Experiences of a digital application intervention supporting recommended weight gain among pregnant women with BMI ≥27 in Denmark – a qualitative study

IF 2.5 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-07-13 DOI:10.1016/j.midw.2025.104519

Sofia Sif Overby Fjorback , Amalie Wienmann Hugin , Michaela Louise Schiøtz , Mette Kabell Hansen , Sakura Goto Bokul Brethvad , Ellen Christine Leth Løkkegaard , Jane Marie Bendix , Lotte Broberg

{"title":"Experiences of a digital application intervention supporting recommended weight gain among pregnant women with BMI ≥27 in Denmark – a qualitative study","authors":"Sofia Sif Overby Fjorback , Amalie Wienmann Hugin , Michaela Louise Schiøtz , Mette Kabell Hansen , Sakura Goto Bokul Brethvad , Ellen Christine Leth Løkkegaard , Jane Marie Bendix , Lotte Broberg","doi":"10.1016/j.midw.2025.104519","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To explore the experiences of a digital application supporting recommended gestational weight gain among pregnant women with BMI ≥27 participating in the HealthyPregnancy Pilot-study.</div></div><div><h3>Methods</h3><div>A qualitative study using semi-structured interviews (<em>n</em> = 17) analyzed through reflexive thematic analysis.</div></div><div><h3>Findings</h3><div>Four themes were identified: 1) Mixed experiences and feelings towards a BMI-based intervention; 2) A holistic approach to health beyond BMI; 3) When daily life and individual circumstances interfere; 4) A reliable lifeline providing feelings of security. Most women viewed the intervention positively, while some experienced initial feelings of stigma, though this feeling was temporary and limited to recruitment. The pregnant women highlighted the importance of a dual focus on physical and mental health in the intervention and valued the application’s reliable information and access to healthcare professionals.</div></div><div><h3>Conclusion</h3><div>A holistic approach that integrates mental health support with physical activity and nutrition was emphasized as essential. Practical barriers like family demands limited participation. Accessibility to reliable support was valued, even when the intervention features were not frequently used. The results emphasize the need for accessible support addressing the diverse circumstances of pregnant women, and interventions must carefully consider framing and recruitment to minimize stigma.</div></div>","PeriodicalId":18495,"journal":{"name":"Midwifery","volume":"148 ","pages":"Article 104519"},"PeriodicalIF":2.5000,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Midwifery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0266613825002372","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"NURSING","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

To explore the experiences of a digital application supporting recommended gestational weight gain among pregnant women with BMI ≥27 participating in the HealthyPregnancy Pilot-study.

Methods

A qualitative study using semi-structured interviews (n = 17) analyzed through reflexive thematic analysis.

Findings

Four themes were identified: 1) Mixed experiences and feelings towards a BMI-based intervention; 2) A holistic approach to health beyond BMI; 3) When daily life and individual circumstances interfere; 4) A reliable lifeline providing feelings of security. Most women viewed the intervention positively, while some experienced initial feelings of stigma, though this feeling was temporary and limited to recruitment. The pregnant women highlighted the importance of a dual focus on physical and mental health in the intervention and valued the application’s reliable information and access to healthcare professionals.

Conclusion

A holistic approach that integrates mental health support with physical activity and nutrition was emphasized as essential. Practical barriers like family demands limited participation. Accessibility to reliable support was valued, even when the intervention features were not frequently used. The results emphasize the need for accessible support addressing the diverse circumstances of pregnant women, and interventions must carefully consider framing and recruitment to minimize stigma.

查看原文本刊更多论文

数字应用干预支持体重指数≥27的丹麦孕妇体重增加的经验——一项定性研究

目的探讨参与健康妊娠试点研究的BMI≥27孕妇孕期增重推荐应用的经验。方法采用半结构化访谈进行质性研究（n = 17），通过反身性主题分析进行分析。发现确定了四个主题：1)对基于bmi的干预的混合体验和感受；2)超越BMI的整体健康方法；3)日常生活和个人情况干扰时；4)提供安全感的可靠生命线。大多数妇女对干预持积极态度，而一些人最初感到耻辱，尽管这种感觉是暂时的，仅限于招聘。孕妇强调了在干预中双重关注身心健康的重要性，并重视应用程序的可靠信息和获得保健专业人员的机会。结论将心理健康支持与体育活动和营养相结合的整体方法是必要的。家庭要求等实际障碍限制了参与。获得可靠的支持是有价值的，即使干预功能不经常使用。研究结果强调，需要针对孕妇的不同情况提供可获得的支持，干预措施必须仔细考虑框架和招募，以尽量减少耻辱感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.