A Qualitative Study of Perspectives of Black Women on Autonomy and Motivational Interviewing.
A Qualitative Study of Perspectives of Black Women on Autonomy and Motivational Interviewing.
复制标题
黑人女性对自主性和动机访谈的看法的定性研究。
DOI：
10.1089/whr.2022.0094
复制
发表时间：
2023
影响因子：
1.3
通讯作者：
Resnicow, Kenneth
中科院分区：
文献类型：
--
作者：
Gregory, Emily F.;Cronholm, Peter F.;Johnson, Geminesse T.;Maddox, Adya I.;Kellom, Katherine;Levine, Lisa D.;Lorch, Scott A.;Fiks, Alexander G.;Resnicow, Kenneth
关键词：
动机访谈（MI）是一种基于证据的策略，以改变健康行为，包括一些不良出生结果的风险因素。黑人妇女，谁有不成比例的高比率的不良出生结果，报告了混合偏好MI。本研究探讨了MI的黑人妇女谁是在不良出生结果的高风险的可接受性。我们对有早产史的妇女进行了定性访谈。参与者精通英语，并有医疗保险的婴儿。我们有目的地对婴儿有医学复杂性的妇女进行了过度抽样。访谈探讨了出生后的医疗保健和健康行为的经验。访谈指南迭代开发，以获得具体的反应MI包括视频演示MI一致和MI不一致的咨询。访谈录音，转录，并编码后的综合方法，我们采用了先验代码相关的MI和允许的主题出现的数据。我们从2018年10月到2021年7月采访了30名非西班牙裔黑人女性。11看了视频。与会者强调了自主决策和健康行为的重要性。参与者表示倾向于MI一致的临床方法，包括自主支持和建立融洽关系，认为他们尊重，不评判，并可能支持改变。在这个有早产史的黑人妇女样本中，参与者重视MI一致的临床方法。将MI纳入临床护理可能会改善黑人妇女的医疗保健经验，从而成为促进出生结果公平的一项战略。
Motivational interviewing (MI) is an evidence-based strategy to modify health behaviors, including some risk factors for adverse birth outcomes. Black women, who have disproportionately high rates of adverse birth outcomes, have reported mixed preferences on MI. This study explored the acceptability of MI among Black women who are at high risk for adverse birth outcomes. We conducted qualitative interviews with women with a history of preterm birth. Participants were English-language proficient and had Medicaid-insured infants. We purposively oversampled women whose infants had medical complexity. Interviews explored experiences with health care and health behaviors after birth. The interview guide was iteratively developed to obtain specific reactions to MI by including videos demonstrating MI-consistent and MI-inconsistent counseling. Interviews were audio recorded, transcribed, and coded following an integrated approach in which we applied a priori codes related to MI and allowed themes to emerge from the data. We interviewed 30 non-Hispanic Black women from October 2018 to July 2021. Eleven viewed the videos. Participants emphasized the importance of autonomy in decision-making and health behavior. Participants expressed a preference for MI-consistent clinical approaches, including autonomy support and building rapport, considering them respectful, nonjudgmental, and likely to support change. In this sample of Black women with a history of preterm birth, participants valued an MI-consistent clinical approach. Incorporating MI into clinical care may improve the experience of health care among Black women, thus serving as one strategy to promote equity in birth outcomes.
登录
查看更多内容
影响因子：
--
作者：
Kuo, Dennis Z.;Cohen, Eyal;Agrawal, Rishi;Berry, Jay G.;Casey, Patrick H.
通讯作者：
Casey, Patrick H.
影响因子：
1.6
作者：
Woo Baidal JA;Price SN;Gonzalez-Suarez E;Gillman MW;Mitchell K;Rifas-Shiman SL;Horan CM;Gortmaker SL;Taveras EM
通讯作者：
Taveras EM
影响因子：
3.5
作者：
Gregory，Emily F.;Passarella，Molly;Lorch，Scott A.
通讯作者：
Lorch，Scott A.
影响因子：
6
作者：
DiCicco-Bloom, B;Crabtree, BF
通讯作者：
Crabtree, BF
影响因子：
3.5
作者：
Grobe, James E.;Goggin, Kathy;Catley, Delwyn
通讯作者：
Catley, Delwyn