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

Delanoë A, Lépine J, Leiva Portocarrero ME, Robitaille H, Turcotte S, Lévesque I, Wilson BJ, Giguère AM, Légaré F - BMC Res Notes (2016)

Bottom Line: We recruited a convenience sample of 45 pregnant women in three clinical sites (family practice teaching unit, birthing center and obstetrical ambulatory care clinic).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).

View Article: PubMed Central - PubMed

Affiliation: Canada Research Chair 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, QC, G1L 3L5, Canada.

ABSTRACT

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.

No MeSH data available.


Health literacy scales distribution. a Distribution of the sample against the number of correct answers for the 3NQ scale. b Distribution of the sample against the number of correct answers for the NVS scale. c Distribution of the sample against the total score for the 3HLQ scale
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Fig2: Health literacy scales distribution. a Distribution of the sample against the number of correct answers for the 3NQ scale. b Distribution of the sample against the number of correct answers for the NVS scale. c Distribution of the sample against the total score for the 3HLQ scale

Mentions: Pregnant women’s intention levels showed a median score of 4.5 at the test and 4.0 at the retest (range from 1 to 5, Table 2). Intention levels were not significantly different between the test and retest (P > 0.05). On the 3NQ scale the median score was 2 out of 3 (Table 2), and 49 % of the sample obtained the maximum score (3/3, n = 22/45, Fig. 2a). The median score on the NVS was 6 out of 6 (Table 2), and 67 % of the sample correctly answered all questions (6/6, n = 30/45, Fig. 2b). Furthermore, 89 % of pregnant women scored 5 or 6 out of 6 (n = 40/45, Fig. 2b). Finally, the median score on the 3HLQ was 8 out of 12 (Table 2). The variable was negatively skewed but showed variability around the median score (Fig. 2c).Table 2


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

Delanoë A, Lépine J, Leiva Portocarrero ME, Robitaille H, Turcotte S, Lévesque I, Wilson BJ, Giguère AM, Légaré F - BMC Res Notes (2016)

Health literacy scales distribution. a Distribution of the sample against the number of correct answers for the 3NQ scale. b Distribution of the sample against the number of correct answers for the NVS scale. c Distribution of the sample against the total score for the 3HLQ scale
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4940686&req=5

Fig2: Health literacy scales distribution. a Distribution of the sample against the number of correct answers for the 3NQ scale. b Distribution of the sample against the number of correct answers for the NVS scale. c Distribution of the sample against the total score for the 3HLQ scale
Mentions: Pregnant women’s intention levels showed a median score of 4.5 at the test and 4.0 at the retest (range from 1 to 5, Table 2). Intention levels were not significantly different between the test and retest (P > 0.05). On the 3NQ scale the median score was 2 out of 3 (Table 2), and 49 % of the sample obtained the maximum score (3/3, n = 22/45, Fig. 2a). The median score on the NVS was 6 out of 6 (Table 2), and 67 % of the sample correctly answered all questions (6/6, n = 30/45, Fig. 2b). Furthermore, 89 % of pregnant women scored 5 or 6 out of 6 (n = 40/45, Fig. 2b). Finally, the median score on the 3HLQ was 8 out of 12 (Table 2). The variable was negatively skewed but showed variability around the median score (Fig. 2c).Table 2

Bottom Line: We recruited a convenience sample of 45 pregnant women in three clinical sites (family practice teaching unit, birthing center and obstetrical ambulatory care clinic).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).

View Article: PubMed Central - PubMed

Affiliation: Canada Research Chair 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, QC, G1L 3L5, Canada.

ABSTRACT

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.

No MeSH data available.