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29 However, changing practice requires that interventions are adapted to local circumstances.
Based on the negative reports from pregnant women with obesity [ 1- 5], it seems imperative to assess to what extent healthcare interventions are adapted to the individual woman.
Therefore, care needs to be taken if inpatient interventions are adapted in outpatient settings, because individuals within the community may have limited access to fitness resources, such as gym equipment and safe areas to exercise.
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The interventions were adapted or created as described below.
The system used to code interventions was adapted from the codes used for intervention types on ClinicalTrials.gov [42].
These interventions were adapted for the South African context.
In each phase, three web interventions were adapted and hosted on NHS Direct's website.
All the interventions were adapted for contextual and cultural relevance, and to be deliverable by NSHW.
In phase 2, three interventions were adapted from tools developed at Cardiff University (table 1).
Interventions were adapted to a range of settings and modified for feasibility.
Both interventions were adapted for low literacy and administration by paraprofessionals.
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