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Translating developmental origins of health and disease in practice: health care providers' perspectives.

Authors
  • Molinaro, Monica L1
  • Evans, Marilyn2
  • Regnault, Timothy R H3, 4, 5
  • de Vrijer, Barbra4, 5, 6
  • 1 Graduate Program in Health and Rehabilitation Sciences, Western University, London, Ontario, Canada. , (Canada)
  • 2 Department of Nursing, Western University, London, Ontario, Canada. , (Canada)
  • 3 Department of Physiology and Pharmacology, Western University, London, Ontario, Canada. , (Canada)
  • 4 Department of Obstetrics and Gynecology, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada. , (Canada)
  • 5 Children's Health Research Institute, London, Ontario, Canada. , (Canada)
  • 6 Lawson Health Research Institute, London, Ontario, Canada. , (Canada)
Type
Published Article
Journal
Journal of Developmental Origins of Health and Disease
Publisher
Cambridge University Press
Publication Date
Jun 01, 2021
Volume
12
Issue
3
Pages
404–410
Identifiers
DOI: 10.1017/S2040174420000483
PMID: 32631476
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Currently, there is limited knowledge on how health care providers perceive and understand the Developmental Origins of Health and Disease (DOHaD), which may impact how they inform patients and their families throughout the perinatal period. This qualitative descriptive study explored if and how health care providers counsel on in utero programming and future health outcomes with parents, both preconception and during pregnancy. One-on-one, semi-structured interviews were conducted with 23 health care providers from varying health disciplines including obstetrics and gynaecology, midwifery, paediatrics, endocrinology and internal medicine. Audiotaped interviews were transcribed verbatim and analysed using inductive thematic analysis. Three themes were identified: Knowledge about DOHaD, Counselling on DOHaD in Practice Settings and Impact of DOHaD on Health. Health care providers not only expressed excitement over the potential health benefits of DOHaD counselling but also indicated barriers to knowledge translation, including a lack of knowledge among providers and a disconnect between basic scientists and practitioners. All health care providers expressed concerns on how and when to introduce the concept of DOHaD when counselling patients and called for the development of practice guidelines. Counselling on DOHaD needs to be framed in a way that is empowering, minimising the potential of coercion and guilt. More interaction and collaboration are needed between health care providers and researchers to identify strategies to support knowledge translation generated from DOHaD research into practice settings.

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