Publications by authors named "L Mackillop"
Article Synopsis
- The COVID-19 pandemic increased the reliance on telemedicine, particularly in maternity care, leading to the BUMP trials which evaluated self-monitoring blood pressure for pregnant individuals at risk of hypertension.
- Qualitative interviews with 39 pregnant women revealed that while self-monitoring was generally seen as reassuring and empowering, it also created uncertainty and added responsibility, causing some women to opt out of the intervention.
- Ultimately, the BUMP trials did not demonstrate significant improvements in early detection or management of hypertension from blood pressure self-monitoring in pregnant women at higher risk for preeclampsia.
Article Synopsis
- Actively involving pregnant individuals in self-monitoring their health, such as blood pressure and protein levels, is becoming a common practice, especially for those with hypertension.
- Research on self-monitoring blood pressure shows acceptance, but there's limited evidence on self-testing for proteinuria and its impact on traditional maternity care structures.
- A qualitative study involving interviews and focus groups revealed a positive view of participatory monitoring among both pregnant people and professionals, but highlighted concerns about maintaining professional oversight and how healthcare access might be influenced by judgments on who is fit to self-test.
Objective: To evaluate the effectiveness of behavioural interventions that include motivational interviewing on physical activity outcomes in adults.
Design: Systematic review and meta-analysis.
Study Selection: A search of seven databases for randomised controlled trials published from inception to 1 March 2023 comparing a behavioural intervention including motivational interviewing with a comparator without motivational interviewing on physical activity outcomes in adults.
Background: This service evaluation describes the rapid implementation of self-monitoring of blood pressure (SMBP) into maternity care at a tertiary referral centre during the COVID-19 pandemic. It summarises findings, identifies knowledge gaps and provides recommendations for further research and practice.
Intervention: Pregnant and postpartum women monitored their blood pressure (BP) at home, with instructions on actions to take if their BP exceeded pre-determined thresholds.
Background: Physical activity (PA) interventions have an encouraging role in gestational diabetes mellitus (GDM) management. Digital technologies can potentially be used at scale to support PA. The aim of this study was to assess the feasibility and acceptability of + Stay-Active: a complex intervention which combines motivational interviewing with a smartphone application to promote PA levels in women with GDM.
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