Influence of the 5A's Counseling Strategy on Weight Gain During Pregnancy: An Observational Study

Journal of Women's Health
Katie O Washington ColeDebra L Roter

Abstract

Healthy weight gain during pregnancy may improve health outcomes for women and infants. The objective of this study was to examine providers' use of the 5A's (Assess, Advise, Agree, Assist, and Arrange) in discussions of weight, nutrition, and physical activity during prenatal visits and evaluate the effect of this approach on gestational weight gain. We studied audio recordings of prenatal visits between 22 obstetrics providers and 120 of their patients, coding visits for providers' use of the 5A's. The relationship between the 5A's and gestational weight gain (total weight gain and excess gestational weight gain) was evaluated using multilevel models to account for patient clustering within provider, and adjusted for prepregnancy body mass index, parent study intervention assignment, gestational age at the study visit, and study visit length. Overall, 55% of prenatal visits included any weight-related behavioral counseling. Of these, 59.1% included one of the 5A's and 40.9% included two or more of the 5A's. Counseling conversations most commonly included Assess or Advise (49% and 85% of counseling conversations, respectively). No recorded visits used all 5A's. In adjusted analyses, patients who received counseling with two or...Continue Reading

References

May 1, 1996·Obstetrics and Gynecology·L E CaulfieldR J Stoltzfus
Oct 8, 1999·Obstetrics and Gynecology·M E CogswellL A Schieve
Aug 6, 2000·Archives of Internal Medicine·C N SciamannaR R Wing
Apr 5, 2002·Patient Education and Counseling·Debra Roter, Susan Larson
May 4, 2002·American Journal of Preventive Medicine·Evelyn P WhitlockJanet Allan
Apr 10, 2003·JAMA : the Journal of the American Medical Association·Mary K SerdulaWilliam H Dietz
May 6, 2003·Health Education Research·C M McBrideI M Lipkus
Mar 2, 2005·Obstetrics and Gynecology·Naomi E StotlandGabriel J Escobar
Oct 6, 2005·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·P BrawarskyJ S Haas
Dec 27, 2005·Social Science & Medicine·Maria L Loureiro, Rodolfo M Nayga
Oct 3, 2006·Obstetrics and Gynecology·Michael L PowerJay Schulkin
Aug 18, 2009·American Journal of Obstetrics and Gynecology·Suzanne Phelan
Jan 19, 2010·Journal of Women's Health·Naomi E StotlandBarbara Gerbert
Jan 22, 2010·Journal of Women's Health·Sharon J HerringEmily Oken
Jul 26, 2011·American Journal of Obstetrics and Gynecology·Sarah D McDonaldWendy Sword
Oct 16, 2012·Maternal and Child Health Journal·Emily OkenPatricia Dietz
Oct 30, 2015·Journal of Health Communication·Debra L RoterJessica Bienstock

❮ Previous
Next ❯

Citations

Apr 10, 2020·Journal of Midwifery & Women's Health·Ashley WeeksKristi B Adamo
Sep 1, 2018·Obstetrical & Gynecological Survey·Ashley WeeksKristi B Adamo
Apr 29, 2020·Journal of Women's Health·Kara M WhitakerJihong Liu
Aug 17, 2019·Obstetrical & Gynecological Survey·Kelly R EvensonRaul Artal
Nov 7, 2020·Paediatric and Perinatal Epidemiology·Lisa M BodnarKatherine P Himes
Aug 10, 2021·American Journal of Lifestyle Medicine·Connor EvinsJennifer L Trilk

❮ Previous
Next ❯

Software Mentioned

RIAS
Stata
ATLAS
ti
Roter Interaction Analysis System ( RIAS

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.