Use of evidence based leaflets to promote informed choice in maternity care: randomised controlled trial in everyday practice.
نویسندگان
چکیده
OBJECTIVE To assess the effect of leaflets on promoting informed choice in women using maternity services. DESIGN Cluster trial, with maternity units randomised to use leaflets (intervention units) or offer usual care (control units). Data collected through postal questionnaires. SETTING 13 maternity units in Wales. PARTICIPANTS Four separate samples of women using maternity services. Antenatal samples: women reaching 28 weeks' gestation before (n=1386) and after (n=1778) the intervention. Postnatal samples: women at eight weeks after delivery before (n=1741) and after (n=1547) the intervention. INTERVENTION Provision of 10 pairs of Informed Choice leaflets for service users and midwives and a training session for staff in their use. MAIN OUTCOME MEASURES Change in the proportion of women who reported exercising informed choice. SECONDARY OUTCOMES changes in women's knowledge; satisfaction with information, choice, and discussion; and possible consequences of informed choice. RESULTS There was no change in the proportion of women who reported that they exercised informed choice in the intervention units compared with the control units for either antenatal or postnatal women. There was a small increase in satisfaction with information in the antenatal samples in the intervention units compared with the control units (odds ratio 1.40, 95% confidence interval 1.05 to 1.88). Only three quarters of women in the intervention units reported being given at least one of the leaflets, indicating problems with the implementation of the intervention. CONCLUSION In everyday practice, evidence based leaflets were not effective in promoting informed choice in women using maternity services.
منابع مشابه
Qualitative study of evidence based leaflets in maternity care.
OBJECTIVE To examine the use of evidence based leaflets on informed choice in maternity services. DESIGN Non-participant observation of 886 antenatal consultations. 383 in depth interviews with women using maternity services and health professionals providing antenatal care. SETTING Women's homes; antenatal and ultrasound clinics in 13 maternity units in Wales. PARTICIPANTS Childbearing w...
متن کاملEvidence based patient information leaflets in maternity care had limited visibility and did not promote informed choice of childbearing women.
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ورودعنوان ژورنال:
- BMJ
دوره 324 7338 شماره
صفحات -
تاریخ انتشار 2002