An Interactive Informed Consent and Education Program for Pregnant Women

描述(由申请人提供)：女性在怀孕和分娩期间面临各种医疗决定。虽然为孕妇提供了广泛的教育资源，但现代医学提出了许多女性没有能力做出的决定。产前筛查和剖腹产后的分娩方式等问题需要很大程度的患者教育，才能做出真正知情的医疗决定。研究表明，妇女对剖腹产后的出生缺陷和分娩方式的筛查知之甚少。水平低、受教育程度低或健康素养差的妇女更有可能表现出对产前筛查的了解不足。ArchieMD，Inc.开发了一种全面的交互式医学模拟环境，该环境有可能向患者直观地传达复杂的信息，以提高对医疗程序的理解，并教育患者他们行为的后果。我们假设，这种交互式医学模拟患者教育计划可以提高患者的理解，使孕妇能够做出知情的决定。在第一阶段，我们将为羊膜穿刺术建立一个交互式知情同意/患者教育计划的原型。我们已经与西北大学合作开发和评估这个项目，并建立概念验证。公共卫生相关性：该项目将通过提高知情同意期间的理解质量来促进公共卫生。这可能会改善患者的医疗决策，同时减少医疗诉讼。

DESCRIPTION (provided by applicant): Women face a variety of medical decisions during pregnancy and childbirth. While there are extensive educational resources for pregnant women, modern medicine presents decisions that many women are poorly equipped to make. Issues such as prenatal screening and mode of birth after a cesarean delivery require a significant degree of patient education to enable a truly informed medical decision. Studies have shown that women have a poor understanding of screening for birth defects and mode of birth after a cesarean delivery. Women with a low level or education or poor health literacy are significantly more likely to demonstrate inadequate understanding of prenatal screening. ArchieMD, Inc. has developed a comprehensive interactive medical simulation environment which has the potential to visually convey complex information to patients to improve understanding of medical procedures and educate patients on the consequences of their behavior. We hypothesize that such an interactive medical simulation patient education program can improve patient understanding allowing pregnant women to make informed decisions. In Phase I, we will prototype an interactive informed consent/patient education program for amniocentesis. We have teamed with Northwestern University to develop and evaluate this program and establish proof of concept. PUBLIC HEALTH RELEVANCE: This project will contribute to public health by improving the quality of understanding achieved during informed consent. This may improve patients' medical decision making while decreasing medical litigation.