Health literacy in pregnant women facing prenatal screening may explain their intention to use a patient decision aid: A short report

被引：22
作者：
Delanoë A. [1 ]
Lépine J. [1 ]
Leiva Portocarrero M.E. [1 ]
Robitaille H. [1 ]
Turcotte S. [1 ]
Lévesque I. [2 ]
Wilson B.J. [3 ]
Giguère A.M.C. [4 ]
Légaré F. [1 ,5 ]
机构：
[1] Canada Research Chr. in Shared Decision Making and Knowledge Translation, Public Health and Practice-Changing Research Group, Centre Hospitalier Universitaire de Québec Research Centre, Hôpital St-François d'Assise, 10 rue Espinay, D6-737, Quebec City, G1L
[2] Obstetrics and Gynecology Department, Faculty of Medicine, Université Laval, 1050, avenue de la Médecine, Quebec City, QC
[3] Department of Epidemiology and Community Medicine, Faculty of Medicine, University of Ottawa, Roger Guindon Hall, 451 Smyth Road, Ottawa, ON
[4] Quebec Centre of Excellence on Aging, CHU de Québec Research Centre, 1050, chemin Sainte-Foy, Quebec City, QC
[5] Department of Family Medicine and Emergency Medicine, Faculty of Medicine, Université Laval, 1050, avenue de la Médecine, Quebec City, QC
来源：
BMC Research Notes | / 9卷 / 1期
基金：
加拿大健康研究院;
关键词：
Down syndrome; Health literacy; Patient decision aid; Patient involvement; Screening and diagnostic tests; Shared decision making;
D O I：
10.1186/s13104-016-2141-0
中图分类号：
学科分类号：
摘要：
Background: It has been suggested that health literacy may impact the use of decision aids (DAs) among patients facing difficult decisions. Embedded in the pilot test of a questionnaire, this study aimed to measure the association between health literacy and pregnant women's intention to use a DA to decide about prenatal screening. We recruited a convenience sample of 45 pregnant women in three clinical sites (family practice teaching unit, birthing center and obstetrical ambulatory care clinic). We asked participating women to complete a self-administered questionnaire assessing their intention to use a DA to decide about prenatal screening and assessed their health literacy levels using one subjective and two objective scales. Results: Two of the three scales discriminated between levels of health literacy (three numeracy questions and three health literacy questions). We found a positive correlation between pregnant women's intention to use a DA and subjective health literacy (Spearman coefficient, Rho 0.32, P = 0.04) but not objective health literacy (Spearman coefficient, Rho 0.07, P = 0.65). Hence subjective health literacy may affect the intention to use a DA among pregnant women facing a decision about prenatal screening. Conclusion: Special attention should be given to pregnant women with lower health literacy levels to increase their intention to use a DA and ensure that every pregnant women can give informed and value-based consent to prenatal screening. © 2016 The Author(s).
引用
收藏
相关论文
共 46 条
  • [1] Burke W., Tarini B., Press N.A., Evans J.P., Genetic screening, Epidemiol Rev, 33, pp. 148-164, (2011)
  • [2] Asplin N., Wessel H., Marions L., Georgsson Ohman S., Pregnant women's experiences, needs, and preferences regarding information about malformations detected by ultrasound scan, Sex Reprod Healthc, 3, 2, pp. 73-78, (2012)
  • [3] Leiva Portocarrero M.E., Garvelink M.M., Becerra Perez M.M., Giguere A., Robitaille H., Wilson B.J., Rousseau F., Legare F., Decision aids that support decisions about prenatal testing for Down syndrome: An environmental scan, BMC Med Inform Decis Mak, 15, (2015)
  • [4] Stacey D., Legare F., Col N.F., Bennett C.L., Barry M.J., Eden K.B., Holmes-Rovner M., Llewellyn-Thomas H., Lyddiatt A., Thomson R., Et al., Decision aids for people facing health treatment or screening decisions, Cochrane Database Syst Rev, 1, (2014)
  • [5] Elwyn G., Frosch D., Thomson R., Joseph-Williams N., Lloyd A., Kinnersley P., Cording E., Van Der Tomson D., Dodd C., Rollnick S., Et al., Shared decision making: A model for clinical practice, J Gen Intern Med, 27, 10, pp. 1361-1367, (2012)
  • [6] Vlemmix F., Warendorf J.K., Rosman A.N., Kok M., Mol B.W., Morris J.M., Nassar N., Decision aids to improve informed decision-making in pregnancy care: A systematic review, BJOG, 120, 3, pp. 257-266, (2013)
  • [7] Legare F., Elwyn G., Fishbein M., Fremont P., Frosch D., Gagnon M.P., Kenny D.A., Labrecque M., Stacey D., St-Jacques S., Et al., Translating shared decision-making into health care clinical practices: Proof of concepts, Implement Sci, 3, (2008)
  • [8] Joosten E.A., DeFuentes-Merillas L., De Weert G.H., Sensky T., Van Der Staak C.P., De Jong C.A., Systematic review of the effects of shared decision-making on patient satisfaction, treatment adherence and health status, Psychother Psychosom, 77, 4, pp. 219-226, (2008)
  • [9] Hack T.F., Degner L.F., Watson P., Sinha L., Do patients benefit from participating in medical decision making? Longitudinal follow-up of women with breast cancer, Psychooncology, 15, 1, pp. 9-19, (2006)
  • [10] St-Jacques S., Grenier S., Charland M., Forest J.C., Rousseau F., Legare F., Decisional needs assessment regarding Down syndrome prenatal testing: A systematic review of the perceptions of women, their partners and health professionals, Prenat Diagn, 28, 13, pp. 1183-1203, (2008)
12345