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Intervention strategies to improve nutrition and health behaviours before conception.

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Title: Intervention strategies to improve nutrition and health behaviours before conception.
Authors: Barker, Mary, Dombrowski, Stephan U., Colbourn, Tim, Fall, Caroline H. D., Kriznik, Natasha M., Lawrence, Wendy T., Norris, Shane A., Ngaiza, Gloria, Patel, Dilisha, Skordis-Worrall, Jolene, Sniehotta, Falko F., Steegers-Theunissen, Régine, Vogel, Christina, Woods-Townsend, Kathryn, Stephenson, Judith
Source: Lancet. 5/5/2018, Vol. 391 Issue 10132, p1853-1864. 12p. 2 Color Photographs, 1 Chart.
Subjects: Health promotion, Maternal health, Maternal health services, Lifestyles & health, Children's health, Endowments, Health behavior, Nutritional requirements, Preconception care, Pregnant women, Psychological tests, Public health, Questionnaires, Research funding, Social participation, Government policy
Abstract: The nutritional status of both women and men before conception has profound implications for the growth, development, and long-term health of their offspring. Evidence of the effectiveness of preconception interventions for improving outcomes for mothers and babies is scarce. However, given the large potential health return, and relatively low costs and risk of harm, research into potential interventions is warranted. We identified three promising strategies for intervention that are likely to be scalable and have positive effects on a range of health outcomes: supplementation and fortification; cash transfers and incentives; and behaviour change interventions. On the basis of these strategies, we suggest a model specifying pathways to effect. Pathways are incorporated into a life-course framework using individual motivation and receptiveness at different preconception action phases, to guide design and targeting of preconception interventions. Interventions for individuals not planning immediate pregnancy take advantage of settings and implementation platforms outside the maternal and child health arena, since this group is unlikely to be engaged with maternal health services. Interventions to improve women's nutritional status and health behaviours at all preconception action phases should consider social and environmental determinants, to avoid exacerbating health and gender inequalities, and be underpinned by a social movement that touches the whole population. We propose a dual strategy that targets specific groups actively planning a pregnancy, while improving the health of the population more broadly. Modern marketing techniques could be used to promote a social movement based on an emotional and symbolic connection between improved preconception maternal health and nutrition, and offspring health. We suggest that speedy and scalable benefits to public health might be achieved through strategic engagement with the private sector. Political theory supports the development of an advocacy coalition of groups interested in preconception health, to harness the political will and leadership necessary to turn high-level policy into effective coordinated action. [ABSTRACT FROM AUTHOR]
Copyright of Lancet is the property of Lancet and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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PubType: Academic Journal
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  Data: Intervention strategies to improve nutrition and health behaviours before conception.
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  Data: <searchLink fieldCode="AR" term="%22Barker%2C+Mary%22">Barker, Mary</searchLink><br /><searchLink fieldCode="AR" term="%22Dombrowski%2C+Stephan+U%2E%22">Dombrowski, Stephan U.</searchLink><br /><searchLink fieldCode="AR" term="%22Colbourn%2C+Tim%22">Colbourn, Tim</searchLink><br /><searchLink fieldCode="AR" term="%22Fall%2C+Caroline+H%2E+D%2E%22">Fall, Caroline H. D.</searchLink><br /><searchLink fieldCode="AR" term="%22Kriznik%2C+Natasha+M%2E%22">Kriznik, Natasha M.</searchLink><br /><searchLink fieldCode="AR" term="%22Lawrence%2C+Wendy+T%2E%22">Lawrence, Wendy T.</searchLink><br /><searchLink fieldCode="AR" term="%22Norris%2C+Shane+A%2E%22">Norris, Shane A.</searchLink><br /><searchLink fieldCode="AR" term="%22Ngaiza%2C+Gloria%22">Ngaiza, Gloria</searchLink><br /><searchLink fieldCode="AR" term="%22Patel%2C+Dilisha%22">Patel, Dilisha</searchLink><br /><searchLink fieldCode="AR" term="%22Skordis-Worrall%2C+Jolene%22">Skordis-Worrall, Jolene</searchLink><br /><searchLink fieldCode="AR" term="%22Sniehotta%2C+Falko+F%2E%22">Sniehotta, Falko F.</searchLink><br /><searchLink fieldCode="AR" term="%22Steegers-Theunissen%2C+Régine%22">Steegers-Theunissen, Régine</searchLink><br /><searchLink fieldCode="AR" term="%22Vogel%2C+Christina%22">Vogel, Christina</searchLink><br /><searchLink fieldCode="AR" term="%22Woods-Townsend%2C+Kathryn%22">Woods-Townsend, Kathryn</searchLink><br /><searchLink fieldCode="AR" term="%22Stephenson%2C+Judith%22">Stephenson, Judith</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Lancet%22">Lancet</searchLink>. 5/5/2018, Vol. 391 Issue 10132, p1853-1864. 12p. 2 Color Photographs, 1 Chart.
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  Data: <searchLink fieldCode="DE" term="%22Health+promotion%22">Health promotion</searchLink><br /><searchLink fieldCode="DE" term="%22Maternal+health%22">Maternal health</searchLink><br /><searchLink fieldCode="DE" term="%22Maternal+health+services%22">Maternal health services</searchLink><br /><searchLink fieldCode="DE" term="%22Lifestyles+%26+health%22">Lifestyles & health</searchLink><br /><searchLink fieldCode="DE" term="%22Children's+health%22">Children's health</searchLink><br /><searchLink fieldCode="DE" term="%22Endowments%22">Endowments</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Nutritional+requirements%22">Nutritional requirements</searchLink><br /><searchLink fieldCode="DE" term="%22Preconception+care%22">Preconception care</searchLink><br /><searchLink fieldCode="DE" term="%22Pregnant+women%22">Pregnant women</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Public+health%22">Public health</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Social+participation%22">Social participation</searchLink><br /><searchLink fieldCode="DE" term="%22Government+policy%22">Government policy</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: The nutritional status of both women and men before conception has profound implications for the growth, development, and long-term health of their offspring. Evidence of the effectiveness of preconception interventions for improving outcomes for mothers and babies is scarce. However, given the large potential health return, and relatively low costs and risk of harm, research into potential interventions is warranted. We identified three promising strategies for intervention that are likely to be scalable and have positive effects on a range of health outcomes: supplementation and fortification; cash transfers and incentives; and behaviour change interventions. On the basis of these strategies, we suggest a model specifying pathways to effect. Pathways are incorporated into a life-course framework using individual motivation and receptiveness at different preconception action phases, to guide design and targeting of preconception interventions. Interventions for individuals not planning immediate pregnancy take advantage of settings and implementation platforms outside the maternal and child health arena, since this group is unlikely to be engaged with maternal health services. Interventions to improve women's nutritional status and health behaviours at all preconception action phases should consider social and environmental determinants, to avoid exacerbating health and gender inequalities, and be underpinned by a social movement that touches the whole population. We propose a dual strategy that targets specific groups actively planning a pregnancy, while improving the health of the population more broadly. Modern marketing techniques could be used to promote a social movement based on an emotional and symbolic connection between improved preconception maternal health and nutrition, and offspring health. We suggest that speedy and scalable benefits to public health might be achieved through strategic engagement with the private sector. Political theory supports the development of an advocacy coalition of groups interested in preconception health, to harness the political will and leadership necessary to turn high-level policy into effective coordinated action. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Lancet is the property of Lancet and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=129619957
RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1016/S0140-6736(18)30313-1
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      – Code: eng
        Text: English
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        StartPage: 1853
    Subjects:
      – SubjectFull: Health promotion
        Type: general
      – SubjectFull: Maternal health
        Type: general
      – SubjectFull: Maternal health services
        Type: general
      – SubjectFull: Lifestyles & health
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      – SubjectFull: Children's health
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      – SubjectFull: Endowments
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Nutritional requirements
        Type: general
      – SubjectFull: Preconception care
        Type: general
      – SubjectFull: Pregnant women
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      – SubjectFull: Psychological tests
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      – SubjectFull: Public health
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      – SubjectFull: Research funding
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      – SubjectFull: Government policy
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      – TitleFull: Intervention strategies to improve nutrition and health behaviours before conception.
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              Text: 5/5/2018
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