Amelioration of Literacy Deficits in Prenatal Care

改善产前护理中的识字缺陷

• 批准号: 7136094
• 负责人: Debra L Roter
• 金额: $ 60.95万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7136094
• 关键词: DVD /CD ROM; academic achievement; behavioral /social science research tag; clinical research; communication behavior; computer assisted instruction; computer assisted patient care; computer simulation; decision making; educational resource design /development; educationally disadvantaged; focus groups; genetic counseling; health education; health services research tag; human pregnant subject; human subject; interview; outcomes research; patient care personnel relations; patient oriented research; postpartum depression; prenatal care; prenatal diagnosis; women' s health; DVD /CD ROM; academic achievement; behavioral /social science research tag; clinical research; communication behavior; computer assisted instruction; computer assisted patient care; computer simulation; decision making; educational resource design /development; educationally disadvantaged; focus groups; genetic counseling; health education; health services research tag; human pregnant subject; human subject; interview; outcomes research; patient care personnel relations; patient oriented research; postpartum depression; prenatal care; prenatal diagnosis; women' s health

DESCRIPTION (provided by applicant): The literacy challenges of the medical dialogue are considerable and significant; as these challenges fall within the relatively unexplored domains of conceptual and oral literacy, they have been all but ignored in the exponentially growing literacy literature. Nevertheless, it is in the oral and conceptual literacy domains that critical issues arise in face-to-face interactions with health providers. It is here that the frustration grows in the accomplishment of the most basic of patient goals- to understand and be understood. There is reason to believe that these challenges are especially evident for low-literate women seeking prenatal care. Despite evidence of persistent socioeconomic and racial disparity in prenatal, perinatal, and post-partum services utilization and health outcomes, there has been relatively little federal focus on setting goals for the amelioration of literacy and health communication deficits affecting pregnant and post-partum women and their babies (Healthy People 2010), or in designing literacy interventions to improve health outcomes for this population. It is in the first prenatal visit that significant cognitive and emotional challenges are likely to arise in the complex information needed to make an informed choice about prenatal testing and in facing the psychosocial and emotional challenges of pregnancy. Consequently, it is the first visit that is likely to set the stage forfeiture exchanges and determine the relationship that develops, and the array of attitudinal, psychological, behavioral, and health outcomes that derive from care. The specific aims of the study are: (1) To understand the relationships among print, conceptual and oral literacy dimensions and to investigate the communication characteristics of deficits in these realms; (2) To work collaboratively with low-literate women, and health literacy experts, to develop a communication intervention designed to: (a) ameliorate oral and conceptual literacy deficits related to informed choice regarding prenatal genetic testing and (b)to facilitate disclosure and discussion about sensitive emotional and psychosocial topics, and (3) to conduct a randomized trial to evaluate the effect of the intervention on a variety of outcomes including: interaction, understanding, satisfaction, prenatal care utilization, post-partum appointment keeping, antenatal and post-partum depression symptoms, and pre-term deliveries.

描述（由申请人提供）：医学对话的扫盲挑战是相当大的；随着这些挑战属于相对未开发的概念和口头扫盲领域，它们在成倍增长的扫盲文献中几乎被忽略了。然而，在与卫生提供者面对面互动时，在口头和概念素养领域中出现了关键问题。在这里，挫败感在实现最基本的患者目标的实现中增长 - 要理解和理解。有理由相信，对于寻求产前护理的低素养妇女，这些挑战尤为明显。尽管有证据表明在产前，围产期和产后服务利用和健康成果方面存在持久的社会经济和种族差异，但联邦对识字和健康沟通缺陷的设定目标相对较少，以确保影响孕妇妇女及其婴儿及其婴儿（健康的人（健康人）的识字率超过识字率的识字率高，以改善识字率，以改善识字率。在第一次产前访问中，在对产前测试以及面对怀孕的心理和情感挑战所需的知识选择所需的复杂信息中可能会出现重大认知和情感挑战。因此，这是首次访问可能会设定阶段没收交流并确定发展的关系，以及一系列习惯，心理，行为和健康成果，这些成果源于护理。该研究的具体目的是：（1）了解印刷，概念和口头扫盲维度之间的关系，并研究这些领域中缺陷的交流特征； （2）与低识字妇女和健康素养专家合作，开发一种旨在：（a）与有关在产前遗传测试的知情选择相关的口头和概念素养不足以及（b）促进有关敏感的情感和心理主题的敏感性，以及（3）的综合性，以促进有效的试验，以促进易于披露和讨论，以促进出现的敏感性，以及（3）理解，满意度，产前护理利用，保存后任命后，产前和产后抑郁症状以及术前分娩。