Department of Public Health, Aarhus University, 8000 Aarhus, Denmark.
Department of Obstetrics and Gynecology, Aarhus University Hospital, 8000 Aarhus, Denmark.
Int J Environ Res Public Health. 2022 Apr 7;19(8):4449. doi: 10.3390/ijerph19084449.
A pregnant woman needs adequate knowledge, motivation, and skills to access, understand, appraise, and apply health information to make decisions related to the health of herself and her unborn baby. These skills are defined as health literacy: an important factor in relation to the woman's ability to engage and navigate antenatal care services. Evidence shows variation in levels of health literacy among pregnant women, but more knowledge is needed about how to respond to different health literacy profiles in antenatal care. This paper describes the development protocol for the HeLP program, which aims to investigate pregnant women's health literacy and co-create health literacy interventions through a broad collaboration between pregnant women, partners, healthcare providers, professionals, and other stakeholders using the Ophelia (Optimising Health Literacy and Access) process. The HeLP program will be provided at two hospitals, which provide maternity care including antenatal care: a tertiary referral hospital (Aarhus University Hospital) and a secondary hospital (the Regional Hospital in Viborg). The Ophelia process includes three process phases with separate objectives, steps, and activities leading to the identification of local strengths, needs and issues, co-design of interventions, and implementation, evaluation, and ongoing improvement. No health literacy intervention using the Ophelia process has yet been developed for antenatal care.
孕妇需要具备足够的知识、动力和技能，以便获取、理解、评估和应用与自身和胎儿健康相关的信息，从而做出相关决策。这些技能被定义为健康素养：这是与孕妇参与和利用产前保健服务能力相关的一个重要因素。有证据表明，孕妇的健康素养水平存在差异，但我们需要更多了解如何针对产前保健中不同的健康素养水平做出反应。本文介绍了 HeLP 项目的开发方案，该项目旨在通过孕妇、合作伙伴、医疗保健提供者、专业人员和其他利益相关者之间的广泛合作，使用 Ophelia（优化健康素养和获取）流程，调查孕妇的健康素养并共同创建健康素养干预措施。HeLP 项目将在两家提供包括产前保健在内的产科护理的医院提供：一家是三级转诊医院（奥胡斯大学医院），另一家是二级医院（维堡地区医院）。Ophelia 流程包括三个具有不同目标、步骤和活动的流程阶段，最终将确定当地的优势、需求和问题，共同设计干预措施，并实施、评估和不断改进。目前，还没有使用 Ophelia 流程开发的针对产前保健的健康素养干预措施。
