 Years Later
- 2022
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Ingår i: Maternal and Child Health Journal. - : Springer Science and Business Media LLC. - 1092-7875 .- 1573-6628. ; 26, s. 1881-1890
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The aim of this study was to evaluate if overweight and obesity in the offspring is reduced by a low-intensity antenatal primary care intervention with focus on diet and physical activity for pregnant women with obesity, comparing children to mothers receiving the intervention with children to mothers who did not. Methods: This study is a follow-up of children 2.5years of age after their mothers’ participation in a non-randomised controlled intervention intending to limit gestational weight gain. All study participants received standard antenatal care. The intervention group received lifestyle support via motivational talks with midwife and support from dietician. Data on child weight were collected by medical records, letter and phone. Results: There was no significant difference between the groups 2.5years after intervention (International Obesity Task Force ISO-BMI 25 (child BMI corresponding to adult BMI of 25): 20% vs. 21%; ISO-BMI 30: 4.6% vs. 1.3%). The mother’s BMI at the beginning of pregnancy significantly influenced child BMI at 2.5years (r = 0.13, p = 0.014, r2 = 0.017). For each unit of increase in maternal BMI at enrollment, the probability of child ISO-BMI ≥ 25 increased by 7.5% (p = 0.021) and of ≥ 30, by 12.9% (p = 0.017). Conclusion: The frequency of overweight and obesity of the children at 2.5years of age was significantly correlated to the mother’s BMI, but not correlated to the mothers’ participation in the antenatal lifestyle intervention. Thus, it seems important to address obesity and lifestyle issues before and between pregnancies. Trial registration The study has been registered at ClinicalTrials.gov, Identifier: NCT03147079.
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| 9. |
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| 10. |
- Haby, Karin, 1960, et al.
(författare)
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Lifestyle intervention in pregnant women with BMI ≥30
- 2018
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Ingår i: NEON, The Network in Epidemiology and Nutrition. From evidence to practice. April 18-19 2018.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background Obesity (BMI ≥30) during pregnancy is becoming an increasing public health issue and is associated with adverse maternal and perinatal outcomes. Excessive gestational weight gain (GWG) further increases the risks of adverse outcomes. However, lifestyle intervention can help pregnant women with obesity to limit their GWG. This study evaluated whether an antenatal lifestyle intervention programme for pregnant women with obesity, with emphasis on nutrition and physical activity, could influence GWG and maternal and perinatal outcomes. Methods The intervention was performed in a city in Sweden 2011–2013. The study population was women with BMI ≥30 in early pregnancy who received standard antenatal care and were followed until postpartum check-up. The intervention group (n = 459) was provided with additional support for a healthier lifestyle, including motivational talks with the midwife, food advice, prescriptions of physical activity, walking poles, pedometers, and dietician consultation. The control group was recruited from the same (n = 105) and from a nearby antenatal organisation (n = 790). Results In the per-protocol population, the intervention group had significantly lower GWG compared with the control group (8.9 ± 6.0 kg vs 11.2 ± 6.9 kg; p = 0.031). The women managed to achieve GWG <7 kg to a greater extent (37.1% vs. 23.0%; p = 0.036) and also had a significantly lower weight retention at the postpartum check-up (-0.3 ± 6.0 kg vs. 1.6 ± 6.5 kg; p = 0.019) compared to the first visit. The most commonly used components of the intervention, apart from the extra midwife time, were support from the dietician and retrieval of pedometers. Overall compliance with study procedures, actual numbers of visits with logbook activity, and dietician contact correlated significantly with GWG. There was no statistically significant difference in GWG (10.3 ± 6.1 kg vs. 11.2 ± 6.9 kg) between the intervention and control groups in the intention-to-treat population. Conclusion Pregnant women with obesity who follow a lifestyle intervention programme in primary health care can limit their weight gain during pregnancy and show less weight retention after pregnancy. This modest intervention can easily be implemented in a primary care setting.
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| 11. |
- Haby, Karin, 1960, et al.
(författare)
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Mighty Mums - a Lifestyle intervention at primary care level reduces gestational weiht gain in women with obesity
- 2018
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Ingår i: BMC Obesity. - : Springer Science and Business Media LLC. - 2052-9538. ; 5:16
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Tidskriftsartikel (refereegranskat)abstract
- Background Obesity (BMI ≥30) during pregnancy is becoming an increasing public health issue and is associated with adverse maternal and perinatal outcomes. Excessive gestational weight gain (GWG) further increases the risks of adverse outcomes. However, lifestyle intervention can help pregnant women with obesity to limit their GWG. This study evaluated whether an antenatal lifestyle intervention programme for pregnant women with obesity, with emphasis on nutrition and physical activity, could influence GWG and maternal and perinatal outcomes. Methods The intervention was performed in a city in Sweden 2011–2013. The study population was women with BMI ≥30 in early pregnancy who received standard antenatal care and were followed until postpartum check-up. The intervention group (n = 459) was provided with additional support for a healthier lifestyle, including motivational talks with the midwife, food advice, prescriptions of physical activity, walking poles, pedometers, and dietician consultation. The control group was recruited from the same (n = 105) and from a nearby antenatal organisation (n = 790). Results In the per-protocol population, the intervention group had significantly lower GWG compared with the control group (8.9 ± 6.0 kg vs 11.2 ± 6.9 kg; p = 0.031). The women managed to achieve GWG <7 kg to a greater extent (37.1% vs. 23.0%; p = 0.036) and also had a significantly lower weight retention at the postpartum check-up (-0.3 ± 6.0 kg vs. 1.6 ± 6.5 kg; p = 0.019) compared to the first visit. The most commonly used components of the intervention, apart from the extra midwife time, were support from the dietician and retrieval of pedometers. Overall compliance with study procedures, actual numbers of visits with logbook activity, and dietician contact correlated significantly with GWG. There was no statistically significant difference in GWG (10.3 ± 6.1 kg vs. 11.2 ± 6.9 kg) between the intervention and control groups in the intention-to-treat population. Conclusion Pregnant women with obesity who follow a lifestyle intervention programme in primary health care can limit their weight gain during pregnancy and show less weight retention after pregnancy. This modest intervention can easily be implemented in a primary care setting.
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| 12. |
- Haby, Karin, 1960, et al.
(författare)
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Mighty Mums; can a ifestyle intervention for pregnant women with obesity have positive effects on weight gain during pregnancy?l
- 2016
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Ingår i: SAPC, Society for Academic Primary Care, Dublin, 8th of July, 2016.
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Konferensbidrag (refereegranskat)abstract
- The problem Maternal obesity is an increasing public health issue and 13% of women in antenatal care (AC) in Sweden have obesity (BMI≥30). The risk of complications during pregnancy and delivery, and for the child, increases with increasing BMI and is aggravated if the gestational weight gain (GWG) is high. From a public health perspective, the burden of obesity for the woman and her family is a challenge considering the complexity of factors associated with lifestyle choices and the impact on health care resources. The Approach A controlled low intensive lifestyle project, Mighty Mums (MM), was performed in a primary care setting in Gothenborg, Sweden, directed to pregnant women with BMI ≥30. All study participants (n=1165) received standard AC, and the intervention group (n= 465) additionally received support for changing to a more healthy life style. A log was used to register weight, activity and food. The primary aim was to evaluate whether a systematised counselling with the midwife, support from dietician, active guidance to local health centers and availability of pedometers and walking poles, can result in lower mean GWG and lower weight and BMI at the postnatal check-up. Findings A previously presented analysis of a pilot group of 50+50 women showed significant effect on GWG (8.6±4.9 kg vs. 12.5±5.1kg; p=0.001) in the intervention group, among whom a greater proportion managed to restrict their GWG to less than 7 kg (36% vs. 16%; p=0.039). The result from the full scale study will be presented and discussed at the conference. Consequences Our pilot study showed that with a modest and economically realistic effort - done with simple measures possible to adhere to also after the pregnancy - it is possible to guide the woman in AC towards lifestyle changes that decreases GWG. A project like MM would be of great advantage if incorporated in the regular AC, not only for the health of mothers and babies. This requires a general consensus in the health care organisation that obesity and overweight are important issues, and that the management of AC is supportive and implements an effective method of taking care of the women with overweight and obesity in routine AC.
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| 13. |
- Premberg, Åsa, 1955, et al.
(författare)
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Can a lifestyle intervention for pregnant women with obesity have positive effects on weight gain during pregnancy?
- 2016
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Ingår i: Food & Nutrition Research. - : SNF Swedish Nutrition Foundation. - 1654-661X .- 1654-6628.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background & aims Maternal obesity is becoming an increasing global public health issue, and the adverse effects on mother and child are substantial.1 In Sweden, 25% of women have overweight (BMI>25-29.9) and 13% obesity (BMI ≥30) at the onset of pregnancy.2 Objectives To evaluate the Mighty Mums project3 , a low intensive lifestyle intervention directed to pregnant women with BMI ≥30, with the primary aim to reduce gestational weight gain to less than 7 kg. Material & methods A controlled intervention study was conducted in 2011-2013 in Gothenburg, Sweden. All study participants (n=1165) received standard antenatal care, and the intervention group (n= 465) additionally received support to change to a more healthy life style, including physical activity and healthy eating. A log was used throughout pregnancy to register weight, activity and food. Data was derived from medical records during pregnancy until postnatal check up and from the birth register. Results and Conclusion Analysis of a pilot group showed significant effect on gestational weight gain (8.6±4.9 kg vs. 12.5±5.1kg; p=0.001) in the intervention group, among whom a greater proportion managed to restrict their gestational weigh gain to less than 7 kg (36% vs. 16%; p=0.039).3 The result from the full scale study will be presented and discussed at the conference.
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| 14. |
- Premberg, Åsa, 1955, et al.
(författare)
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Can a Lifestyle intervention for pregnant women with obesity have positive effects on weight gain during pregnancy?
- 2016
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Ingår i: Abstract Book, NNC Nordic Nutrition Conference, Gothenburg, 20-22th of June, 2016.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)abstract
- Background and aims: Maternal obesity is increasing and 13% of women assigned to antenatal care (AC) in Sweden have BMI≥30. The risk of complications during pregnancy and delivery, and for the child, increases with increasing BMI and is aggravated by high gestational weight gain (GWG). It is crucial to reduce the burden of adverse maternal and foetal outcomes by minimizing GWG. In this study - Mighty Mums (MM) - a coordinated project with standardized care, given by midwives and supported by dietician and aiming at reducing GWG in obese pregnant women, is evaluated. Methods: All study participants (n=1165) received standard AC, and the intervention group (n=465) additionally received two extra sessions with the midwife and optional offer of activities towards a more healthy life style: food advice, prescription of physical activity, meetings with a dietician, active guidance to local health centers, pedometers, walking poles. A log was used throughout pregnancy to register weight, activity, food, thoughts and feelings. The control groups consisted of women (n=104) getting standard AC followed prospectively, and women (n=700) from adjacent geographical areas followed retrospectively using register data. Results: A previously presented analysis of a pilot group of 50+50 women showed significant effect on GWG (8.6±4.9 kg vs. 12.5±5.1kg) in the intervention group, and a significantly lower weight at the postnatal checkup vs. the first contact with AC (-0.2 ± 5.7 kg vs. +2.0 ± 4.5 kg). A greater proportion of MM also managed to restrict their GWG to less than 7 kg (36% vs. 16%). The result from the full scale study will be presented and discussed at the conference. Conclusion: Our pilot study showed that it is possible to guide the woman in AC towards lifestyle changes that decrease GWG, with a modest and economically realistic effort with simple measures, and we expect similar results from the full study.
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| 15. |
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| 16. |
- Premberg, Åsa, 1955, et al.
(författare)
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Experiences of the first year as father.
- 2008
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Ingår i: Scandinavian journal of caring sciences. - : Wiley. - 0283-9318 .- 1471-6712. ; 22:1, s. 56-63
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND AND AIMS: The importance of fathers' participation for development of the child and the well-being of the family is recognized from earlier research. In Sweden, legislation allows fathers to share the parental leave equally with the mother even so fathers only use a small of their paid leave. The aim of the study was to explore experiences of the first year as a father. METHOD: A phenomenological life world approach was used. Ethical approval was obtained. Ten men, recruited by a purposive sample, were interviewed 12-14 months after the delivery of their first child. The data collection was performed during June and August 2004 in the south-west area of Sweden. FINDINGS: The essence of the experiences of the first year as father was to place the baby in the centre without giving up one's own person. The child provided warmth and happiness in the family and men experienced a deeper relationship to their partner. The contact between father and child was facilitated by engagement and time spent alone with the child. The major constituents identified from the findings were 'To be overwhelmed', 'To master the new situation' and 'To get a new completeness in life'. DISCUSSION AND CONCLUSION: To master fatherhood maintenance of integrity and possibility to develop an independent relationship with the child is important. Fathers are invited to participate in postnatal childbirth education but the activities address women's needs and it is doubtful if the fathers benefit from participation. Though fathers entered the delivery room some decades ago, as a support to the woman, health personnel of today must be aware of fathers' own needs and the impact gender aspects have on their professional support.
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| 17. |
- Premberg, Åsa, 1955, et al.
(författare)
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Father for the first time - development and validation of a questionnaire to assess fathers' experiences of first childbirth (FTFQ).
- 2012
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Ingår i: BMC pregnancy and childbirth. - : Springer Science and Business Media LLC. - 1471-2393. ; 12:1
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Tidskriftsartikel (refereegranskat)abstract
- ABSTRACT: BACKGROUND: A father's experience of the birth of his first child is important not only for their birth-giving partner but also for the father himself, his relationship with the mother and the newborn. No validated questionnaire assessing first-time fathers' experiences during childbirth is currently available. Hence, the aim of this study was to develop and validate an instrument to assess first-time fathers' experiences of childbirth. METHOD: Domains and items were initially derived from interviews with first-time fathers, and supplemented by a literature search and a focus group interview with midwives. The comprehensibility, comprehensiveness and relevance of the items were evaluated by four paternity research experts and a preliminary questionnaire was pilot tested in eight first-time fathers. A revised questionnaire was completed by 200 first- time fathers (response rate = 81%) Exploratory factor analysis using principal component analysis with varimax rotation was performed and multitrait scaling analysis was used to test scaling assumptions. External validity was assessed by means of known-groups analysis. RESULTS: Factor analysis yielded four factors comprising 22 items and accounting 48% of the variance. The domains found were Worry, Information, Emotional support and Acceptance. Multitrait analysis confirmed the convergent and discriminant validity of the domains; however, Cronbach's alpha did not meet conventional reliability standards in two domains. The questionnaire was sensitive to differences between groups of fathers hypothesized to differ on important socio demographic or clinical variables CONCLUSIONS: The questionnaire adequately measures important dimensions of first-time fathers' childbirth experience and may be used to assess aspects of fathers' experiences during childbirth. To obtain the FTFQ and permission for its use, please contact the corresponding author.
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| 18. |
- Premberg, Åsa, 1955, et al.
(författare)
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First time fathers´experiences of childbirth
- 2010
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Ingår i: Book of Abstracts. The 18th Congress of the Nordic Federation of Midwives June 2010..
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Konferensbidrag (refereegranskat)abstract
- A description of first time fathers´experience of childbirth
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| 19. |
- Premberg, Åsa, 1955, et al.
(författare)
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First-time Fathers’ Experiences of Childbirth
- 2011
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Ingår i: Book of abstracts, ICM 29th Triennial Congress. International Confederation of Midwives. Durban 18-23 June 2011. ; :ICM 29th Triennial Congress. International Confede
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Konferensbidrag (refereegranskat)abstract
- Abstract for oral presentation at ICM 29th Triennial Congress Durban, South Africa 19 - 23 June 2011 Title: First- time Fathers’ Experiences of Childbirth- a Phenomenological Study. Name and title of all authors: Åsa Premberg; RNM, MSc, Doctoral student, Gunilla Carlsson , RN, PhD, Associate Professor; Anna-Lena Hellström; RN, Phd, Professor ,Marie Berg; RNM, MNSc, MPH, PhD, Associate Professor Contact e-mail: asa.premberg@gu.se Background and Aim: Fathers have become routine participants during labor and delivery, but since the fathers entered the delivery room in the 1970s, their positions have been ambiguous. The aim of the study was to describe fathers’ experiences during childbirth including caregivers’ support. Setting: The study was performed in the Southwest area of Sweden during the autumn 2008. Ten fathers were located at two hospitals and interviewed 4-6 weeks after the childbirth. Ethical approval was obtained from the Regional Ethical Review Board in Gothenburg Methods: A qualitative method with phenomenological life world approach was chosen. The interviews were guided by a re-enactment method and carried out and analyzed in accordance with Dahlberg (2008). Preliminary results: First-time fathers’ experienced childbirth as a mutually shared process for the couple. This means that the man, in cooperation with the midwife, is highly involved in childbirth with engagement in the process of support and care to the woman in her suffering. However, experience of the woman’s pain, fear of the unknown combined with the gendered preconceptions of masculine hegemony can be hard to bear for the father to be. To maintain and strengthen childbirth as a mutually shared experience for the couple, the father needs to be recognised and supported as a parent to be. Midwives and other caregivers have to acknowledge the fathers role as valued participant, but also support a significant position for the father. Further results, discussion and conclusions are going to be presented at the congress. Keywords. First time Fathers, Childbirth, Experience, Support,
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| 20. |
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| 21. |
- Premberg, Åsa, 1955, et al.
(författare)
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First-time fathers' experiences of childbirth-A phenomenological study.
- 2011
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Ingår i: Midwifery. - : Elsevier BV. - 1532-3099 .- 0266-6138. ; 27:6, s. 848-853
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: to describe fathers' experiences during childbirth. DESIGN: qualitative method with phenomenological lifeworld approach. A re-enactment interview method, with open-ended questions analysed with a phenomenological method, was used. PARTICIPANTS AND SETTING: 10 first-time fathers from two hospitals were interviewed four to six weeks after childbirth in Southwest Sweden during the autumn of 2008. FINDINGS: the essential meaning of first-time fathers' lived experience of childbirth was described as an interwoven process pendulating between euphoria and agony. The four themes constituting the essence was: 'a process into the unknown', 'a mutually shared experience', 'to guard and support the woman' and 'in an exposed position with hidden strong emotions'. KEY CONCLUSIONS: childbirth was experienced as a mutually shared process for the couple. The fathers' high involvement in childbirth, in cooperation with the midwife, and being engaged in support and care for his partner in her suffering is fulfilling for both partners, although the experience of the woman's pain, fear of the unknown and the gendered preconceptions of masculine hegemony can be difficult to bear for the father-to-be. IMPLICATIONS FOR PRACTICE: in order to maintain and strengthen childbirth as a mutually shared experience for the couple, the father needs to be recognised and supported as a parent-to-be. Midwives have to acknowledge fathers as valued participants and support their significant position.
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| 22. |
- Premberg, Åsa, 1955, et al.
(författare)
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How to use first-time father questionnaire (FTFQ) - fathers experiences of childbirth
- 2014
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Ingår i: The International Confederation of Midwives. ICM 30th Triennial Congress. 1-5 June 2014 Prague, Czech Republic.
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Konferensbidrag (refereegranskat)abstract
- Background: The quality of first-time fathers’ participation during childbirth is important not only for his birth-giving partner but also for the father himself, his relationship with the mother and the newborn. No validated questionnaire assessing first-time fathers’ experiences during childbirth was available. The aim of this study was to develop and validate an instrument to assess first-time fathers’ experiences of childbirth (FTFQ). The study was approved by the Regional Ethical Review Board in Gothenburg and was conducted in accordance with ethical principles of the Declaration of Helsinki [27] Method: The questionnaire was constructed with items derived from interviews with first-time fathers, and a questionnaire, completed by 200 first-time fathers (response rate=81 %), was tested and validated. An exploratory factor analysis using principal component analysis with varimax rotation was performed and multitrait scaling analysis was used to test scaling assumptions. The external validity was assessed by means of known-groups analysis. Results: Factor analysis yielded four factors comprising 22 items and accounting 48 % of the variance. The domains found were Worry, Information, Emotional support and Acceptance. Multitrait-scaling analysis confirmed the convergent and discriminant validity of the domains; however, Cronbach’s alpha did not meet conventional reliability standards in two domains. The questionnaire was sensitive to differences between groups of fathers hypothesized to differ on important socio demographic or clinical variables Conclusions: The questionnaire adequately measures important dimensions of first-time fathers’ childbirth experiences’ and may be used to assess aspects of fathers’ experience during childbirth. Implications: At the seminar the main focus will be an instruction on how to use the First-Time Father Questionnaire. Key words: Fathers, childbirth, questionnaire, factor analysis
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| 23. |
- Björndell, Cajsa, et al.
(författare)
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Physicians' experiences of video consultation with patients at a public virtual primary care clinic: a qualitative interview study
- 2021
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Ingår i: Scandinavian Journal of Primary Health Care. - : Informa UK Limited. - 0281-3432 .- 1502-7724. ; 39:1, s. 67-76
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Tidskriftsartikel (refereegranskat)abstract
- Objective To describe physicians' experiences of video consultation with new patients visiting a publicly owned virtual primary care clinic. Design In this qualitative study, data were collected from semi-structured individual interviews and analysed by systematic text condensation. Setting A publicly owned virtual primary care clinic in Region Vastra Gotaland, Sweden. Subjects Ten primary care physicians working at the clinic. Results Connecting with a patient over video could be either straightforward or deficient, depending on communication and the patient's condition. Clinical experience, communication skills, and involving patients throughout the consultation and examination were crucial for assessments over video where patients were guided to perform self-examination. The flexibility of work and the regulated assignment online were positive for the physicians' work situation and wellbeing. Providing video consultation within the same organisation as the patient's regular health centre was considered to facilitate patient care and safety. Video consultation was considered suitable for some diagnoses and for some patients not able to reach a primary healthcare centre, though doubts were expressed about the healthcare and social benefits of this virtual care service. Conclusion For the physicians, video consultation induced changes in the basis for assessment of primary care patients. The limitations on informational exchange demanded an extended form of patient involvement founded upon consultation skills, clinical experience and new skills for virtual examination. Combining virtual care with traditional general practice has the potential to reduce the workload for the individual physician and ensure medical competence in virtual primary care. Video consultation experienced suitable in some situations, but easy access to it expressed problematic in terms of medical prioritisation in healthcare.
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| 24. |
- Capponi, I, et al.
(författare)
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Vécu de l’accouchement par les pères : traduction et validation transculturelle du First-Time Father Questionnaire sur un échantillon francophone : Translation and validation in French of the First-Time Father Questionnaire
- 2016
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Ingår i: Gynécologie Obstétrique & Fertilité. - : Elsevier BV. - 1297-9589. ; 44:9, s. 480-486
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Tidskriftsartikel (refereegranskat)abstract
- For fathers, being present at a birth for the first time is not an insignificant event. Witnessing suffering can cause feelings of loneliness and powerlessness, which may be associated with postnatal problems such as depression. However, without a confirmed French-language tool concerning the experience of childbirth for fathers, we are limited in our ability to develop our understanding of their experiences and establish links between these experiences and their distress (anxiety, depression, etc.), or to develop appropriate methods of support. Our objective has been to translate and validate the Swedish “First-Time Father Questionnaire” with a French-speaking sample. Methods The tool was translated using a translation/backtranslation process (using two independent agencies, with a pre-test on 30 new fathers as well as exchanges with the Swedish authors). The French version was then tested with 154 new fathers at 1 month post-partum. Factorial analysis followed by multi-trait analysis and variance analyses were conducted, with subgroups contrasted according to the mode of delivery. Results The factorial structure is satisfactory, retaining 19 items and reproducing 54.12% of variance. Professional support, worry, and prenatal preparation constitute the 3 dimensions of this. Internal consistency, homogeneity, and the discriminating capacity of the questionnaire are good. Conclusion Validation of the questionnaire shows good metrological qualities. It can therefore be used in the perinatal field to evaluate the childbirth experience for first-time fathers.
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| 25. |
- Dodel, K., et al.
(författare)
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Translation and validation of the first time fathers questionnaire into Persian
- 2021
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Ingår i: British Journal of Midwifery. - : Mark Allen Group. - 0969-4900 .- 2052-4307. ; 29:10, s. 572-578
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Tidskriftsartikel (refereegranskat)abstract
- Background/Aims The presence of fathers during labour and birth can have favourable outcomes for the health of the mother, father and infant. However, there are few studies on fathers’ experiences while being present during labour and birth, which necessitates the development of a valid questionnaire for this purpose.The aim of this study was to translate and culturally adapt the first time fathers questionnaire into Persian. Methods A total of 220 first-time fathers at private midwifery counseling centers were given a translated questionnaire to complete. Forward-backward translation of the questionnaire was conducted and content, face and construct validity were examined.After extracting factors and item distribution, confirmatory factor analysis was performed. Cronbach’s alpha was used for reliability. Results A valid 19-item questionnaire with four dimensions, ‘worry’, ‘acceptance and support during labor’,‘support during and after birth’, and ‘preparedness’ was obtained.The Cronbach’s alpha was 0.78. Conclusions The Persian questionnaire is valid and reliable for examining the experiences of first-time fathers. It can be employed to evaluate fathers’ experiences during labour and birth in midwifery services planning to promote quality of care during childbirth. © 2021 MA Healthcare Ltd. All rights reserved.
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| 26. |
- Haby, K., et al.
(författare)
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Mighty Mums - An antenatal health care intervention can reduce gestational weight gain in women with obesity
- 2015
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Ingår i: Midwifery. - : Elsevier BV. - 0266-6138. ; 31:7, s. 685-692
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Tidskriftsartikel (refereegranskat)abstract
- Background: overweight and obesity are growing public health problems and around 13% of women assigned to antenatal health care (ARC) in Sweden have obesity (Body Mass Index, BMI >= 30). The risk of complications during pregnancy and childbirth increase with increasing BMI. Excessive gestational weight gain (GWG) among obese women further increases the risks of adverse pregnancy outcomes. In this pilot-study from ARC in Gothenburg, a co-ordinated project with standardised care, given by midwives and supported by dietitian and aiming at reducing weight gain in obese pregnant women, is evaluated. Objective: to evaluate the effects of a behavioural intervention programme for women with BMI 30, with emphasis on nutrition and physical activity, with regards to GWG and effect on weight at the post partum check-up. Methods: in the pilot study, the intervention group consisted of the first 50 enrolled obese pregnant women in a large life style project within the AHC in Gothenburg. The control group consisted of 50 obese pregnant women in the same city. The intervention included 60 minutes extra time with the midwife and also offered food discussion group, walking poles and pedometers. The intervention group was prescribed physical activity and could choose from food advice with different content. If needed, the woman was offered referral to the dietitian for a personal meeting. A network was formed with the surrounding community. Outcome measures were GWG, weight change at the postnatal check-up compared with when signing in to antenatal health care, and change in BMI during the same period. Findings: women in the intervention group had a significantly lower GWG (8.6 +/- 49 kg versus 12.5 +/- 5.1 kg; p=0.001) and a significantly lower weight at the postnatal check up versus the first contact with ARC (-0.2 +/- 5.7 kg versus +2.0 +/- 4.5 kg; p=0.032), as well as a decrease in BMI (-0.04 +/- 2.1 versus +0.77 +/- 2.0; p=0.037). More women in the intervention than in the control group managed GWG < 7 kg [18 (36%) versus 8(16%), p=0.039]. Conclusion: obese pregnant women adhering to a standardised life style project in primary care using restricted resources can limit their weight gain during pregnancy, and show less weight retention after pregnancy compared to controls. (C) 2015 Elsevier Ltd. All rights reserved.
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| 27. |
- Johansson, Margareta, et al.
(författare)
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A meta-synthesis of fathers' experiences of their partner's labour and the birth of their baby
- 2015
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Ingår i: Midwifery. - : Elsevier BV. - 0266-6138 .- 1532-3099. ; 31:1, s. 9-18
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Tidskriftsartikel (refereegranskat)abstract
- Objective: to develop greater understanding of how expectant fathers experience their partner's labour and the subsequent birth of their baby. Design: a qualitative meta-synthesis. Data were search for in CINAHL, PubMed, Psych Info and SCOPUS. Setting: eight studies conducted in England, Malawi, Nepal and Sweden were included. Participants: 120 fathers with experiences of their partner having a spontaneous vaginal, assisted or surgical birth. Measurements and findings: 1st order themes were identified and subsequently grouped into seven 2nd order themes. Finally through a process of exploring patterns and connections seven 3rd order themes were developed which produced new insights into the men's experiences of labour and birth. This meta-synthesis revealed that roost men wanted to be actively involved in their partner's labour, present at the birth and respected for what they could contribute. Men recognised that birth was a unique event that may be potentially challenging requiring a level of preparation. There were also men who felt pressured to attend. During the actual experience of labour men commonly expressed overwhelming feelings and inadequacy in their ability to support their partner. They particularly struggled with the 'pain' of labour. Midwives were subsequently identified as best placed to make a significant difference to how men perceived their experiences of labour and what they described as the life changing event of birth. Key conclusions: the expectant fathers' birth experiences were multidimensional. Many were committed to being involved during labour and birth but often felt vulnerable. Being prepared and receiving support were essential elements of positive experience as well as contributing to their ability to adequately support the labouring woman. Implications for practice: men's ability to actively prepare for and be supported through, the labour and birth process influences their perceptions of the childbirth event as well as their sense of connection to their partner Couples should be given opportunities to explore expectations and how these may influence their own construction of their role during the birth process. While the role of expectant fathers in labour and birth should be facilitated and supported arguably their wish not to participate should be afforded the same respect. (C) 2014 Elsevier Ltd. All rights reserved.
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| 28. |
- Lukin, Tanja-Tatiana, et al.
(författare)
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Syrian women's experiences of being pregnant and receiving care at antenatal clinics in Sweden for the first time after migration.
- 2023
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Ingår i: Sexual & reproductive healthcare : official journal of the Swedish Association of Midwives. - : Elsevier BV. - 1877-5764. ; 35
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Tidskriftsartikel (refereegranskat)abstract
- To describe Syrian women's experiences of being pregnant and receiving care at antenatal clinics for the first time after migration.A phenomenological lifeworld approach was used. Eleven women from Syria enrolled at antenatal clinics, who were experiencing their first pregnancy in Sweden but who may have given birth before in other countries, were interviewed in 2020. The interviews were open and based on one initial question. Data were inductively analysed using a phenomenological method.The essence of Syrian women's experiences of being pregnant and receiving care at antenatal clinics for the first time after migration was the importance of being met with understanding to create trust to build a sense of confidence. The following four constituents capture the essence of the women's experiences: "It was important to feel welcomed and to be treated like an equal"; "A good relationship with the midwife strengthened self-confidence and trust"; "Good communication despite language difficulties and cultural differences was important"; and "Previous experience of pregnancy and care influenced the experience of the care received".Syrian women's experiences reveal a heterogeneous group with different experiences and background. The study highlights the first visit and emphasises the importance of this visit for future quality of care. It also points out the negative occurrence of the transferring guilt from the midwife to the migrant woman in case of cultural insensitivity and clashing norm systems.
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| 29. |
- Patel, Harshida, 1958, et al.
(författare)
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Fathers’ reactions over their partner's diagnosis of peripartum cardiomyopathy: A qualitative interview study
- 2019
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Ingår i: Midwifery. - : Elsevier BV. - 0266-6138. ; 71, s. 42-48
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Tidskriftsartikel (refereegranskat)abstract
- Background Fathers' experience of childbirth has been described as both distressing and wonderful, but little has been described in the literature about fathers´ reactions when their partners get life threatening diagnoses such as peripartum cardiomyopathy (PPCM) during the peripartum period. Aim To learn more about fathers' reactions over their partner's diagnosis of peripartum cardiomyopathy. Methods Fourteen fathers, whose partner was diagnosed with PPCM before or after giving birth, were interviewed. Data were analysed using inductive content analysis technique. Results The first reaction in fathers was shock when they heard their partner had PPCM, which was sudden, terrible and overwhelming news. Their reactions to trauma are described in the main category: The appalling diagnosis gave a new perspective on life with emotional sub-categories: overwhelmed by fear, distressing uncertainty in the situation and for the future, feeling helpless but have to be strong, disappointment and frustration, and relief and acceptance. Although terrified, fathers expressed gratitude towards health care professionals for the diagnosis that made it possible to initiate adequate treatment. Conclusion Exploring father's reactions will help peripartum and cardiology healthcare professionals to understand that emotional support for fathers is equally important as the support required for mothers during the peripartum period. Specifically they will help professionals to focus on future efforts in understanding and meeting the supportive care needs of fathers when their partner suffers from a life-threatening diagnosis like PPCM.
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| 30. |
- Petrov Fieril, Karolina, et al.
(författare)
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Experiences of a lifestyle intervention in obese pregnant women – A qualitative study
- 2017
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Ingår i: Midwifery. - : Elsevier BV. - 0266-6138. ; 44, s. 1-6
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Tidskriftsartikel (refereegranskat)abstract
- Objective to describe obese women's experiences of participating in a lifestyle intervention and its experienced impact on health and lifestyle. Design qualitative method with a phenomenological lifeworld approach. The interviews were analyzed in accordance with the phenomenological method. Participants and setting 11 women who had participated in a lifestyle intervention project, targeting pregnant women with BMI ≥30 in southwestern Sweden, were interviewed a few weeks before delivery. Findings the essence of these women's experiences was expressed as: implementing new habits required support, from midwives, partners, relatives, friends, or obese pregnant women in the same situation, or by participating in the intervention itself. The support had to be non-judgmental and with a balanced outlook on weight. Participation had taught them about weight gain control. The women were motivated to try to control their gestational weight gain, although not all of them were initially convinced that this would be possible. The essential structure of participation can be described with the following constituents: ‘‘pregnancy encourages change’’, ‘‘to be supported by non-judgmental people’’, ‘‘from bad habits to conscious choices’’ and; ‘‘barriers to change’’. Key conclusions in order to implement new habits, participants expressed a need for support, given with a non-judgmental attitude and a balanced outlook on weight. The women experienced that the lifestyle changes could be less burdensome than previously imagined, and that slight changes could yield unexpectedly successful results. In order to maintain a lifestyle change, obese women must perceive some kind of results, i.e. increased quality of life or weight gain control. Implications for practice non-judgmental support from midwives is crucial. Affinity with other pregnant obese women in an exercise group or dietary group setting is supportive. © 2016 Elsevier Ltd
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| 31. |
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| 32. |
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| 33. |
- Premberg, Åsa, 1955, et al.
(författare)
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Fathers' Experiences of Childbirth Education
- 2006
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Ingår i: Journal of Perinatal Education. - 1058-1243. ; 15:2, s. 21-28
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this phenomenological study was to describe fathers’ experiences of childbirth education. Ten fathers were interviewed 2–4 months after the birth of their first child. The researchers analysed the interviews. The study’s findings show that, while preparing expectant fathers for birth and fatherhood, childbirth education may simultaneously place fathers in a secondary role. Thus, the fathers’ transition becomes more complicated due to a focus on their secondary role. The opportunity to receive information that addresses the needs and concerns of fathers, specifically, and to develop male group discussions is needed to build networks and support the transition to fatherhood.
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| 34. |
- Premberg, Åsa, 1955
(författare)
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Förstagångsfäders upplevelser av föräldrautbildning, förlossning och första året som far
- 2011
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- In many western societies, fathers have traditionally assumed the role of breadwinner in the family, leaving responsibilities for parenting to the mother. It was not until the late 20th century that their role as participating and caring fathers evolved, and fathers began to be involved in childbirth and childbirth education. Childbirth education had previously been designed only for the mothers-to-be and was adapted to incorporate the needs of the fathers. The benefit of fathers in the delivery room is important; their participation enhances the future mothers’ well-being and the fathers’ attachment to the child. Recent studies have revealed that fathers experience their participation as positive and exciting, but demanding and requiring support. Since first-time fathers are known to be especially vulnerable, more research focusing on first-time fathers is needed to further investigate their experiences during childbirth education, labour and delivery, and during their first year as fathers, both to identify the fathers’ own needs of support as well as to identify fathers whose needs of support have not been met. The aim of the thesis was to explore first-time fathers’ experiences of childbirth education, childbirth and the first year as father. Studies I –III describe fathers’ experiences of childbirth education (I), childbirth (II) and the first year as a father (III). Study IV reports on the development and validation of an instrument for assessing fathers’ experiences and needs during labour and birth. Method: In studies I -III descriptive phenomenological interview studies with first-time fathers were carried out. In study IV a questionnaire was developed and validated with exploratory factor analysis, multitrait scaling analysis and known group’s analysis. Findings: Study I: The fathers’ experiences’ of childbirth education can be described as ‘childbirth education takes a secondary role while simultaneously creating preparedness for birth and fatherhood’. Study II: The first-time fathers’ experiences’ of childbirth was that it is an interwoven process pendulating between euphoria and agony. Study III: The fathers’ experiences of the first year as father is to place the baby in the centre without giving up one’s self. Study IV: Factor analysis yielded four factors comprising 22 items accounting 48.6% of the variance. The domains found were Worry, Information, Emotional support and Acceptance. Conclusion and implications: In order to provide support it is necessary to develop childbirth education so it better suits both parents. Designing groups for prospective fathers to strengthen their role in the transition to parenthood could be important. First-time fathers’ experience of the woman’s pain, fear of the unknown and the gendered preconceptions of masculine hegemony can be difficult to bear for the father-to-be. To maintain and strengthen childbirth as a mutually shared experience for the couple, the father needs to be recognised and supported both as supporter and as parent-to-be. Midwives and other caregivers have to acknowledge the father as a valued participant with exclusive knowledge of the woman’s needs, but also to be aware of fathers’ needs and the impact of gender aspects. Critical during the first year of fatherhood is that the fathers maintain his own integrity and develop an independent relationship with the child. The assessment instrument adequately taps important aspects of first-time fathers’ experiences of childbirth and may be a useful and sensitive tool for assessing their experiences and needs at labour wards and may be used to help identify fathers in need of extra support and counselling following negative birth experiences
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| 35. |
- Premberg, Åsa, 1955
(författare)
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How to use the FTFQ?
- 2013
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Ingår i: 14th Healthcare Interdisciplinary Research Conference, Trinity College, Dublin.
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Konferensbidrag (övrigt vetenskapligt/konstnärligt)
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| 36. |
- Vennberg Karlsson, Jenny, et al.
(författare)
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Experiences of health after dietary changes in endometriosis: A qualitative interview study
- 2020
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Ingår i: BMJ Open. - : BMJ. - 2044-6055. ; 10:2
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Tidskriftsartikel (refereegranskat)abstract
- © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Endometriosis is a chronic disease with no known cure. Persons affected by this disease often use complementary therapies such as dietary changes to reduce their symptoms, and so it is important to investigate whether and how these therapies affect endometriosis symptoms. The aim of this study was to explore how persons with endometriosis experienced their health after dietary changes. Design Semi-structured qualitative interviews were conducted with 12 persons with endometriosis who had made individual dietary changes aimed at decreasing their endometriosis symptoms. The interviews were recorded and transcribed verbatim, and analysed using thematic analysis. Setting Region Västra Götaland and the estern part of Central Sweden, Sweden. Participants Twelve persons with endometriosis aged 28 to 44 were recruited from two Swedish endometriosis support forums on the Internet. Results Participants experienced an increase in well-being and a decrease in symptoms following their dietary and lifestyle changes. They also felt that the dietary changes led to increased energy levels and a deeper understanding of how they could affect their health by listening to their body's reactions. The participants understood that they could influence their symptoms through lifestyle changes. Support from family and friends was important in implementing and sustaining the dietary changes. However, the participants stressed the lack of support from healthcare professionals. Conclusions This study contributes to filling the knowledge gap about dietary strategies in endometriosis and lifestyle change as a method of alleviating suffering and increasing well-being. An important finding is that the participants experienced decreased symptoms and increased well-being after adopting an individually-adapted diet. Healthcare professionals should take their patients' knowledge and experience into consideration, and allow patients to participate in their own care. Further research is necessary to give evidenced-based dietary advices in endometriosis.
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| 37. |
- Xiu-Zhen, Z., et al.
(författare)
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Cross-cultural adaptation and validation of the First-Time Fathers Questionnaire in China
- 2021
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Ingår i: Midwifery. - : Elsevier BV. - 0266-6138. ; 93
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The study aimed to cross-culturally adapt and validate the First-Time Fathers Questionnaire (FTFQ) in the cultural context of China. Design: Prospective validation study. Setting: The study was conducted in four public hospitals in Hangzhou, a southeast coastal city of China. Participants: Four hundred and nineteen first-time fathers (mean age=30.45 years, SD=3.44, range 22-46) whose partners had given birth between July 20 and October 10, 2019. Methods: The instrument "First Time Fathers Questionnaire (FTFQ)" was translated and culturally adapted to the Chinese context according to the methodological criteria of the International Society for Pharmacoeconomic and Outcomes Research. The construct-related validity of the instrument was tested through EFA and CFA. Content validity was evaluated with an analysis of the expert judgment. Reliability was assessed based on the internal consistency. Results: Four domains were identified: "Worry", "Information", "Emotional Support", and "Acceptance", with 19 items and adequate internal reliability (0.86, 0.80, 0.86, and 0.72, respectively) and a total variance of 64.65%. The CFA model showed there is a good fit for the data: X2/df =1.20; RMSA = 0.03; CFI = 0.99; and NFI = 0.93. Additionally, each item achieved an I-CVI ≧0.83, and the S-CVI/Ave = 0.90. Key Conclusions: The Chinese version of the FTFQ is a valid and reliable instrument to assess first-time fathers' experience of childbirth in China. Implications for Practice: This study provides a validated questionnaire that is suitable for the Chinese cultural context. It contributes to the knowledge of first-time fathers' experience of childbirth and facilitate further actions to improve paternal satisfaction and behavior as labour companion. © 2020
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| 38. |
- Yildirim, Ayca Demir, et al.
(författare)
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The validity and reliability study of the first-time fathers questionnaire in Turkish
- 2024
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Ingår i: HELIYON. - 2405-8440. ; 10:1
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Tidskriftsartikel (refereegranskat)abstract
- The father's participation in the birth contributes significantly to the mother's birth experiences as well as to the fatherhood process. Since fathers have traditionally not been allowed to attend childbirth in Turkish public hospitals, which now is changing, there is a lack of research in this area. To remedy this shortcoming, a questionnaire that explores the Turkish fathers' experiences of childbirth is needed. The study aims to translate, validate, and adapt the pre-existing First-Time Fathers' Questionnaire to the Turkish language and culture. In the first stage of the study, the questionnaire was translated to Turkish. Expert opinions of the First Time Father Questionnaire were taken, and the content validity was checked. The revised questionnaire was then completed by 110 fathers. The average age of the fathers participating in the study was 32.12 +/- 6.8 and 80 % of them were found to be middle class. The construct validity of the questionnaire was tested with explanatory factor analysis and confirmatory factor analysis, finally a test-retest was per-formed. The Cronbach's alpha coefficient for each dimension of the 20-items questionnaire was as follows: knowledge = 0.90, acceptance = 0.90, anxiety = 0.88, and emotional support = 0.66. All sub-dimensions correspond to 68.5 % of the total variance. The confirmatory factor analysis model showed consistency for the data (X2/DF = 1.078; RMSA = 0.027; CFI = 0.992; GFI = 0.900; AGFI.0.829). Therefore, the adaptation of the First Time Fathers Questionnaire is a valid and reliable instrument in evaluating the childbirth experiences of first-time fathers in Turkish culture.
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