An Interactive Informed Consent and Education Program for Pregnant Women

描述（由申请人提供）：妇女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妇女没有能力做出的决定。产前筛查和剖宫产后的出生方式等问题需要对患者进行相当程度的教育，以便作出真正知情的医疗决定。研究表明，女性对剖宫产后的出生缺陷筛查和出生方式了解不足。受教育程度低或卫生知识贫乏的妇女更有可能对产前筛查了解不足。ArchieMD, Inc.开发了一个全面的交互式医疗模拟环境，该环境有可能以视觉方式向患者传达复杂信息，以提高对医疗程序的理解，并教育患者了解其行为的后果。我们假设这样一个互动的医学模拟病人教育计划可以提高病人的理解，使孕妇做出明智的决定。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/患者教育项目的原型。我们已经与西北大学合作开发和评估这个项目，并建立概念证明。与公共卫生的相关性：该项目将通过提高知情同意期间达成的理解的质量来促进公共卫生。这可以提高患者的医疗决策，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.