scholarly journals Towards a global framework for assessing male involvement in maternal health: results of an international Delphi study

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e051361
Author(s):  
Anna Galle ◽  
Sally Griffin ◽  
Nafissa Osman ◽  
Kristien Roelens ◽  
Olivier Degomme
Keyword(s):  
Decision Making ◽  
Maternal Health ◽  
Gender Equality ◽  
Shared Decision Making ◽  
Delphi Study ◽  
Male Involvement ◽  
Shared Decision ◽  
Emotional Involvement ◽  
International Panel ◽  
Sensitivity Specificity

PurposeCurrently, no standard instrument exists for assessing the concept of male involvement in maternal health, hampering comparison of results and interpretation of the literature. The aim of this study was to construct the key elements of a global multidimensional male involvement framework, based on the latest evidence and input of experts in the field.MethodsFor this purpose, a Delphi study, including an international panel of 26 experts, was carried out. The study consisted of three rounds, with 92% of respondents completing all three surveys. Experts were asked to rate indicators within six categories in terms of validity, feasibility, sensitivity, specificity and context robustness. Furthermore, they were encouraged to clarify their rating with open text responses. Indicators were excluded or adapted according to experts’ feedback before inclusion. A 85% agreement was used as threshold for consensus.ResultsA general consensus was reached for a global framework for assessing male involvement in maternal health, consisting of five categories: involvement in communication, involvement in decision-making, practical involvement, physical involvement and emotional involvement.ConclusionsUsing the male involvement framework as a tool to assess the concept of male involvement in maternal health at local, national, and international levels could allow improved assessment and comparison of study findings. Further research is needed for refining the indicators according to context and exploring how shared decision-making, gender equality and women’s empowerment can be assessed and facilitated within male involvement programmes.

scholarly journals Determinants of Male Involvement in Family Planning Services in Abia State, Southeast Nigeria

2021 ◽  
Author(s):  
Chidinma Ihuoma Amuzie ◽  
Uche Ngozi Nwamoh ◽  
Andy Ukegbu ◽  
Chukwuma David Umeokonkwo ◽  
Benedict Ndubueze Azuogu ◽  
...  
Keyword(s):  
Decision Making ◽  
Family Planning ◽  
Shared Decision Making ◽  
Employment Status ◽  
Male Involvement ◽  
Shared Decision ◽  
Family Planning Services ◽  
Eligibility Criteria ◽  
Cross Sectional ◽  
Active Involvement

Abstract Background: Male involvement in family planning (FP) remains low in male-dominant communities. Family planning contributes to the regulation of fertility and population growth in Nigeria. Increasing male involvement in family planning services is crucial in reducing maternal morbidity and mortality in patriarchal societies such as Nigeria. This study identified the determinants of male involvement in family planning services in Abia State, Nigeria. Methods: This was a cross-sectional study conducted in twelve communities of Abia State, Nigeria. A total of 588 married men who met the eligibility criteria were recruited using a multistage sampling technique. An interviewer-administered semi-structured questionnaire was used to collect data on the variables. Univariate, bivariate and multivariate analysis was done. The level of significance was set at 5%. Results: The overall level of active male involvement in family planning services was 55.1% (95% CI:51.0%- 59.2%). The mean age of the respondents was 42.4±8.0 years. Access to television (aOR= 1.58, 95% CI: 1.05-2.39), spouse employment status (aOR= 2.02, 95% CI: 1.33-2.06), shared decision-making (aOR= 1.66, 95% CI: 1.05-2.62), and accompanying spouse to the FP clinic (aOR= 3.15, 95% CI: 2.16-4.62) were all predictors of active male involvement.Conclusion: Active involvement of men in family planning services was moderate. This was predicted by access to television, employment status of spouse, shared decision-making, and accompanying spouse to the FP clinic. There is a need to focus on the identified factors in order to further improve the active involvement of men in FP services.

scholarly journals On speaking terms: a Delphi study on shared decision-making in maternity care

2014 ◽  
Vol 14 (1) ◽  
Author(s):  
Marianne J Nieuwenhuijze ◽  
Irene Korstjens ◽  
Ank de Jonge ◽  
Raymond de Vries ◽  
Antoine Lagro-Janssen
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Maternity Care ◽  
Delphi Study ◽  
Shared Decision

The Role of Shared Decision-Making in Audiologic Rehabilitation

2014 ◽  
Vol 21 (1) ◽  
pp. 15-23 ◽  
Author(s):  
Helen Pryce ◽  
Amanda Hall
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Behavior Changes ◽  
Shared Decision ◽  
Patient Centered ◽  
Treatment Information ◽  
Centered Care ◽  
Potential Risks ◽  
Audiologic Rehabilitation

Shared decision-making (SDM), a component of patient-centered care, is the process in which the clinician and patient both participate in decision-making about treatment; information is shared between the parties and both agree with the decision. Shared decision-making is appropriate for health care conditions in which there is more than one evidence-based treatment or management option that have different benefits and risks. The patient's involvement ensures that the decisions regarding treatment are sensitive to the patient's values and preferences. Audiologic rehabilitation requires substantial behavior changes on the part of patients and includes benefits to their communication as well as compromises and potential risks. This article identifies the importance of shared decision-making in audiologic rehabilitation and the changes required to implement it effectively.

On the evaluation of shared decision making: The Decision Evaluation Scales

2004 ◽  
Author(s):  
P. F. M. Stalmeier ◽  
M. S. Roosmalen ◽  
L. C. G. Josette Verhoef ◽  
E. H. M. Hoekstra-Weebers ◽  
J. C. Oosterwijk ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Shared Decision

Shared Decision Making to Increase Family Involvement in the Care of Consumers With SMI

2013 ◽  
Author(s):  
Shirley M. Glynn ◽  
Lisa Dixon ◽  
Amy Cohen ◽  
Amy Drapalski ◽  
Deborah Medoff ◽  
...  
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Family Involvement ◽  
Shared Decision

Shared-Decision-Making

2018 ◽  
Vol 09 (06) ◽  
pp. 250-252
Author(s):  
Rainer Bubenzer
Keyword(s):  
Decision Making ◽  
Shared Decision Making ◽  
Partizipative Entscheidungsfindung ◽  
Shared Decision ◽  
Sich Eine

Auch in der Onkologie hat das Thema Patientenbeteiligung zunehmend an Bedeutung gewonnen. Ein häufig genanntes Mantra dazu lautet: Viele Patienten wünschen sich eine aktivere Rolle bei der eigenen Gesundheitsversorgung, am besten auf „Augenhöhe“. Ein Ansatz, der solche Wünsche berücksichtigt, ist die partizipative Entscheidungsfindung (PEF, shared-decision-making). Auch auf gesundheitspolitischer Ebene spielt PEF eine wachsende Rolle, wird z. B. im Rahmen des Nationalen Krebsplans spezifisch gefördert (►siehe Kasten). Ob und wieweit diese ambitionierten Ziele in der Onkologie in der Versorgungswirklichkeit angekommen sind, war eines der Themen beim 17. Deutschen Kongress für Versorgungsforschung in Berlin. Es zeigte sich: PEF ist in vielen Bereichen der Onkologie noch längst nicht angekommen.

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