Reducing Barriers for Pregnant Women in Rural/Remote First Nations Communities to Participate in Lifestyle Intervention Program through Community-Oriented Approaches

Reid, Ashleigh; Back, Lisa; Hui, Amy Leung; McGavock, Jon; Dean, Heather; Ludwig, Sora; Sellers, Elizabeth; Shen, Garry X.

doi:10.1016/j.jcjd.2012.07.460

Cited by 2 publications

(4 citation statements)

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“…Suboptimal road conditions, lack of private or public transportation in addition to physiological restriction during pregnancy were barriers for pregnant women in rural or remote communities to attend face-to-face prenatal classes [17] . Pregnant women who had toddlers or small children at home had difficulty attending prenatal classes located miles away from their homes.…”

Section: Discussionmentioning

confidence: 99%

“…Our group organized community forums, focus group meetings, and traditional circles with community Elders, CPNP workers, pregnant women, and their spouses to identify barriers to face-to-face prenatal classes. Potential barriers suggested by community members for the low participation of pregnant women in the prenatal program include lack of transportation, childcare, and advertisement for the prenatal classes [17] .…”

Section: Methodsmentioning

confidence: 99%

“…Barriers to participation were identified by pregnant or postpartum women, their spouses, Elders, and healthcare workers in the communities. With support from community partners, some barriers were attenuated, but the attendance to prenatal classes still poses a challenge [17] .…”

Section: Introductionmentioning

confidence: 99%

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Impact of remote prenatal education on program participation and breastfeeding of women in rural and remote Indigenous communities

et al. 2021

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Background: First Nations (FN) women have a higher risk of diabetes than non-FN women in Canada. Prenatal education and breastfeeding may reduce the risk of diabetes in mothers and offspring. The rates of breastfeeding initiation and participation in the prenatal program are low in FN communities. Methods: A prenatal educational website, social media-assisted prenatal chat groups and community support teams were developed in three rural or remote FN communities in Manitoba. The rates of participation of pregnant women in prenatal programs and breastfeeding initiation were compared before and after the start of the remote prenatal education program within 2014-2017. Findings: The participation rate of FN pregnant women in rural or remote communities in the prenatal program and breastfeeding initiation during 1-year after the start of the community-based remote prenatal education program were significantly increased compared to that during 1-year before the start of the program (54% versus 36% for the participation rate, 50% versus 34% for breastfeeding initiation, p < 0¢001). Availability of high-speed Wi-Fi and/or postpartum supporting team were associated with favorite study outcomes. Positive feedback on the remote prenatal education was received from participants. Interpretation: The findings suggest that remote prenatal education is feasible and effective for improving the breastfeeding rate and engaging pregnant women to participate in the prenatal program in rural or remote FN communities. The remote prenatal education remained active during COVID-19 in the participating communities, which suggests an advantage to expand remote prenatal education in other Indigenous communities.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Impact of remote prenatal education on program participation and breastfeeding of women in rural and remote Indigenous communities

et al. 2021

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“…Of the three identified mHealth interventions, two were co-designed with an indigenous population and have shown some positive outcomes in favour of the interventions. Citations of their authors' previous work on co-designing the interventions with indigenous populations were reported for these two interventions in those studies [47,48]. Although the current evidence on their effectiveness is limited, the authors of these studies are following the iterative process of evidence gathering as suggested in the guideline on the evaluation of complex interventions [49][50][51].…”

Section: Discussionmentioning

confidence: 99%

Mobile Health interventions for modifying indigenous maternal and child-health related behaviours: a systematic review (Preprint)

Ela,

Ishaque,

Dowling

et al. 2024

Preprint

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BACKGROUND The transition to motherhood is a pivotal time for promoting healthy behaviours, particularly among indigenous women, who encounter significant barriers to accessing health information. Mobile health interventions (mHealth) promoting healthy lifestyle changes, offer an adaptable and inexpensive method for improving access health information but require cultural appropriateness and suitability for acceptance and effectiveness in indigenous populations. No systematic review on effective mHealth interventions for indigenous women during pregnancy and the early childhood years has been conducted. OBJECTIVE This study evaluated the effectiveness of mHealth interventions, promoting healthy lifestyle changes, for indigenous mothers and children from conception to five years post-partum. It explored the effectiveness differences based on participant engagement, intervention nature, and provision of context. METHODS A systematic search of five databases; SCOPUS, MEDLINE, CINAHL, PsycINFO, and ProQuest (Dissertation or Thesis); was conducted to identify studies focusing on maternal and child health, indigenous populations, and mHealth following a pre-registered PROSPERO protocol (CRD42023395710). HealthInfoNet was searched for grey literature and the reference lists of included studies were hand searched. Randomised controlled trials and other interventional study designs including pre-post comparison and cohort studies were eligible for inclusion. Quality of studies was evaluated by two independent reviewers using the Mixed Methods Quality Appraisal Tool and the Centre of Excellence in Aboriginal Chronic Disease Knowledge Translation and Exchange tool. Details from the studies was extracted using a predeveloped extraction form and a descriptive synthesis of the data was performed. RESULTS Of the 688 articles screened, only three met the eligibility criteria. Each paper evaluated a different mHealth intervention. The three mHealth interventions identified were: Remote Prenatal Education, the Short Messaging System (SmS) Parent Action Intervention, and the Screening, Brief Intervention and Referral to Treatment eCHECKUP To Go. All included studies had a small sample size, and none provided a rationale for the power calculation of the sample size for the outcomes reported. Therefore, it was not possible to establish whether the differences in the effectiveness were due to the interventions. CONCLUSIONS The current literature does not have any evidence of the effectiveness of mHealth interventions for maternal and child health behaviour change. A thorough evaluation with consideration of cultural contexts and user preferences during intervention design and development is crucial for maximizing their potential. Despite scant evidence, mHealth interventions, hold promise for enhancing indigenous mothers' health.

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Reducing Barriers for Pregnant Women in Rural/Remote First Nations Communities to Participate in Lifestyle Intervention Program through Community-Oriented Approaches

Cited by 2 publications

References 0 publications

Impact of remote prenatal education on program participation and breastfeeding of women in rural and remote Indigenous communities

Impact of remote prenatal education on program participation and breastfeeding of women in rural and remote Indigenous communities

Mobile Health interventions for modifying indigenous maternal and child-health related behaviours: a systematic review (Preprint)

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