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    “Be kind to yourself – because you’re doing fine”: using self-determination theory to explore the health-related experiences of primiparous women participating in a motivational interviewing-via-co-active life coaching intervention

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    HarveyJ2017m-1a.pdf (16.01Mb)

    Date

    2017

    Author

    Harvey, Jacqueline

    Degree

    Master of Science

    Discipline

    Kinesiology

    Subject

    Postpartum period health
    Health behaviour change interventions
    Motivational interviewing
    Life coaching
    Gestational weight gain
    Postpartum weight retention

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    Abstract

    Pregnancy and the postpartum period are a vulnerable time for the onset of obesity, especially in primiparous (first-time) mothers. Because postpartum weight retention is a strong independent risk factor for chronic disease, in addition to lifetime obesity with compounded risk for maternal/fetal complications in subsequent pregnancies, a need for lifestyle interventions promoting weight loss and health among primiparous mothers exists. Motivational Interviewing-via-Co-Active Life Coaching (MI-via-CALC) has shown significant results relating to evoking health behaviour change and weight loss in adults with obesity. However, no studies have explored the utility of MI-via-CALC as an intervention in primiparous women – a challenging population to reach due to competing demands and new responsibilities. As a cognitive-behavioural technique delivered over the telephone, MI-via-CALC may be optimal in this regard. The Co-Active model has been previously grounded in Self-determination Theory (SDT), which focuses on the concept of motivation. Given the similarities between the tenets of SDT and MI-via-CALC, and the notion that MI-via-CALC could support SDT’s basic psychological needs (i.e., autonomy, competence, and relatedness), the use of this health behaviour change method in an intervention study has been recommended.

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    http://knowledgecommons.lakeheadu.ca:7070/handle/2453/4684

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