Chinkam Somphit, Pierre Kimberly Ashley, Mezwa Kathryn, Steer-Massaro Courtney, Shorten Allison
J Perinat Educ. 2022 Oct 1;31(4):216-226. doi: 10.1891/JPE-2021-0016.
This was a pilot to develop culturally appropriate group counseling sessions for shared decision making about modes of birth after cesarean for Haitian Creole speakers. The curriculum was created by incorporating information identified by women and their providers in focus groups through the lens of Health Belief Model. Ten women attended a session. There was a 50% increase in women planning to labor after cesarean; nine stated the session gave them confidence to decide about their mode of birth; all were "very satisfied" with the session and would recommend it to others. The session was accepted as a method to improve women's decision making, feasible, effective, and could be integrated to improve shared decision making discussions for other non-English speaking women.
这是一项试点项目,旨在为讲海地克里奥尔语的人群开发适合其文化背景的团体咨询课程,用于剖宫产术后分娩方式的共同决策。该课程通过健康信念模型,纳入了女性及其医疗服务提供者在焦点小组中确定的信息。十名女性参加了一次课程。计划剖宫产术后自然分娩的女性增加了50%;九名女性表示该课程让她们有信心决定自己的分娩方式;所有人对该课程“非常满意”,并会向他人推荐。该课程被认为是一种改善女性决策的方法,可行、有效,并且可以整合到其他非英语女性的共同决策讨论中,以提高讨论效果。