The aim of this review is to synthesize previous research findings on the barriers and enablers towards healthy eating in pregnancy. The following areas will be explored: • What are the views of pregnant women on challenges/barriers towards healthy eating? • What are the views of pregnant women on enablers/facilitators of healthy eating

Ekong, A.

Regmi, P.

Tsofliou, F.

Wood, J.

Ekong, Anibet

Regmi, Pramod

Wood, Juliet

Tsofliou, Fotini

Bournemouth University Research Online

 PROSPEROInternational prospective register of systematic reviews Challenges and facilitators to healthy eating in pregnancy: a systematic reviewAniebiet Ekong, Pramod Regmi, Juliet Wood, Fotini Tsofliou CitationAniebiet Ekong, Pramod Regmi, Juliet Wood, Fotini Tsofliou. Challenges and facilitators to healthyeating in pregnancy: a systematic review. PROSPERO 2019 CRD42019120961 Available from: http://www.crd.york.ac.uk/PROSPERO/display_record.php?ID=CRD42019120961 Review questionThe aim of this review is to synthesize previous research findings on the barriers and enablers towardshealthy eating in pregnancy. The following areas will be explored:• What are the views of pregnant women on challenges/barriers towards healthy eating?• What are the views of pregnant women on enablers/facilitators of healthy eating? SearchesThe following databases will be searched from inception till date, the cumulative index to Nursing and AlliedHealth Literature (CINAHL), MEDLINE, ScienceDirect, Scopus, OVID, PubMed and the Cochrane Library.Search of grey literature databases (proQUEST) and reference list of included articles will be undertaken tooptimize the search process.Searches will be limited to English Language publications and human participants. Types of study to be includedAll studies identified as qualitative studies (focus groups, interviews and qualitative descriptive studies) with apre-specified focus on challenges and facilitators towards the adoption of healthy eating in pregnancy eitheras standalone or as a component of a mixed method research.Observational studies (cross-sectional, longitudinal) either as stand-alone or as components of a mixedmethods research exploring the challenges and facilitators of healthy eating in pregnancy.Studies conducted anywhere in the world and published in English Language. Condition or domain being studiedThis systematic review aims to investigate factors (considered as challenges and facilitators) which influencehealthy eating in pregnancy. The review will synthesize findings on barriers and enablers to healthy eating inpregnancy for women in developing and developed nations of the world. Previous researches have shownthe barriers and enablers to healthy eating in adults are different in developed and developing countries. Participants/populationPregnant women (18 years and above) included in qualitative studies, quantitative (observational studies-cross sectional or longitudinal) or mixed methods research focused on factors that act aschallenges/facilitators towards healthy eating in pregnancy.Inclusions• Healthy pregnant women (18 years and above)• Economies: developed and developing economies• Socioeconomic status: no exclusions Intervention(s), exposure(s)Qualitative studies: Participants in the included studies will be subjected to qualitative research questionsdirectly exploring their in-depth perspectives in relation to factors considered as challenges/barriers andfacilitators/enablers to the adoption of healthy eating in pregnancy.Quantitative studies (observational studies): Participants in the included studies will be subjected toquestions focused on challenges (barriers) and facilitators (enablers) to adoption of healthy eating in                               Page: 1 / 4 PROSPEROInternational prospective register of systematic reviewspregnancy.Exclusions:• Studies focused on specialized diets for specific diseases in pregnancy will be excluded.• Studies on subjects less than 18 years will be excluded. Comparator(s)/controlNo control or comparative groups considered in this review. ContextObservational studies (cross-sectional, longitudinal studies) and qualitative studies will be included if one ofthe aims included exploring challenges (barriers) and or facilitators (enablers) to healthy eating in pregnancy. Main outcome(s)Challenges and facilitators to healthy eating in pregnancy Additional outcome(s)None Data extraction (selection and coding)All potentially eligible will be imported into EndNote and duplicate references deleted. Two researchers (AEand FT) will screen titles and abstracts using the inclusion and exclusion criteria. Reasons for exclusion willbe recorded and disagreements will be resolved through discussion and if relevant involve a third reviewer.Authors of papers with incomplete information would be contacted for further information. A standardized pre-piloted data collection form would be used to extract data from included studies.Information extracted would include: author information, year of study, study design, characteristics ofparticipants (population, age range, number of subjects), period of enrollment, follow-up and outcomes. Risk of bias (quality) assessmentThe critical appraisal skills programme tool (CASP) for qualitative studies, CASP tool for cross sectionalstudies and for longitudinal cohort studies would be used to evaluate the quality of the studies.Domains measured for qualitative studies (recommended by the Cochrane critical appraisal guidance) wouldinclude credibility, transferability, dependability and confirmability of included studies. For quantitativestudies, domains would include design appropriateness, data collection procedure, data analysis procedure,findings, context and outcome. Strategy for data synthesisThe purpose of the review is to generate key themes and messages from the synthesis of qualitative andquantitative data, the Critical Interpretative Synthesis approach (CIS) will be used (Dixon-woods et al 2006). Analysis of subgroups or subsetsNone planned Contact details for further informationAniebiet Ekongaekong@bournemouth.ac.uk Organisational affiliation of the reviewBournemouth Universityhttps://www.bournemouth.ac.uk/ Review team members and their organisational affiliationsAniebiet Ekong. Postgraduate Researcher, Faculty of Health and Social Sciences, Bournemouth University,Bournemouth, England.                               Page: 2 / 4 PROSPEROInternational prospective register of systematic reviewsDr Pramod Regmi. Faculty of Health and Social Sciences, Bournemouth University. Bournemouth, England.Dr Juliet Wood. Faculty of Health and Social Sciences, Bournemouth University. Bournemouth, England.Dr Fotini Tsofliou. Department of Human Science and Public Health. Faculty of Health and Social Sciences.Bournemouth University, Bournemouth, England. Anticipated or actual start date04 January 2019 Anticipated completion date30 June 2019 Funding sources/sponsorsThis project is not funded. Conflicts of interest LanguageEnglish CountryEngland Stage of reviewReview_Ongoing Subject index terms statusSubject indexing assigned by CRD Subject index termsFeeding Behavior; Female; Health Behavior; Healthy Diet; Humans; Pregnancy Date of registration in PROSPERO21 January 2019 Date of publication of this version21 January 2019 Details of any existing review of the same topic by the same authors Stage of review at time of this submission Stage Started CompletedPreliminary searches Yes NoPiloting of the study selection process No NoFormal screening of search results against eligibility criteria No NoData extraction No NoRisk of bias (quality) assessment No NoData analysis No No Versions21 January 2019                               Page: 3 / 4 PROSPEROInternational prospective register of systematic reviewsPROSPEROThis information has been provided by the named contact for this review. CRD has accepted this information in goodfaith and registered the review in PROSPERO. CRD bears no responsibility or liability for the content of this registrationrecord, any associated files or external websites. Powered by TCPDF (www.tcpdf.org)                               Page: 4 / 4

Challenges and facilitators to healthy eating in pregnancy: a systematic review

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Challenges and facilitators to healthy eating in pregnancy: a systematic review

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