Enablers and barriers to women's lifestyle behavior change during the preconception period: A systematic review

Pragya Kandel · Siew S. Lim · Stephanie Pirotta · Helen Skouteris · Lisa Moran · Briony Hill

68 citations0/0 files storedObesity Reviews

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Behavioral Health and Interventions Reproductive Health and Contraception Maternal and Neonatal Healthcare

Abstract

Healthy lifestyle behaviors during the preconception period are important to optimize maternal and child outcomes, including weight. However, the majority of women do not have optimal preconception lifestyle behaviors. This systematic review explored enablers and barriers to women's preconception lifestyle behaviors using the Capability, Opportunity, Motivation, Behaviour (COM-B) model and Theoretical Domains Framework (TDF). Preconception was defined as the time before conception, capturing planned and unplanned pregnancies. Medline Complete, EMBASE, PsycINFO, and CINAHL were searched for peer-reviewed, quantitative and qualitative primary studies (English, 2006-2020) that explored enablers and barriers to lifestyle behaviors (diet, physical activity, smoking, alcohol use, supplement intake). Forty-two studies (of 3406) were included, assessing supplement use (n = 37), diet (n = 10), smoking (n = 10), alcohol use (n = 8), and physical activity (n = 5). All three COM-B components were identified only for diet and supplement use. Of the 14 TDF domains, 7 were identified: knowledge, beliefs about capabilities, beliefs about consequences, goals, intentions, social support, and environmental context and resources. The presence/absence of knowledge on healthy behaviors was the most commonly assessed enabler/barrier. Future studies should explore a wider range of factors influencing preconception women's capability, opportunity, and motivation to modify their lifestyle behaviors.

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2022Social determinants of vulnerability in the population of reproductive age: a systematic review 2024Facilitators and barriers to behavior change in overweight and obesity management using the COM-B model 2022Empowerment for behaviour change through social connections: a qualitative exploration of women’s preferences in preconception health promotion in the state of Victoria, Australia 2022A Network Analysis of Multiple Preconception Health Behaviors in Chinese Women

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