Table 2.
Change objectives for pregnant women
| Determinants→PO | Awareness (aw) | Knowledge (k) | Attitudes (a) | Social influences (si) | Self-efficacy/skills (se) | Barriers (b) |
|---|---|---|---|---|---|---|
| PO1. Pregnant women determine their BMI | k1a. Describe height and weight k1b. Describe the calculation of BMI | a1a. Believe it is important to know their personal BMI | si1a. Describe that midwives consider knowing your BMI as important | se1a. Express confidence in calculation of BMI (including measuring height and weight) | ||
| PO2. Pregnant women monitor their weight gain every week | aw2a. Accord the value of monitoring their weight gain every week | k2a. Describe the guidelines for healthy GWG k2b. Describe the healthy first-trimester GWG for their BMI k2c. Describe the healthy GWG for their BMI after the first trimester k2d. Describe the healthy GWG for their BMI at the end of pregnancy k2e. Describe the negative consequences (short- and long-term) of unhealthy GWG k2f. Describe the positive consequences (short- and long-term) of healthy GWG | a2a. Believe it is important to reach a healthy GWG a2b. Believe it is important to protect their fetus’ health with a healthy GWG a2c. Believe it is important to protect their own health with a healthy GWG a2d. Believe it is important to return to their pre-pregnancy weight after birth a2e. Believe it is important to monitor their GWG | si2a. Describe that it is midwives’ ambition to reach a healthy GWG si2b. Describe that their midwife stimulates them to monitor their GWG | se2a. Express confidence in monitoring GWG | b2a. Express the usage of a scale every week |
| PO3. Pregnant women select ways to accomplish healthy GWG | aw3a. Accord the value of finding a way to accomplish healthy GWG | k3a. Describe the contribution of healthy diet to GWG k3b. Describe the contribution of healthy PA to GWG k3c. Describe the contribution of well-being to GWG k3d. Describe the advantages of monitoring GWG during pregnancy k3e. Describe the advantages of discussing unhealthy GWG with the midwife k3f. Describe frequently heard well-meant untrue advice | a3a. Feel positive about reaching a healthy GWG with a healthy diet a3b. Feel positive about reaching a healthy GWG with healthy PA a3c. Feel positive about reaching a healthy GWG with well-being a3d. Believe it is important to determine a personal target weight a3e. Believe it is important to regularly monitor their GWG a3f. Believe it is important to discuss unhealthy GWG with the midwife | si3a. Describe that a healthy lifestyle (diet, PA) is their midwife’s ambition si3b. Describe that their midwife stimulates them to reach a healthy GWG si3c. Describe that they feel supported by their midwife in making GWG negotiable si3d. Describe being able to resist social pressure (‘eat for two’, ‘stay inactive’) si3e. Describe being able to resist social pressure of their offspring to snack unhealthily or to be inactive | se3a. Express confidence in realizing a healthy diet se3b. Express confidence in realizing healthy PA se2c. Express confidence in protecting their own well-being se3d. Demonstrate discussing unhealthy GWG with their midwife se3e. Express confidence to resist well-meant untrue advice se3f. Express confidence in resisting pressure from their offspring | b3a. Believe that they can handle changing dietary needs b3b. Believe that they can maintain a healthy diet in case of physical complaints b3c. Believe that they can maintain healthy PA in case of physical complaints b3d. Believe that they can have a healthy lifestyle in combination with the care for their offspring |
| PO4. Pregnant women follow midwives’ advice about healthy GWG | aw4a. Accord the value of following midwives’ advice about healthy GWG | k4a. Recall midwives’ advice concerning GWG | a4a. Believe it is important to follow midwives’ advice a4b. Believe that midwives’ advice belongs to themselves | si4a. Describe that others in their environment endorse the importance of following midwives’ advice | se4a. Express confidence in following midwives’ advice | b4a. Plan how to cope with barriers that hinder following midwives’ advice (tiredness, care for offspring, time, etc.) b4b. Describe how they include midwives’ advice into daily routine |
| PO5. Pregnant women follow midwives’ advice about referral to a dietitian, psychologist, an exercise programme | aw5a. Accord the value of visiting a dietitian, psychologist, an exercise programme | a5a. Believe it is important to visit, if relevant, a dietitian, psychologist, an exercise programme | si5a. Recognize that is normal to visit a dietitian, psychologist, an exercise programme |
PO, performance objective; GWG, gestational weight gain; PA, physical activity.