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Barriers and Facilitators to the Uptake of Healthy Eating Messages

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details. Identifier: NCT04009395
Recruitment Status : Not yet recruiting
First Posted : July 4, 2019
Last Update Posted : July 11, 2019
Information provided by (Responsible Party):
Bournemouth University

Brief Summary:

Obesity is on the increase and black Africans in the United Kingdom (UK) make up a significant part of this population (32%). Weight retention after pregnancy is considered as one of the leading causes of obesity. African women living in high-income countries have been found to experience more weight retention after pregnancy than Caucasian women.

Healthy eating guidelines have been provided in pregnancy in the UK (National Institute for Health and Care Excellence) and midwives have been placed to provide healthy eating advice in pregnancy, but some studies have identified that African migrants in the UK often eat and prepare food in a different way to the traditional British approach. It has also been observed that the recommended advice for pregnant women, for example, the Eat well plate and start4life are focused on traditional British foods and cooking patterns and do not include food that would be familiar to African migrants. This may impact on the meaningfulness of such guidance to African women. Therefore, this research aims to understand what prevents healthy eating or makes healthy eating easier for pregnant African migrant women in the UK. This would include understanding how healthy eating is interpreted, the cultural factors that are considered important in healthy eating, the current sources of nutrition information and midwives view on providing healthy eating advice to this population.


  • Pregnant African migrant women (18 and above) attending ante-natal clinics in NHS hospital sites.
  • Midwives who provide ante-natal advice to pregnant Africans Where Study sites will be hospitals covered by the Epsom and St Helier University trust, London North West University Healthcare National Health Service (NHS) trust and the Lewisham & Greenwich NHS trusts.

How: The study will involve one-on-one interviewing with pregnant women and midwives using hospital spaces provided by the hospital. Focus group discussions with midwives will be attempted depending on logistics. The interviews are expected to last about one hour to one and a half hours. Interview sessions will be audio-taped with the permission of the participants. Data collection is expected to last for 6 months.

Condition or disease Intervention/treatment
Healthy Eating Pregnancy Related Other: Pregnant Women qualitative interviewing Other: Midwives qualitative interviewing

  Show Detailed Description

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Study Type : Observational
Estimated Enrollment : 80 participants
Observational Model: Other
Time Perspective: Other
Official Title: Barriers and Facilitators to the Uptake of Healthy Eating Messages by Pregnant African Immigrants Living in the UK: Perspectives of Women and Midwives.
Estimated Study Start Date : September 2019
Estimated Primary Completion Date : March 2020
Estimated Study Completion Date : May 2020

Group/Cohort Intervention/treatment
Pregnant women
One-on-one in-depth interviewing
Other: Pregnant Women qualitative interviewing
one-on-one in depth interviewing of pregnant African migrant women living in the UK on the barriers and facilitators to healthy eating in pregnancy.

One-on-one in-depth interviewing or focus group discussions
Other: Midwives qualitative interviewing
one-on-one interviewing/focus group discussions with midwives on their perspectives regarding the provision of healthy eating advice to pregnant African migrant women living in the UK.

Primary Outcome Measures :
  1. Number of pregnant women who consider healthy eating in pregnancy [ Time Frame: 6 months ]
    Open ended questions will be used to gain an in depth understanding of factors considered significant to healthy eating (sources of nutrition information, barriers and facilitators) in this population.

  2. Number of midwives who offer healthy eating advice [ Time Frame: 6 months ]
    Open ended questions will be used to gain an in depth understanding of the views of mid-wives to provision of healthy eating advice to pregnant African migrants.

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population
Pregnant migrant African women(18 years and above) living in the UK will be recruited from antenatal clinics in participating NHS study sites. Also midwives who have provided care for pregnant African migrant women will be recruited also from the participating NHS study sites

Inclusion Criteria:

  1. Pregnant African migrant women living in the UK (18 years and above) attending antenatal clinics in the study sites. African migrants ethnicity will be self-reported by the participants.
  2. Qualified midwives working in study sites who have provided care for African migrants.

Exclusion Criteria:

  1. Pregnant African migrants less than 18 years
  2. Pregnant African migrants who have chronic diseases that require dietary management e.g. diabetes, hypertension, coeliac disease.
  3. Adults who are unable to communicate in English or pidgin (creole spoken by sub-saharan Africans).
  4. Midwives(male or female) who have not directly provided care for pregnant African migrant women will be excluded.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT04009395

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Contact: Aniebiet Ekong 01202968001 ext 67320
Contact: Suzy Wignall 01202961073 ext 61073

Sponsors and Collaborators
Bournemouth University
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Principal Investigator: Aniebiet Ekong Bournemouth University

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Responsible Party: Bournemouth University Identifier: NCT04009395     History of Changes
Other Study ID Numbers: V1
First Posted: July 4, 2019    Key Record Dates
Last Update Posted: July 11, 2019
Last Verified: July 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: Deidentified individual participant data will be shared when publishing results in academic journal papers and in the study protocol.
Supporting Materials: Study Protocol

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No