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索马里产前教育视频在美国产科诊所的使用:接受度的形成性评估。

Somali prenatal education video use in a United States obstetric clinic: a formative evaluation of acceptability.

机构信息

Mayo Medical School, Mayo Clinic, Rochester, MN, USA.

出版信息

Patient Educ Couns. 2010 Oct;81(1):137-41. doi: 10.1016/j.pec.2009.12.003. Epub 2010 Jan 13.

DOI:10.1016/j.pec.2009.12.003
PMID:20071131
Abstract

OBJECTIVE

Because of low health literacy and low priority in seeking prenatal information, health education videos were explored for acceptability by Somali refugee women in a clinical setting.

METHODS

Focus groups led to the development of six targeted Somali prenatal education videos. Topics include: preparation for pregnancy, nutrition and exercise, pregnancy myths/facts, the father's role, episiotomies, and caesarean sections. Somali participants were recruited to view programs, and completed an 8-item survey prior to regularly scheduled prenatal appointments. Following the clinical visit, providers completed a 4-item survey indicating the video's helpfulness in facilitating client-provider communication.

RESULTS

All study participants "strongly recommended" and rated the videos as "appropriate for Somali clients", 57% indicated the information was "just the right amount," and 60% found the videos "extremely helpful." The primary language spoken at home was Somali (72.7%) and 54.5% indicated Somali as the preferred language to receive health information. Providers indicated 24% of appointments were "more interactive" with 72% finding videos "somewhat" or "extremely helpful."

CONCLUSION

Preliminary results from this pilot study suggest that a video format for prenatal education is acceptable to Somali clients with most clients preferring video health education materials presented in the Somali language.

PRACTICE IMPLICATIONS

Culturally tailored health education video series for Somali women appear well for use in a clinic setting to facilitate client-provider communication.

摘要

目的

由于健康素养低,以及对获取产前信息重视程度低,因此在临床环境中,我们探讨了让索马里难民女性接受健康教育视频的可行性。

方法

通过焦点小组的形式,开发了 6 个有针对性的索马里产前教育视频。主题包括:备孕准备、营养与运动、怀孕的误区/事实、父亲的角色、会阴切开术和剖宫产。招募索马里参与者观看节目,并在定期产前预约前完成了 8 项调查。在临床就诊后,提供者完成了 4 项调查,表明视频在促进医患沟通方面的有用性。

结果

所有研究参与者“强烈推荐”并认为这些视频“适合索马里客户”,57%的参与者表示信息“恰到好处”,60%的参与者认为这些视频“非常有帮助”。在家中主要使用的语言是索马里语(72.7%),54.5%的参与者表示希望以索马里语获取健康信息。提供者表示 24%的预约“更具互动性”,72%的人认为视频“有些”或“非常有帮助”。

结论

这项初步研究的结果表明,产前教育的视频形式受到索马里客户的欢迎,大多数客户更喜欢以索马里语呈现的视频健康教育材料。

实践意义

针对索马里女性的量身定制的健康教育视频系列似乎非常适合在诊所环境中使用,以促进医患沟通。

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