Health literacy and the decision-making process to use complementary medicine products in pregnancy and lactation

2017 ◽  
Vol 13 (4) ◽  
pp. e32-e33
Author(s):  
Larisa A.J. Barnes ◽  
Kirsten McCaffery ◽  
Claire O'Reilly ◽  
Parisa Aslani
Keyword(s):  
Decision Making ◽  
Health Literacy ◽  
Complementary Medicine ◽  
Decision Making Process ◽  
Pregnancy And Lactation ◽  
In Pregnancy

Factors that influence women's decision-making to use complementary medicine products in pregnancy and lactation

2019 ◽  
Vol 6 ◽  
pp. S98
Author(s):  
Larisa Barnes ◽  
Lesley Barclay ◽  
Kirsten McCaffery ◽  
Parisa Aslani
Keyword(s):  
Decision Making ◽  
Complementary Medicine ◽  
Pregnancy And Lactation ◽  
In Pregnancy

‘Doctor, what would you do in my position?’ Health professionals and the decision-making process in pregnancy monitoring

2013 ◽  
Vol 40 (5) ◽  
pp. 310-314 ◽  
Author(s):  
Solène Gouilhers Hertig ◽  
Samuele Cavalli ◽  
Claudine Burton-Jeangros ◽  
Bernice S Elger
Keyword(s):  
Decision Making ◽  
Health Professionals ◽  
Decision Making Process ◽  
In Pregnancy

scholarly journals Associations between health literacy and information-evaluation and decision-making skills in Japanese adults

2021 ◽  
Author(s):  
Kazuhiro Nakayama ◽  
Yuki Yonekura ◽  
Hitomi Danya ◽  
Kanako Hagihara
Keyword(s):  
Decision Making ◽  
Health Literacy ◽  
Health Information ◽  
Nationwide Survey ◽  
Learning Opportunities ◽  
Decision Making Process ◽  
Online Questionnaire ◽  
Information Evaluation ◽  
Research Company ◽  
Literacy Survey

Abstract Background Health literacy in Japanese people is often low because people find it difficult to evaluate health information and make informed decisions. Clarifying the association between health literacy and the skills to evaluate information and make appropriate decisions (not necessarily limited to health information) would inform efforts to improve health literacy. Therefore, the study objectives were to investigate the following issues using a nationwide survey in Japan: 1) When obtaining information, to what extent do people appropriately evaluate whether the information is reliable, and when making decisions, to what extent do they seek out available options and compare pros and cons based on their own values? 2) How strongly are these skills associated with health literacy and demographic characteristics? 3) What opportunities are available to learn these skills? Methods An online questionnaire survey was conducted using a Japanese Internet research company; 3,914 valid responses were received. The measures comprised health literacy (European Health Literacy Survey Questionnaire), five items on information evaluation, four items on the decision-making process, and items on the availability and location of learning opportunities. Pearson correlations were calculated to explore the association of health literacy with information-evaluation and decision-making skills. Multivariate analyses were also conducted using these factors as dependent variables. Results Less than half of respondents always or often evaluated information and engaged in the decision-making process. Health literacy was significantly correlated with information evaluation and the decision-making process (.26 and .30, respectively). More than 40% of respondents had no learning opportunities. Respondents who did have learning opportunities learned on their own, rather than at school or work, using sources such as the Internet and television. Conclusions Both information-evaluation and decision-making skills were associated with health literacy. However, these skills are not sufficiently widespread in Japan, because there are few opportunities to learn them. More research is needed to raise awareness of the importance of these skills for improving health literacy, and to provide appropriate learning opportunities. Additionally, an environment must be created in which all individuals can easily receive support at any time, so that they can make appropriate decisions based on reliable information.

scholarly journals A review of COVID-19 therapeutics in pregnancy and lactation

2022 ◽  
pp. 1753495X2110562
Author(s):  
Sarah CJ Jorgensen ◽  
Najla Tabbara ◽  
Lisa Burry
Keyword(s):  
Decision Making ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Elevated Risk ◽  
Published Data ◽  
Safety And Efficacy ◽  
Pregnancy And Lactation ◽  
Safety Signals ◽  
In Pregnancy

Pregnant people have an elevated risk of severe COVID-19-related complications compared to their non-pregnant counterparts, underscoring the need for safe and effective therapies. In this review, we summarize published data on COVID-19 therapeutics in pregnancy and lactation to help inform clinical decision-making about their use in this population. Although no serious safety signals have been raised for many agents, data clearly have serious limitations and there are many important knowledge gaps about the safety and efficacy of key therapeutics used for COVID-19. Moving forward, diligent follow-up and documentation of outcomes in pregnant people treated with these agents will be essential to advance our understanding. Greater regulatory push and incentives are needed to ensure studies to obtain pregnancy data are expedited.

scholarly journals Participation in a randomised controlled trial (RCT) of metformin in gestational diabetes mellitus (GDM): pregnant women’s perceptions and experiences of the decision-making process

2021 ◽  
Vol 4 ◽  
pp. 65
Author(s):  
Sinead Wallace ◽  
Catherine Houghton ◽  
Fidelma Dunne
Keyword(s):  
Diabetes Mellitus ◽  
Clinical Trial ◽  
Decision Making ◽  
Clinical Trials ◽  
Gestational Diabetes ◽  
Pregnant Women ◽  
Controlled Trial ◽  
Decision Making Process ◽  
Randomised Controlled ◽  
In Pregnancy

Background: Research in pregnancy and childbirth is required to advance healthcare needs for this population. Fears around potential fetal risk and the history of drug scandals renders it an area of research that is somewhat neglected. Due to the growing medical complexities facing pregnant women, efforts have been made in recent times to recognise the ethical importance of including this population in clinical research. Although clinical trials are becoming more common in pregnancy, recruitment of this population remains difficult with a common assumption that pregnant women would be reluctant to participate in clinical trials. This study set out to explore pregnant women’s perspectives and experiences of the decision-making process to participate in a randomised controlled trial of metformin in gestational diabetes mellitus (the EMERGE clinical trial). Methods: This study employed a qualitative descriptive design with thematic analysis. Data were collected by conducting individual semi-structured interviews (n=11) with participants (n=9) and decliners (n=2) of the EMERGE clinical trial.  Results: The main findings reveal that a significant perception of personal benefit from participation was the biggest influence on women’s decisions to participate. Concerns about the impact of gestational diabetes on their pregnancies, the option of a favourable intervention treatment, a low perception of risk associated with the trial and the opportunity to help medical research appeared to have significantly influenced their decision. Receiving detailed information, personal interactions with the study team, a perception of voluntariness in participation and accessibility of the trial positively impacted on women’s decisions to participate.  Conclusions: Personal contact during recruitment, presenting clear and thorough trial information, providing previous participant testimonials, and facilitating women to participate in clinical trials are all important strategies when trying to enhance recruitment in pregnancy trials. Further research on pregnant women declining participation in clinical trials is needed.

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