Improving outcomes for pregnant teenagers: development of a complex intervention to improve quality of diet

Lead Research Organisation: University of Southampton
Department Name: MRC Lifecourse Epidemiology Unit

Abstract

Teenage girls have the poorest quality diets of any group in the UK. Besides having to meet the demands of a growing baby whilst they are themselves still growing, the poor diets of pregnant teenagers increase the chance that they will have babies who are born small or may die in the first months of life. Teenage pregnancy is much more common amongst the poorest in our society. Pregnant teenagers have told us that they want to improve their diets and trust advice from their midwives, but midwives feel they don't have time or opportunity to discuss diet and nutrition or the confidence and knowledge to do so. We have developed and tested skills training to help health care professionals engage with and support 'hard-to-reach' groups of clients change their lifestyles. This 'Healthy Conversation Skills' training equips professionals to explore why people might want to change, to identify things that make it harder or easier for people to change, and to support them find ways to overcome their barriers to change, whatever they might be. We have shown that such conversations add little or nothing to the time taken by a standard consultation and that they increase people's confidence that they can improve their diet and lifestyle. We have also shown that additional support may be needed to sustain changes.
In partnership with pregnant teenagers and midwives, this project aims to develop an intervention from existing tools which we will modify and combine to provide pregnant teenagers with the support they tell us they need to make long-lasting improvements to their diets. We will train midwives in a modified version of Healthy Conversation Skills training so that they can explore with pregnant teenagers their wish to change their diets and lifestyles, identify with them what might make it more difficult or easier to change, support them to find their own solutions to overcoming these difficulties and help them set goals on the path to achieving change. Since pregnant teenagers are more likely than others to be from disadvantaged communities, these difficulties are likely to include lack of money and lack of support for change from family and friends. We will also provide pregnant teenagers with access to 24-hour sources of information and tools to help them sustain changes to their diets. Pregnant teenagers will be introduced to these sources by their midwives to use between appointments, and which may be booklets, websites or mobile apps. The form of this information will be decided during this development project in discussions with teenagers and their midwives, and will be based on modifications of existing resources.
We will do this by (i) including midwives, pregnant teenagers and others involved in providing care to pregnant teenagers in developing an intervention, (ii) discussing with pregnant teenagers and midwives what they need to help improve teenagers' diets, (iii) using these discussions to modify Healthy Conversation Skills training to make it suitable for use by midwives in supporting pregnant teenagers improve their diets, and to develop materials for the 24-hour source of information and support, (iv) checking with teenagers and midwives that the training and materials are acceptable and finding out whether they would like material in the form of booklets, on the internet or in mobile apps, (v) together with people who provide care for pregnant teenagers, working out how such an intervention could become part of usual maternity care across the UK, and (vi) designing in detail a study to test how effective this two-part intervention is in improving the quality of pregnant teenagers' diets. This study will be conducted by a partnership of charities, researchers, pregnant teenagers and those who provide them with maternity care, overseen by a steering group.

Technical Summary

Teenage girls have the poorest quality diets of any group in the UK. The demands of a growing baby, their own rising nutritional needs and poor quality diet increase their risk of poor pregnancy outcomes. Our work shows that pregnant teenagers want to improve their diets and trust advice from their midwives, but midwives struggle to find opportunities to discuss diet and often lack confidence and knowledge to do so. We have developed and tested training in skills designed to help health care professionals engage with and support change in hard-to-reach clients. Use of these skills increases clients' confidence that they can improve their diets and lifestyles, but they may need additional support to achieve sustained change. In partnership with pregnant teenagers and midwives, and using a person-based approach, this early phase study will develop a theoretically-driven, evidence-based intervention that combines skills training for midwives with digital or print support for pregnant teenagers to facilitate sustained dietary improvement. The support needs of pregnant teenagers and an appropriate means of providing support (e.g. web, app, print) will be determined through stakeholder engagement using qualitative research. Existing resources on which this support will be based, will then be adapted to include appropriate behaviour change and nutrition content relevant to the behavioural and social context of pregnant teenagers. Paths to implementing the intervention in maternity services will be investigated in three areas of the UK with high teenage pregnancy rates, as will the feasibility of evaluating its effectiveness in a randomised controlled trial. The main study will test the effectiveness of skills training midwives in combination with a means of additional support for change in improving pregnant teenagers' dietary quality. This work will be conducted by a partnership of charities, researchers, user groups and practitioners, overseen by a steering group.

Publications

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Barker M (2016) Preconception and pregnancy: opportunities to intervene to improve women's diets and lifestyles. in Journal of developmental origins of health and disease

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Barker M (2017) The relationship between maternal self-efficacy, compliance and outcome in a trial of vitamin D supplementation in pregnancy. in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA

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Barker M (2015) Developmental origins, behaviour change and the new public health. in Journal of developmental origins of health and disease

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Chapman C (2015) Improving nutritional care: innovation and good practice. in Journal of advanced nursing

 
Description Advisor to Public Health Wales - Making Every Contact Count (MECC) programme 2016 - MEB 2017
Geographic Reach National 
Policy Influence Type Participation in a advisory committee
Impact Mary Barker was an advisor to Public Health Wales Making Every Contact Count programme
URL http://www.wales.nhs.uk/sitesplus/888/page/65550
 
Description Contribution to WHO Report on Ending Childhood Obesity 2015 - MEB 2017
Geographic Reach Multiple continents/international 
Policy Influence Type Gave evidence to a government review
URL http://www.who.int/end-childhood-obesity/publications/echo-report/en/
 
Description Contributions to the Direcor of Public Health - Southampton Annual Report 2016 - MEB 2017
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Citation in other policy documents
URL http://www.publichealth.southampton.gov.uk/HealthIntelligence/PHAR/default.aspx
 
Description Healthy Conversation Skills Workshop to Master Students - WTL 2018
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Wendy Lawrence delivered Healthy Conversation Skills Workshops to MSc Health Psychology students and MSc students from Health Sciences on 01.03.17 and 07.03.18.
 
Description Informed POST note issued by the Parliamentary Office of Science and Technology 2016 - MEB 2017
Geographic Reach National 
Policy Influence Type Gave evidence to a government review
URL http://researchbriefings.parliament.uk/ResearchBriefing/Summary/POST-PN-0522?utm_source=website&utm_...
 
Description Mary Barker Symposium Organiser - UK Society for Behavioural Medicine Cardiff 1-2 December 2016 - MEB 2017
Geographic Reach National 
Policy Influence Type Influenced training of practitioners or researchers
Impact Mary Barker was a symposium organiser of the UK Society for Behavioural Medicine which took place in Cardiff in December 2016.
URL http://www.uksbm.org.uk/wp-content/uploads/2016/02/UKSBM-2016-Programme1.pdf
 
Description Member of Independent Trial Steering Committee for BeCCY 2016 - MEB 2017
Geographic Reach National 
Policy Influence Type Membership of a guideline committee
URL http://www.instituteforwomenshealth.ucl.ac.uk/education/research/prospective-research-students/unfun...
 
Description Rank Prize Funds mini-symposium on precnception and lifelong health, Windemere, UK Feb 2016 - MEB 2017
Geographic Reach Multiple continents/international 
Policy Influence Type Influenced training of practitioners or researchers
Impact Associate Professor Mary Barker organised and ran funded Rankl Prize Funds mini-symposium on preconception and lifelong health in Windemere, UK in February 2016.
URL http://www.rankprize.org/index.php/symposia/nutrition
 
Description Training science teachers attending LifeLab Personal Development Day in Healthy Conversation Skills - WTL 2018
Geographic Reach Local/Municipal/Regional 
Policy Influence Type Influenced training of practitioners or researchers
Impact Wendy Lawrence has delivered Healthy Conversation Skills training to science teachers to enable them to better support their students to make healthy lifestyle changes following their LifeLab programme. These were delivered on 26.04.17 and 16.01.18
 
Description The Colt Foundation Martin Stevens PhD - MEB 2018
Amount £124,303 (GBP)
Funding ID CF/02/17 
Organisation The Colt Foundation 
Sector Charity/Non Profit
Country United Kingdom
Start 07/2017 
End 06/2020
 
Description UK India Africa Network for Adolscent Nutrition pump-priming grant - MEB 2018
Amount £199,900 (GBP)
Funding ID MC_PC_MR/R018545/1 
Organisation Medical Research Council (MRC) 
Sector Public
Country United Kingdom
Start  
 
Description ENRICH 2013-2017 - MEB 2017 
Organisation University of Alberta
Department Canadian Centre for Ethnomusicology
Country Canada 
Sector Academic/University 
PI Contribution The team and Mary Barker advise this obesity prevention in pregnancy network on methods of supporting behaviour change, intervention development strategies and evaluation
Collaborator Contribution This partnership conducts studies of weight gain and loss during pregnancy and post partum.
Impact Papers are in draft. One member of the research team has received a post doctoral fellowship. The team involves nutritionists, dietitians, anthropologists, psychologists and medical professionals.
Start Year 2013
 
Description Improving outcomes for pregnant teenagers - MEB 2017 
Organisation King's College London
Country United Kingdom 
Sector Academic/University 
PI Contribution Mary Barker PI of the study is responsible for designing and running this study and for the complex intervention that will arise from this study. She leads the team that has developed the Healthy Conversation Skills training. She convened and ran the project meetings and the steering group meetings.
Collaborator Contribution Tommy's the baby charity provided stakeholder input and support for meetings. Sheffield Hallam University provided midwifery expertise, facilitated engagement with midwives and developed the nutrition content for the intervention. The University of Southampton helped develop the digital aspects of the behaviour changing intervention. The University of Manchester ensured feasibility of the planned intervention and University College London offered expertise in pregnancy in adolescence. King's College London chaired the steering group of experts in teenage pregnancy, nutrition, family nurse partnership and public health.
Impact There are three papers which have been written based on the data collected during this study. One is in press, another is awaiting review and a third is currently being drafted.
Start Year 2015
 
Description Improving outcomes for pregnant teenagers - MEB 2017 
Organisation Sheffield Hallam University
Department Materials and Engineering Research Institute (MERI)
Country United Kingdom 
Sector Academic/University 
PI Contribution Mary Barker PI of the study is responsible for designing and running this study and for the complex intervention that will arise from this study. She leads the team that has developed the Healthy Conversation Skills training. She convened and ran the project meetings and the steering group meetings.
Collaborator Contribution Tommy's the baby charity provided stakeholder input and support for meetings. Sheffield Hallam University provided midwifery expertise, facilitated engagement with midwives and developed the nutrition content for the intervention. The University of Southampton helped develop the digital aspects of the behaviour changing intervention. The University of Manchester ensured feasibility of the planned intervention and University College London offered expertise in pregnancy in adolescence. King's College London chaired the steering group of experts in teenage pregnancy, nutrition, family nurse partnership and public health.
Impact There are three papers which have been written based on the data collected during this study. One is in press, another is awaiting review and a third is currently being drafted.
Start Year 2015
 
Description Improving outcomes for pregnant teenagers - MEB 2017 
Organisation Tommy's
Country United Kingdom 
Sector Charity/Non Profit 
PI Contribution Mary Barker PI of the study is responsible for designing and running this study and for the complex intervention that will arise from this study. She leads the team that has developed the Healthy Conversation Skills training. She convened and ran the project meetings and the steering group meetings.
Collaborator Contribution Tommy's the baby charity provided stakeholder input and support for meetings. Sheffield Hallam University provided midwifery expertise, facilitated engagement with midwives and developed the nutrition content for the intervention. The University of Southampton helped develop the digital aspects of the behaviour changing intervention. The University of Manchester ensured feasibility of the planned intervention and University College London offered expertise in pregnancy in adolescence. King's College London chaired the steering group of experts in teenage pregnancy, nutrition, family nurse partnership and public health.
Impact There are three papers which have been written based on the data collected during this study. One is in press, another is awaiting review and a third is currently being drafted.
Start Year 2015
 
Description Improving outcomes for pregnant teenagers - MEB 2017 
Organisation University College London
Country United Kingdom 
Sector Academic/University 
PI Contribution Mary Barker PI of the study is responsible for designing and running this study and for the complex intervention that will arise from this study. She leads the team that has developed the Healthy Conversation Skills training. She convened and ran the project meetings and the steering group meetings.
Collaborator Contribution Tommy's the baby charity provided stakeholder input and support for meetings. Sheffield Hallam University provided midwifery expertise, facilitated engagement with midwives and developed the nutrition content for the intervention. The University of Southampton helped develop the digital aspects of the behaviour changing intervention. The University of Manchester ensured feasibility of the planned intervention and University College London offered expertise in pregnancy in adolescence. King's College London chaired the steering group of experts in teenage pregnancy, nutrition, family nurse partnership and public health.
Impact There are three papers which have been written based on the data collected during this study. One is in press, another is awaiting review and a third is currently being drafted.
Start Year 2015
 
Description Improving outcomes for pregnant teenagers - MEB 2017 
Organisation University of Manchester
Department Manchester X-ray Imaging Facility
Country United Kingdom 
Sector Academic/University 
PI Contribution Mary Barker PI of the study is responsible for designing and running this study and for the complex intervention that will arise from this study. She leads the team that has developed the Healthy Conversation Skills training. She convened and ran the project meetings and the steering group meetings.
Collaborator Contribution Tommy's the baby charity provided stakeholder input and support for meetings. Sheffield Hallam University provided midwifery expertise, facilitated engagement with midwives and developed the nutrition content for the intervention. The University of Southampton helped develop the digital aspects of the behaviour changing intervention. The University of Manchester ensured feasibility of the planned intervention and University College London offered expertise in pregnancy in adolescence. King's College London chaired the steering group of experts in teenage pregnancy, nutrition, family nurse partnership and public health.
Impact There are three papers which have been written based on the data collected during this study. One is in press, another is awaiting review and a third is currently being drafted.
Start Year 2015
 
Description Improving outcomes for pregnant teenagers - MEB 2017 
Organisation University of Southampton
Country United Kingdom 
Sector Academic/University 
PI Contribution Mary Barker PI of the study is responsible for designing and running this study and for the complex intervention that will arise from this study. She leads the team that has developed the Healthy Conversation Skills training. She convened and ran the project meetings and the steering group meetings.
Collaborator Contribution Tommy's the baby charity provided stakeholder input and support for meetings. Sheffield Hallam University provided midwifery expertise, facilitated engagement with midwives and developed the nutrition content for the intervention. The University of Southampton helped develop the digital aspects of the behaviour changing intervention. The University of Manchester ensured feasibility of the planned intervention and University College London offered expertise in pregnancy in adolescence. King's College London chaired the steering group of experts in teenage pregnancy, nutrition, family nurse partnership and public health.
Impact There are three papers which have been written based on the data collected during this study. One is in press, another is awaiting review and a third is currently being drafted.
Start Year 2015
 
Description McMaster University - Toronto Canada - MEB 2018 (updated 2019) 
Organisation McMaster University
Department Faculty of Health Sciences
Country Canada 
Sector Academic/University 
PI Contribution Mary Barker supports the team at McMaster University in qualitative research methods and intervention design
Collaborator Contribution The team at McMaster are running the Mothers 2 Babies study on which Mary Barker is working
Impact We have written four grant applications and have drafted one paper for publication which hasn't yet been published. 2019: We now have one paper published and another two ready for submission. We have raised CAD Dollars 30,000 in further grant funding. We have conducted 12 focus group discussions with local community members in Hamilton Ontario and a stakeholder meeting.
Start Year 2016
 
Description University of Agder Norway - MEB 2018 
Organisation University of Agder
Country Norway 
Sector Academic/University 
PI Contribution Mary Barker supports the team at the University of Agder in writing grant applications and publishing papers
Collaborator Contribution They invited Mary Barker to deliver lectures and attend the University and have invited Dr. Sofia Strommer to train staff in Healthy Conversation Skills
Impact Together we have written three grant applications one of which was funded.
Start Year 2015
 
Description University of Witwatersrand Shane Norris - MEB 2018 (updated 2019) 
Organisation University of the Witwatersrand
Department School of Public Health
Country South Africa 
Sector Academic/University 
PI Contribution Mary Barker provides qualitative research support and intervention development expertise
Collaborator Contribution The University of Witwatersrand runs the Ntshembo study on which Mary Barker and the team are working
Impact 3 research grants awarded 2 papers under review with peer reviewed journals 2 research grants - under consideration
Start Year 2016
 
Description Adolescent Advisory Group Feb 2016 - MEB 2017 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact A group of adolescents aged between 13 and 19 was convened to discuss barriers and facilitators to eating healthily and exercising more. Their views were recorded and used to inform the development of a programme grant application.
Year(s) Of Engagement Activity 2016
 
Description Adolescent Advisory Group June 2016 - MEB 2017 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact A group of adolescents aged between 13 and 19 was convened to discuss barriers and facilitators to eating healthily and exercising more. Their views were recorded and used to inform the development of a programme grant application.
Year(s) Of Engagement Activity 2016
 
Description Association for the study of obestity annual conference Pontypridd, Wales Poster Presentaiton- WTL 2018 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Wendy Lawrence presented a poster on behalf of the Infant and Toddler forum at the UKCO Association for the Study of Obesity annual conference Pontypridd, Wales on 07.09.17.
Year(s) Of Engagement Activity 2017
URL https://www.aso.org.uk/wp-content/uploads/2014/10/Final-UKCO2017-Programme-Book.pdf
 
Description EACh-B Twitter Account 2017 - MEB 2018 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact EACh-B have their own twitter account and tweet their various activities at least once a week. One such tweet wrote about the interviewing of 60 teenagers at Oasis Academy Mayfield Southampton. They asked them about their life, eating well, being active and potential ways to support health.
Year(s) Of Engagement Activity 2017
URL https://twitter.com/each_b?lang=en-gb
 
Description Filmed Discussion of Developmental Origins of Health & Disease and the Role of Nutrition Feb 2017 - MEB 2017 
Form Of Engagement Activity A broadcast e.g. TV/radio/film/podcast (other than news/press)
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Industry/Business
Results and Impact Mary Barker was interviewed by a representative of Danone Nutricia UK about her work on maternal nutrition and the developmental origins of adult health disease. The film is to be shown at an international meeting of Danone Nutricia.
Year(s) Of Engagement Activity 2017
 
Description Invited Attendee to closed ESRC -funded workshop on evidence-policy gap in behaviour change and public health Mary Barker Jan 2017 - MEB 2017 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Mary Barker was invited to attend a closed ESRC-funded workshop on evidence-policy gap in behaviour change and public health in January 2017.
Year(s) Of Engagement Activity 2017
URL http://www.esrc.ac.uk/
 
Description Launch of EACh-B Dec 2017 - MEB 2018 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact As a result of the launch meeting a newspaper article appeared in the Southern Daily Echo entitled "Campaign to beat obesity is just a game". This came as a result of the funding from NIHR for the EACh-B project of which Mary Barker is Project Lead associate. The University of Southampton e-News also reported on this new programme. The news was also tweeted by members of the team
Year(s) Of Engagement Activity 2017
 
Description LifeLab Ambassadors April 2016 - MEB 2017 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact A second meeting of teenagers who had attended LifeLab was convened. Methods for supporting improving diets and physical activity were discussed with this group and decisions made about the intervention study and the evaluation of the LifeLab plus intervention.
Year(s) Of Engagement Activity 2016
 
Description LifeLab Ambassor's Group Dec 2015 - MEB 2017 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact A group of teenagers who attended LifeLab was convened and discussions held about barriers and facilitators to eating healthily and exercising more. Findings from this consultation were used to inform the development of a programme grant application and large intervention study.
Year(s) Of Engagement Activity 2016
 
Description MRC LEU Research Review Panel 5 July 2017 - MEB 2018 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact A panel meeting of our Lay Advisory Committee took place on 5th July 2017.
Year(s) Of Engagement Activity 2017
 
Description MRC LEU Research Review Panel Jan 2018 - MEB 2018 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact A meeting of the MRC LEU Lay panel took place
Year(s) Of Engagement Activity 2018
 
Description MRC Research Review Panel - Jan 2017 - MEB 2017 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact Members of our MRC Research Review Panel met to discuss the Unit's research programme and all recent applications. Projects and proposals were discussed and the panel advised on their acceptability and feasibility.
Year(s) Of Engagement Activity 2017
 
Description MRC Research Review Panel Jan 2016 - MEB 2017 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact Members of our MRC Research Review Panel met to discuss the Unit's research programme and all recent applications. Projects and proposals were discussed and the panel advised on their acceptability and feasibility.
Year(s) Of Engagement Activity 2016
 
Description MRC Research Review Panel July 2016 - MEB 2017 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact Members of our MRC Research Review Panel met to discuss the Unit's research programme and all recent applications. Projects and proposals were discussed and the panel advised on their acceptability and feasibility.
Year(s) Of Engagement Activity 2016
 
Description Meet the Scientist - Sofia Strommer 09.11.16 - SS 2017 
Form Of Engagement Activity Participation in an activity, workshop or similar
Part Of Official Scheme? No
Geographic Reach Regional
Primary Audience Public/other audiences
Results and Impact On 9th November 2016 Sofia Strommer took part in a Meet the Scientist session, which is a component activity of LifeLab, and gave a talk to some children from a local secondary school about what her work involves.
Year(s) Of Engagement Activity 2016
URL http://www.southampton.ac.uk/per/stories/case_studies/meet_the_scientist.page
 
Description Oral Presentation UK Society for Behavioural Medicine Annual Scientific Meeting Taylor Rose Dec 2016 - TR 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Taylor Rose gave an oral presentation on "Systematic review of digital interventions for improving the diet and physical activity behaviours of adolescents at the UK Society for Behavioural Medicine Annual Scientific Meeting which took place in Cardiff, in December 2016
Year(s) Of Engagement Activity 2016
URL http://www.uksbm.org.uk/cardiff-2016/
 
Description Pint of Science 2017 - MEB WTL and CV 2018 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Public/other audiences
Results and Impact Wendy Lawrence, Mary Barker and Christina Vogel all took part in the national Pint of Science 2017 event. They attended theView Sports Centre, Thornhill Road, Southampton for the evening where their topic was "Healthy Choices: Are you being influenced" and they shared their findings about supermarkets and how they shape what we eat and spoke about healthy conversation skills as well as healthy eating and why is it difficult.
Year(s) Of Engagement Activity 2017
URL https://www.southampton.ac.uk/news/2017/05/pint-of-science-2017.page
 
Description Poster Presentation - UK Society for Behavioural Medicine Conference, Cardiff (Sofia Strommer) 2016 - SS 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Sofia Strommer gave a poster presentation entitled "Improving nutritional status in pregnant teenagers: development of a complex intervention to support change in diet and lifestyle" at the UK Society for Behavioural Medicine Conference which took place in Cardiff in December 2016.
Year(s) Of Engagement Activity 2016
URL http://www.uksbm.org.uk/cardiff-2016/
 
Description Poster Presentation at European Health Psychology Society Aberdeen, Scotland August 2016 Sofia Strommer - SS 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Sofia Strommer gave a poster presentation entitled "How to improve recruitment to pregnancy trials: learning from the experiences of participants and refusers" at the European Health Psychology Society and British Psychological Society Division of Health Psychology Conference in Aberdeen, Scotland, in August 2016.
Year(s) Of Engagement Activity 2016
URL http://ehps2016.org/
 
Description Poster presentation - University of Southampton Public Lectures Lecture 1 Public Health London UK Feb 2016 Taylor Rose - TR 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Taylor Rose gave a poster presentation at the University of Southampton Public Lectures: Lecture 1, Public Health, London UK in February 2016 on "Systematic review of interventions to improve the dietary behaviours of adolescents".
Year(s) Of Engagement Activity 2016
URL http://www.southampton.ac.uk/news/events/2016/02/public-health.page
 
Description Pregnant Teenagers Engagement Group Feb 2016 - MEB 2017 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Patients, carers and/or patient groups
Results and Impact The pregnant and recently pregnant teenagers provided their views on issues with eating during pregnancy and on the support they currently get for eating better during pregnancy.
Year(s) Of Engagement Activity 2016
 
Description Pregnant Teenagers Engagemet Group July 2016 - MEB 2017 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Patients, carers and/or patient groups
Results and Impact The pregnant and recently pregnant teenagers were asked for the views on existing digital supports for eating better during pregnancy. A discussion was held and their views recorded.
Year(s) Of Engagement Activity 2016
 
Description Publicity for Award for most downloaded paper 2017 - MEB 2018 
Form Of Engagement Activity A press release, press conference or response to a media enquiry/interview
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact University of Southampton e news printed an article congratulating Associate Professor Mary Barker and Professor Mike Kelly on receiving a joint award from the Royal Society for Public for this paper. The paper won the award 2017 for the most downloaded article in 2016 and will be presented to them at the Health and Wellbeing Awards in October in London. This paper also received numerous mentions on various websites, tweets etc. details of some are attached.
http://paullmo.com/2016/09/why-is-changing-health-related-behaviour-so-difficult/
http://www.globalhealthhub.org/2016/05/13/why-is-changing-health-related-behaviour-so-difficult/ There was also a great deal of media attention surround the actual paper that won the award.
Year(s) Of Engagement Activity 2017
URL https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4931896/
 
Description Speaker at British Journal of Midwifery Study Days September 2016 Sofia Strommer - SS 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach National
Primary Audience Professional Practitioners
Results and Impact Sofia Strommer gave a talk at the British Journal of Midwifery Study Days: Current Issues in Midwifery Study (September 2016) on the topic of "Strategies to change health behavoiurs: Healthy Conversation Skills.
Year(s) Of Engagement Activity 2016
URL http://www.bjmstudydays.co.uk/
 
Description Talk given at Newton Researcher Links Workshop Maternal and Infant Health and Nutrition in Indonesia, Padang, Indonesia Sofia Strommer Aug 2016 - SS 2017 
Form Of Engagement Activity A talk or presentation
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Professional Practitioners
Results and Impact Sofia Strommer gave a talk entitled "Changing women's health behaviours to improve the health of the next generation" in August 2016 at the Newton Researcher Links Workshop, Maternal and Infant Health and Nutrition in Indonesia.
Year(s) Of Engagement Activity 2016
URL https://www.britishcouncil.id/en/events/newton-researcher-links-workshop
 
Description The NIHR BRC Behavioural Science Cross-cutting theme scientific strategy meeting 15 .09.17 - MEB 2018 
Form Of Engagement Activity A formal working group, expert panel or dialogue
Part Of Official Scheme? No
Geographic Reach Local
Primary Audience Professional Practitioners
Results and Impact The NIHR BRC Behavioural Science Cross-cutting theme scientific strategy meeting was held in the Dean;s committee room and was chaired by Lucy Yardley and Mary Barker who both gave presentations
Year(s) Of Engagement Activity 2017
URL http://www.uhs.nhs.uk/ClinicalResearchinSouthampton/Research/Facilities/NIHR-Southampton-Biomedical-...
 
Description Twitter accounts Mary Barker, Hazel Inskip, Keith Godfrey, Sofia Strommer, Taylor Rose, Christina Vogel, and Wendy Lawrence - MEB 2018 
Form Of Engagement Activity Engagement focused website, blog or social media channel
Part Of Official Scheme? No
Geographic Reach International
Primary Audience Media (as a channel to the public)
Results and Impact Twitter accounts are held by Mary Barker, Hazel Inskip, Keith Godfrey, Sofia Strommer, Taylor Rose, Christina Vogel, and Wendy Lawrence. They all regularly tweet about the work activities, meetings, publications and research related events.
Year(s) Of Engagement Activity 2017
URL https://twitter.com/barkersoton?lang=en