Co-creation of a health literate-sensitive training and conversation aid to support shared decision-making in maternity care

PEC innovation Pub Date : 2024-03-27 DOI:10.1016/j.pecinn.2024.100278

Laxsini Murugesu , Mirjam P. Fransen , Danielle R.M. Timmermans , Arwen H. Pieterse , Ellen M.A. Smets , Olga C. Damman

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Abstract

Background

Maternity care increasingly aims to achieve Shared Decision-making (SDM), yet seemingly not to the benefit of clients with low health literacy (HL). We developed an SDM training for healthcare professionals (HCPs) and a conversation aid to support HL-sensitive SDM in maternity care.

Methods

The training and conversation aid were based on previous needs assessments and expert consultation, and were developed in co-creation with clients (n = 15) and HCPs (n = 7). Usability, acceptability and comprehension of the conversation aid were tested among new clients (n = 14) and HCPs (n = 6). Acceptability of the training was tested among midwifery students (n = 5).

Results

In the co-creation sessions, clients reported to expect that their midwife becomes acquainted with their general values, priorities and daily context. Clients also emphasized wanting to be supported in their preferred decisional role. User test interviews showed that clients and HCPs were positive towards using the conversation aid, but also apprehensive about the time it required. The user test of the training showed that more attention was needed for recognizing and adapting information provision to clients' HL level.

Conclusion and innovation

The newly developed conversation aid and training have potential to support HCPs and clients in HL-sensitive SDM.

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共同创建对健康知识有敏感认识的培训和对话辅助工具，以支持孕产妇护理中的共同决策

背景孕产妇护理越来越多地以实现共同决策（SDM）为目标，但这似乎不利于健康素养（HL）较低的客户。我们为医疗保健专业人员（HCPs）开发了 SDM 培训和对话辅助工具，以支持孕产妇护理中对 HL 敏感的 SDM。在新客户（14 人）和保健专业人员（6 人）中测试了对话辅助工具的可用性、可接受性和理解力。结果在共同创造环节中，客户表示希望他们的助产士能够了解他们的一般价值观、优先事项和日常背景。客户还强调，他们希望助产士能够支持他们的决策。用户测试访谈显示，客户和助产士对使用对话辅助工具持积极态度，但也对所需时间感到担忧。对培训进行的用户测试表明，在识别和调整信息提供以适应客户的 HL 水平方面需要更多关注。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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