Improving health literacy through group antenatal care: results from a cluster randomized controlled trial in Ghana.
Improving health literacy through group antenatal care: results from a cluster randomized controlled trial in Ghana.
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DOI：
10.1186/s12884-023-06224-x
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发表时间：
2024-01-05
影响因子：
3.1
通讯作者：
中科院分区：
文献类型：
--
作者：
虽然大多数加纳妇女接受产前护理，但许多人由于误解和错误地操作产前护理信息而表现出健康素养低下，导致孕产妇和新生儿健康状况不佳。先前在低资源环境中的研究发现，团体产前护理（G-ANC）对妇女和提供者都是可行的。本研究旨在确定G-ANC对提高孕产妇健康素养的影响。我们假设，孕妇随机到G-ANC将表现出更大的增长，孕产妇健康素养比妇女在常规，个人ANC。5年的集群随机对照试验进行了14个农村和城郊卫生设施在加纳东部地区。根据ANC入组时的患者数量和平均胎龄对设施进行配对，然后随机分为干预组（G-ANC）与对照组（常规，个体ANC）;共招募了1761名孕妇。数据收集发生在基线（T0）和出生后（T2）使用孕产妇健康素养量表，一个12项的复合量表，以评估孕产妇健康素养。Logistic回归比较了从T0到T2的健康素养变化。总的来说，干预组和对照组的妇女随着时间的推移，她们的健康素养得分都有所提高（p < 0.0001）。干预组的妇女在3个单项和总体综合评分上得分显著更高（p < 0.0001），并且更有可能参加8次或更多的ANC访问。虽然所有参加ANC的妇女的健康素养得分都有所提高，但与接受常规个人护理的妇女相比，随机分配到G-ANC的妇女在出生后的整体健康素养方面表现出更大的改善。产前保健期间提供的救生信息必须以可理解的格式提供，以防止妇女和新生儿死于可预防的原因。本研究的伦理批准获得了密歇根大学（HUM#00161464）和加纳卫生局（GHS-ERC：016/04/19）的机构审查委员会。
Although the majority of Ghanaian women receive antenatal care (ANC), many exhibit low health literacy by misinterpreting and incorrectly operationalizing ANC messages, leading to poor maternal and newborn health outcomes. Prior research in low-resource settings has found group antenatal care (G-ANC) feasible for women and providers. This study aims to determine the effect of G-ANC on increasing maternal health literacy. We hypothesized that pregnant women randomized into G-ANC would exhibit a greater increase in maternal health literacy than women in routine, individual ANC. A 5-year cluster randomized controlled trial was conducted in 14 rural and peri-urban health facilities in the Eastern Region of Ghana. Facilities were paired based on patient volume and average gestational age at ANC enrollment and then randomized into intervention (G-ANC) vs. control (routine, individual ANC); 1761 pregnant women were recruited. Data collection occurred at baseline (T0) and post-birth (T2) using the Maternal Health Literacy scale, a 12-item composite scale to assess maternal health literacy. Logistic regression compared changes in health literacy from T0 to T2. Overall, women in both the intervention and control groups improved their health literacy scores over time (p < 0.0001). Women in the intervention group scored significantly higher on 3 individual items and on overall composite scores (p < 0.0001) and were more likely to attend 8 or more ANC visits. While health literacy scores improved for all women attending ANC, women randomized into G-ANC exhibited greater improvement in overall health literacy post-birth compared to those receiving routine individual care. Life-saving information provided during ANC must be presented in an understandable format to prevent women and newborns from dying of preventable causes. Ethical approval for the study was obtained from the Institutional Review Boards of the University of Michigan (HUM#00161464) and the Ghana Health Service (GHS-ERC: 016/04/19).
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影响因子：
2.6
作者：
Kumbeni MT;Apanga PA;Yeboah EO;Kolog JT;Awuni B
通讯作者：
Awuni B
影响因子：
5.2
作者：
Amoah, Padmore Adusei;Phillips, David R.
通讯作者：
Phillips, David R.
影响因子：
2.3
作者：
Hetherington, Erin;Tough, Suzanne;Metcalfe, Amy
通讯作者：
Metcalfe, Amy
影响因子：
1.7
作者：
Lori, Jody R.;Williams, John E. O.;Kukula, Vida A.;Apetorgbor, Veronica E. A.;Awini, Elizabeth A.;Amankwah, Georgina;Zielinski, Ruth;Lockhart, Nancy;James, Katherine H.;Moyer, Cheryl A.
通讯作者：
Moyer, Cheryl A.
DOI：
10.3961/jpmph.20.349
发表时间：
2021-01
期刊：
Journal of preventive medicine and public health = Yebang Uihakhoe chi
影响因子：
--
作者：
Gaur BPS;Vasudevan J;Pegu B
通讯作者：
Pegu B