Using the theoretical domains framework to explore primary health care practitioner’s perspectives and experiences of preconception physical activity guidance and promotion.

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 preconception 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.

Citation

SISSONS, A., GRANT, A., KIRKLAND, A. and CURRIE, S. 2020. 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 [online], 24(7), pages 844-854. Available from: https://doi.org/10.1080/13548506.2019.1679846

• Journal Article Type: Article
• Acceptance Date: Sep 24, 2019
• Online Publication Date: Oct 23, 2019
• Publication Date: Aug 31, 2020
• Deposit Date: Dec 24, 2019
• Publicly Available Date: Oct 24, 2020
• Journal: Psychology, health and medicine
• Print ISSN: 1354-8506
• Electronic ISSN: 1465-3966
• Publisher: Taylor & Francis (Routledge)
• Peer Reviewed: Peer Reviewed
• Volume: 25
• Issue: 7
• Pages: 844-854
• DOI: https://doi.org/10.1080/13548506.2019.1679846
• Keywords: Preconception care; Physical activity; Primary health care; General practitioners; Pharmacists; Theoretical domains framework
• Public URL: https://rgu-repository.worktribe.com/output/740000