Acceptability and feasibility of a planned preconception weight loss intervention in women with long-acting reversible contraception: the Plan-it mixed-methods study

Channon, Susan ORCID: https://orcid.org/0000-0002-5394-1483, Coulman, Elinor, Cannings-John, Rebecca ORCID: https://orcid.org/0000-0001-5235-6517, Henley, Josie, Lau, Mandy ORCID: https://orcid.org/0000-0001-5894-570X, Lugg-Widger, Fiona ORCID: https://orcid.org/0000-0003-0029-9703, Strange, Heather ORCID: https://orcid.org/0000-0002-5758-8445, Davies, Freya ORCID: https://orcid.org/0000-0002-6956-1100, Sanders, Julia ORCID: https://orcid.org/0000-0001-5712-9989, Scherf, Caroline, Couzens, Zoë and Morantz, Leah 2023. Acceptability and feasibility of a planned preconception weight loss intervention in women with long-acting reversible contraception: the Plan-it mixed-methods study. Health Technology Assessment 27 (1) 10.3310/NKIX8285

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Abstract

Plain English summary If a woman has overweight or obesity when she is pregnant, then there is a greater risk of health problems for her and her baby. About half of women of childbearing age have overweight or obesity, so we need to find ways of supporting women to lose weight before they become pregnant (described here as ‘preconception’). This can be difficult because women do not usually talk to a health-care practitioner (e.g. general practitioners, sexual health doctors, nurses) about becoming pregnant, but one group of women who do are those who need to have a long-acting reversible contraceptive (e.g. a coil or an implant) removed. This study was designed as preparatory work for a potential future study of a preconception weight loss intervention. We wanted to answer three questions: (1) would women with experience of overweight and of using a long-acting reversible contraceptive think that it would be acceptable to ask women to delay having their long-acting reversible contraceptive removed to take part in a weight loss intervention before pregnancy; (2) what did health-care practitioners think about that idea, and would they be happy to ask women to take part; and (3) can NHS information (routine data) tell us how many women might potentially take part in such an intervention? We looked at NHS routine data and the research on preconception weight loss interventions. A total of 100 health-care practitioners and 243 users of long-acting reversible contraceptives completed surveys, and 10 health-care practitioners and 20 users of long-acting reversible contraceptives took part in interviews. We found that routine data could not be used to identify people reliably. Designing a weight loss intervention that needed women to delay the removal of a long-acting reversible contraceptive was not acceptable to women. A population-based preconception weight loss intervention with a positive focus was acceptable, but, for such a programme to be delivered by the NHS, health-care practitioners need more knowledge, skills and confidence in talking about weight with patients.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Healthcare Sciences
Publisher:	NIHR Journals Library
ISSN:	1366-5278
Date of First Compliant Deposit:	3 March 2023
Date of Acceptance:	6 January 2023
Last Modified:	11 Oct 2023 17:38
URI:	https://orca.cardiff.ac.uk/id/eprint/157487

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