| 2021 |
Fealy S, Leigh L, Hazelton M, Attia J, Foureur M, Oldmeadow C, et al., 'Translation of the Weight-Related Behaviours Questionnaire into a Short-Form Psychosocial Assessment Tool for the Detection of Women at Risk of Excessive Gestational Weight Gain', INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH, 18 (2021) [C1]
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| 2021 |
Fealy S, Attia J, Leigh L, Oldmeadow C, Hazelton M, Foureur M, et al., 'A Revalidation of the Weight Related Behaviours Questionnaire within an Australian Pregnancy Cohort', Midwifery, 97 (2021) [C1]
Problem: Studies investigating the direct and indirect relationships between psychosocial factors (i.e. attitudes, beliefs and values), health related behaviour (diet and physical... [more] Problem: Studies investigating the direct and indirect relationships between psychosocial factors (i.e. attitudes, beliefs and values), health related behaviour (diet and physical activity) and gestational weight gain are increasing. To date heterogeneity of psychosocial measurement tools has limited research progress in this area, preventing measurement of effects by meta-analysis techniques. Aim: To conduct a revalidation analysis of a Weight Related Behaviours Questionnaire, originally developed by Kendall, Olson and Frangelico within the United States of America and assess its performance for use within the Australian context. Methods: A revalidation study using Exploratory Factor Analysis was undertaken to assess the factor structure and internal consistency of the six psychosocial scales of the Weight Related Behaviours Questionnaire, within the Woman and Their Children's Health (WATCH), pregnancy cohort. The questionnaire was self-completed between 18 ¿ 20 weeks gestation. Psychosocial factors included; Weight locus of control; Self-efficacy; Attitudes towards weight gain; Body image, Feelings about the motherhood role; and Career orientation. Findings: Weight locus of control, Self-efficacy and Body image, retained the same factor structure as the original analysis. The remaining psychosocial factors observed a different factor structure in terms of loadings or number of factors. Deleted items modelling suggests the questionnaire could be strengthened and shortened. Conclusion: Weight Locus of control, Self-efficacy and Body image were observed as consistent, valid and reliable psychosocial measures for use within the Australian context. Further research is needed to confirm the model and investigate the potential for combining these scales into a shorter psychosocial measurement tool.
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| 2020 |
Fealy S, Davis D, Foureur M, Attia J, Hazelton M, Hure A, 'The return of weighing in pregnancy: A discussion of evidence and practice', Women and Birth, 33 119-124 (2020) [C1]
Background: Inadequate or excessive gestational weight gain is associated with both short and long-term adverse maternal and infant health outcomes. The practice of routine matern... [more] Background: Inadequate or excessive gestational weight gain is associated with both short and long-term adverse maternal and infant health outcomes. The practice of routine maternal weight monitoring has been suggested as an effective health promotion intervention, both as a screening tool for adverse maternal and infant outcomes and as a weight management strategy for addressing gestational weight gain. Discussion: The effectiveness of routine maternal weighing as part of maternity care has been debated for more than 30 years. The National Health and Medical Research Council of Australia have recently revised their pregnancy care clinical practice guidelines recommending maternal weight monitoring (clinician and/or self-weighing) be reintroduced into clinical practice. This paper presents a timely discussion of the topic that will contribute new insights to the debate. Conclusion: Weight gain in pregnancy is complex. Evaluation of the translation, implementation, acceptability and uptake of the newly revised guidelines is warranted, given that evidence on the practice remains inconclusive. Future research exploring social ecological interventions to assist pregnant women achieve optimal gestational weight gains are suggested to expand the evidence base.
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| 2020 |
Fealy S, Attia J, Leigh L, Oldmeadow C, Hazelton M, Foureur M, et al., 'Demographic and social-cognitive factors associated with gestational weight gain in an Australian pregnancy cohort', Eating Behaviors, 39 (2020) [C1]
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| 2020 |
Dowse E, Chan S, Ebert L, Wynne O, Thomas S, Jones D, et al., 'Impact of maternal perinatal depression and anxiety on birth outcomes: A retrospective data analysis', Maternal and Child Health Journal, 24 718-726 (2020) [C1]
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| 2019 |
Wilson AJ, Fealy S, Barnett M, 'Barriers and enablers for smoking cessation amongst pregnant women: An Umbrella Review', Women and Birth, 32 310-317 (2019) [C1]
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| 2019 |
Fealy S, Chan S, Wynne O, Dowse E, Ebert L, Ho R, et al., 'The Support for New Mums Project: A protocol for a pilot randomized controlled trial designed to test a postnatal psychoeducation smartphone application', JOURNAL OF ADVANCED NURSING, 75 1347-1359 (2019)
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| 2019 |
Fealy S, Jones D, Hutton A, Graham K, McNeill L, Sweet L, Hazelton M, 'The integration of immersive virtual reality in tertiary nursing and midwifery education: A scoping review', Nurse Education Today, 79 14-19 (2019) [C1]
Background: Immersive virtual reality is an advancing technology that has the potential to change the traditional pedagogical approaches to teaching tertiary nursing and midwifery... [more] Background: Immersive virtual reality is an advancing technology that has the potential to change the traditional pedagogical approaches to teaching tertiary nursing and midwifery students. The application of immersive virtual reality in nursing and midwifery education may be a novel, accessible method for information provision and skill acquisition, however little is known of the extent of immersive virtual reality technology integration into tertiary nursing and midwifery programs. Objectives: The purpose of this review is to identify the application and integration of immersive virtual reality within nursing and midwifery tertiary education programs. Design: A scoping review based on the Joanna Briggs Institute methodology for scoping reviews was undertaken. An a priori review protocol and eligibility criterion was developed with the protocol subject to review a posteriori following first round screening. An electronic search of ten databases was conducted in January 2018. Results: A total of n = 506 non-duplicate records were identified and subjected to level one and level two screening. The search strategy and screening process identified n = 2 articles that were quality checked and included for review. Conclusions: There is currently a paucity of quality published literature on the application and/or integration of immersive virtual reality into nursing and midwifery tertiary education. Immersive virtual reality has the potential to increase competence and confidence for students providing accessible and repeatable learning opportunities in a fail-safe environment. There is a need for educators to be involved in the conceptualisation, design, integration and research of immersive virtual reality technology into undergraduate nursing and midwifery programs.
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| 2017 |
Fealy SM, Taylor RM, Foureur M, Attia J, Ebert L, Bisquera A, Hure AJ, 'Weighing as a stand-alone intervention does not reduce excessive gestational weight gain compared to routine antenatal care: a systematic review and meta-analysis of randomised controlled trials', BMC PREGNANCY AND CHILDBIRTH, 17 (2017) [C1]
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| 2017 |
Taylor RM, Fealy SM, Bisquera A, Smith R, Collins CE, Evans T-J, Hure AJ, 'Effects of Nutritional Interventions during Pregnancy on Infant and Child Cognitive Outcomes: A Systematic Review and Meta-Analysis.', Nutrients, 9 (2017) [C1]
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| 2014 |
Fealy S, Hure A, Browne G, Prince C, 'Developing a clinical care pathway for obese pregnant women: A quality improvement project', Women and Birth, 27 e67-e71 (2014) [C1]
Problem: Obesity in pregnancy is associated with an increased incidence of maternal and foetal morbidity and mortality, from conditions like preeclampsia, gestational diabetes, pr... [more] Problem: Obesity in pregnancy is associated with an increased incidence of maternal and foetal morbidity and mortality, from conditions like preeclampsia, gestational diabetes, preterm birth and stillbirth. Between 20% and 25% of pregnant women in Australia are presenting to their first antenatal appointment with a body mass index (BMI) =30kg/m2, defined as obesity in pregnancy. These figures are concerning for midwifery and obstetric staff directly involved in the clinical care of these women and their families. In the absence of national or state clinical practice guidelines for managing the risks for obese pregnant women, a local quality improvement project was conducted. Aim: To plan, implement, and evaluate the impact of an alternative clinical care pathway for pregnant women with a BMI=35kg/m2 at their first antenatal visit. Project setting: The project was undertaken in the antenatal clinic of a rural referral hospital in NSW, Australia. Subjects: Eighty-two women with a BMI=35kg/m2 were eligible for the alternative care pathway, offered between January and December 2010. Intervention: The alternative care pathway included the following options, in addition to usual care: written information on obesity in pregnancy, referral to a dietitian, early plus repeat screening for gestational diabetes, liver and renal function pathology tests, serial self-weighing, serial foetal growth ultrasounds, and a pre-labour anaesthetic consultation. Findings: Despite being educated on the risk associated with obesity in pregnancy, women did not take up the offers of dietetic support or self-weighing at each antenatal visit. Ultrasounds were well received and most women underwent gestational diabetes screening.
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| 2014 |
Hure A, Gresham E, Lai J, Anderson A, Martin J, Fealy S, Blumfield M, 'Nutrition in pregnancy: The balancing act', International Journal of Birth and Parent Education, 1 7-12 (2014) [C2]
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