Empowering Women's Prenatal Communication: Does Literacy Matter?
Empowering Women's Prenatal Communication: Does Literacy Matter?
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DOI：
10.1080/10810730.2015.1080330
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发表时间：
2015
影响因子：
4.4
通讯作者：
Bienstock J
中科院分区：
文献类型：
--
作者：
Roter DL;Erby LH;Rimal RN;Smith KC;Larson S;Bennett IM;Cole KW;Guan Y;Molloy M;Bienstock J
这项研究的目的是评估一个交互式计算机程序的影响，该程序旨在增强识字能力有限的妇女的产前沟通能力。83名妇女看到17名临床医生被随机分配到一个基于计算机的通信激活干预，健康的婴儿健康的妈妈（HBHM），或产前教育，婴儿基础知识（BB），在他们的产前访问。使用Roter交互分析系统（RIAS）对访视沟通进行编码，并报告访视后满意度。参与者平均年龄24岁，怀孕25周; 80%是非洲裔美国人。三分之二的人在识字筛查中得分≤ 8级。与BB组的对应者相比，HBHM组中有读写能力缺陷的女性更活跃，披露了更多的医疗和心理社会/生活方式信息，并且被编码者评为更具优势（所有p<0.05）。与BB组女性相比，临床医生在识字的HBHM中的语言优势更少，更以患者为中心（p<0.05）;识字率较低的女性也有类似的非显著趋势（p<0.1）。与BB组相比，HBHM组的临床医生向识字率较低的妇女传达的医疗信息较少，做出的保证声明也较少（p<.05）。与BB组相比，HBHM组中识字有限的妇女的就诊满意度有降低的趋势（p<0.1）;识字较多的妇女的满意度没有明显差异。HBHM干预措施增强了所有妇女的沟通能力，促进了语言交流，并促进了有读写能力缺陷的妇女的医疗和心理社会信息的相关披露。然而，这些妇女的满意度往往较低。
The study was designed to evaluate the impact of an interactive computer program developed to empower prenatal communication of women with restricted literacy skills. 83 women seeing 17 clinicians were randomized to a computer-based communication activation intervention, Healthy Babies Healthy Moms (HBHM), or prenatal education, Baby Basics (BB), prior to their prenatal visit. Visit communication was coded with the Roter Interaction Analysis System (RIAS) and post-visit satisfaction was reported. Participants were on average 24 years of age and 25 weeks pregnant; 80% were African American. Two-thirds scored ≤ 8th grade on a literacy screener. Women with literacy deficits were more verbally active, disclosed more medical and psychosocial/lifestyle information and were rated as more dominant by coders in the HBHM group relative to counterparts in the BB group (all p<.05). Clinicians were less verbally dominant and more patient-centered with literate HBHM relative to BB group women (p<.05); there was a similar, non-significant trend (p<.1) for lower literate women. Clinicians communicated less medical information and made fewer reassurance statements to lower literate women in the HBHM relative to the BB group (p<.05). There was a trend toward lower visit satisfaction for women with restricted literacy in HBHM relative to BB group (p<.1); no difference in satisfaction was evident for more literate women. The HBHM intervention empowered communication of all women and facilitated verbal engagement and relevant disclosure of medical and psychosocial information of women with literacy deficits. Satisfaction, however, tended to be lower for these women.