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Table 1 Overview of the P4HP-intervention

From: Evaluating ‘Power 4 a Healthy Pregnancy’ (P4HP) – protocol for a cluster randomized controlled trial and process evaluation to empower pregnant women towards improved diet quality

Session

Time

Goal(s)

Activities

Tool

1. Early nutritional information with midwife (4-10 weeks of participants’ pregnancy)

A) Individual setting

15 min

Gain insight into perspectives of the women towards nutrition and create a sense of urgency for healthy nutrition during pregnancy

Identify aspects that go well regarding nutrition and define at least one achievable step the woman is willing to work on

Create a positive attitude towards nutritional changes

Understand the complexity of each woman’s situation regarding healthy nutrition

First interview on nutrition

Visual aid to guide the interview and write down action points

Motivational Interviewing

2. Appointment with dietitian (~ 12 weeks of participants’ pregnancy)

A) Individual setting

30-45 min

Support women in developing strategies to cope with individual challenges

Provide more in-depth information

Discuss challenges in healthy nutrition based on the woman’s individual needs

Visual aid to guide the interview and write down action points

B) Group setting

60 min

Support women in developing strategies to cope with individual challenges

Provide more in-depth information

Peer support and learn from each other’s questions and experiences

Workshop with group discussions on challenges in healthy nutrition based on the women’s individual needs

Use each other’s experiences to find individual coping mechanisms

Visual aid to guide the interview and write down action points

3. Reflection moments with midwife (~ 22 and ~ 32 weeks of participants’ pregnancy)

A) Individual setting

15 min

Increase awareness of the connection between the women’s actions and results on diet quality

Increase abilities to identify actionable and achievable goals that lead to improved diet quality

Facilitate women’s reflection on their nutrition and the efforts they made in the last weeks

Identify next steps for improvement, if achievable at that moment

 

B) Group setting

30 min

Increase awareness of the connection between the women’s actions and results on healthy nutrition

Increase abilities to identify actionable and achievable goals that lead to improved diet quality

Peer support and learn from each other’s questions and experiences

Facilitate women’s reflection on their nutrition and the efforts they made in the last weeks

Identify next steps for improvement, if achievable at that moment