O'Meara C
Midwifery. 1993 Dec;9(4):210-9. doi: 10.1016/0266-6138(93)90004-c.
As part of a study of childbirth and parenting education in the Australian Capital Territory (O'Meara, 1993a; 1993b) an evaluation of clients' views of the service was undertaken. The evaluation sought to identify indicators of effectiveness and needs. Two independent groups (current and past users, n = 207) were surveyed using an original questionnaire based on predisposing, reinforcing and enabling factors for human behaviour (Green's PRECEDE model). The data were compared and analysed using the related t-test for indicative differences in perceptions of the two groups. Indicative differences that were statistically significant were compared on variables representing users' age, parity and preferred mode of childbirth education (public or private). No evidence was found of significant differences in attitudes, beliefs and values before and after birth attributable to childbirth education. However, the health skills, confidence and emotional preparation for the birth, and the extent of participation in the learning process did not fully measure up to users' expectations. Consumers expect professionalism in the provision of services, with course content specifically tailored to their learning needs, taking into account age and previous experience of childbirth. A comprehensive curriculum is suggested covering all stages of the childbirth process from prepregnancy to parenting.
作为澳大利亚首都地区分娩与育儿教育研究的一部分（奥米拉，1993a；1993b），对客户对该服务的看法进行了评估。该评估旨在确定有效性指标和需求。使用基于人类行为的诱发、强化和促成因素（格林的PRECEDE模型）的原始问卷对两个独立群体（当前和过去的用户，n = 207）进行了调查。使用相关t检验对数据进行比较和分析，以找出两组看法上的显著差异。对代表用户年龄、产次和首选分娩教育模式（公立或私立）的变量，比较了具有统计学显著性的显著差异。未发现分娩教育导致出生前后态度、信念和价值观存在显著差异的证据。然而，健康技能、对分娩的信心和情绪准备，以及参与学习过程的程度并未完全达到用户的期望。消费者期望服务提供具备专业性，课程内容能根据他们的学习需求进行专门定制，同时考虑年龄和以往的分娩经验。建议制定一个涵盖从孕前到育儿的分娩过程所有阶段的综合课程。
