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Pillay T, Feeney J, Walters C, Nelson H, Thomas L, Lewis D, Anderson K, Petkar A. Reducing risks for infant mortality in the Midlands, UK: a qualitative study identifying areas for improvement in the delivery of key public health messages in the perinatal period. BMC Pregnancy Childbirth 2022; 22:774. [PMID: 36253719 PMCID: PMC9574805 DOI: 10.1186/s12884-022-05092-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Accepted: 09/02/2022] [Indexed: 11/27/2022] Open
Abstract
Background: The Midlands has amongst the highest rates of neonatal and infant mortality in the UK. A public health parent education and empowerment programme, aimed at reducing key risks associated with this mortality was established and evaluated in the region. This was undertaken in an attempt to identify areas for optimal delivery of the public health messages around reducing risks for neonatal and infant mortality. Method: Qualitatively assessment, using the software package Dedoose®, was undertaken. This involved analysis of reflections by the programme trainers, after the delivery of their training sessions to parents, families and carers, between 01 January and 31 December 2021. These were intended to capture insights from the trainers on parent, family, carer and staff perspectives, perceptions/misperceptions around reducing risks for infant mortality. Potential areas for improvement in delivery of the programme were identified from this analysis. Results: A total of 323 programmes, comprising 524 parents, family members and carers were offered the programme. Analysis of 167 reflections around these interactions and those of staff (n = 29) are reported. The programme was positively received across parents, families, carers and staff. Four overall themes were identified: (a) reach and inclusion, (b) knowledge, (c) practical and emotional support and (d) challenges for delivery of the programme. Recommendations for improved delivery of the programme were identified, based on qualitative analysis. Conclusion: This novel approach to empowerment and education around neonatal public health messaging is a valuable tool for parents, families, carers and staff in the Midlands. Key practical recommendations for enhancing delivery of these critical public health messages were identified from this qualitative research. These are likely to be of value in other parts of the UK and globally.
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Affiliation(s)
- Thillagavathie Pillay
- Neonatal Unit, University Hospitals Leicester NHS Trust, Kensington Building, Leicester Royal Infirmary, LE15WW, Leicester, United Kingdom. .,Faculty of Science and Engineering, University of Wolverhampton, Wolfruna Street, WV1 1LY, Wolverhampton, United Kingdom. .,College of Life Sciences, University of Leicester, University of Leicester, University Road, LE1 7RH, Leicester, United Kingdom.
| | - Jane Feeney
- Faculty of Science and Engineering, University of Wolverhampton, Wolfruna Street, WV1 1LY, Wolverhampton, United Kingdom
| | - Claire Walters
- Neonatal Unit, The Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, Pensnett Road, DY1 2HQ, Dudley, West Midlands, United Kingdom
| | - Hollie Nelson
- Neonatal Unit, The Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, Pensnett Road, DY1 2HQ, Dudley, West Midlands, United Kingdom
| | - Lucy Thomas
- Neonatal Unit, The Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, Pensnett Road, DY1 2HQ, Dudley, West Midlands, United Kingdom
| | - Dawn Lewis
- Neonatal Unit, The Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, Pensnett Road, DY1 2HQ, Dudley, West Midlands, United Kingdom
| | - Karen Anderson
- Neonatal Unit, The Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, Pensnett Road, DY1 2HQ, Dudley, West Midlands, United Kingdom
| | - Anjali Petkar
- Neonatal Unit, The Dudley Group of Hospitals NHS Trust, Russells Hall Hospital, Pensnett Road, DY1 2HQ, Dudley, West Midlands, United Kingdom
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Fareed N, Swoboda CM, Lawrence J, Griesenbrock T, Huerta T. Co-establishing an infrastructure for routine data collection to address disparities in infant mortality: planning and implementation. BMC Health Serv Res 2022; 22:4. [PMID: 34974826 PMCID: PMC8722266 DOI: 10.1186/s12913-021-07393-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Accepted: 11/30/2021] [Indexed: 11/20/2022] Open
Abstract
Background Efforts to address infant mortality disparities in Ohio have historically been adversely affected by the lack of consistent data collection and infrastructure across the community-based organizations performing front-line work with expectant mothers, and there is no established template for implementing such systems in the context of diverse technological capacities and varying data collection magnitude among participating organizations. Methods Taking into account both the needs and limitations of participating community-based organizations, we created a data collection infrastructure that was refined by feedback from sponsors and the organizations to serve as both a solution to their existing needs and a template for future efforts in other settings. Results By standardizing the collected data elements across participating organizations, integration on a scale large enough to detect changes in a rare outcome such as infant mortality was made possible. Datasets generated through the use of the established infrastructure were robust enough to be matched with other records, such as Medicaid and birth records, to allow more extensive analysis. Conclusion While a consistent data collection infrastructure across multiple organizations does require buy-in at the organizational level, especially among participants with little to no existing data collection experience, an approach that relies on an understanding of existing barriers, iterative development, and feedback from sponsors and participants can lead to better coordination and sharing of information when addressing health concerns that individual organizations may struggle to quantify alone. Supplementary Information The online version contains supplementary material available at 10.1186/s12913-021-07393-1.
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Affiliation(s)
- Naleef Fareed
- CATALYST - The Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Institute for Behavioral Medicine Research, 460 Medical Center Drive, Columbus, OH, 43210, USA. .,Department of Biomedical Informatics, College of Medicine, The Ohio State University, Institute for Behavioral Medicine Research, 460 Medical Center Drive, Columbus, OH, 43210, USA.
| | - Christine M Swoboda
- CATALYST - The Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Institute for Behavioral Medicine Research, 460 Medical Center Drive, Columbus, OH, 43210, USA.,Department of Family Medicine, College of Medicine, The Ohio State University, Institute for Behavioral Medicine Research, 460 Medical Center Drive,, Columbus, OH, 43210, USA
| | - John Lawrence
- CATALYST - The Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Institute for Behavioral Medicine Research, 460 Medical Center Drive, Columbus, OH, 43210, USA
| | - Tyler Griesenbrock
- CATALYST - The Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Institute for Behavioral Medicine Research, 460 Medical Center Drive, Columbus, OH, 43210, USA
| | - Timothy Huerta
- CATALYST - The Center for the Advancement of Team Science, Analytics, and Systems Thinking, College of Medicine, The Ohio State University, Institute for Behavioral Medicine Research, 460 Medical Center Drive, Columbus, OH, 43210, USA.,Department of Biomedical Informatics, College of Medicine, The Ohio State University, Institute for Behavioral Medicine Research, 460 Medical Center Drive, Columbus, OH, 43210, USA.,Department of Family Medicine, College of Medicine, The Ohio State University, Institute for Behavioral Medicine Research, 460 Medical Center Drive,, Columbus, OH, 43210, USA
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Klein EG, Macisco J, Lazard A, Busho A, Oslock A, Worly B. Framing pregnancy-related smoking cessation messages for women of reproductive age. Addict Behav Rep 2020; 12:100290. [PMID: 32637566 PMCID: PMC7330874 DOI: 10.1016/j.abrep.2020.100290] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2020] [Revised: 06/06/2020] [Accepted: 06/07/2020] [Indexed: 11/23/2022] Open
Abstract
INTRODUCTION Communicating harms of smoking and benefits of quitting to tobacco users to motivate cessation is critical to reduce the burden of tobacco-related disease. Most messaging strategies focus on health risks of smoking using loss-framing; yet, gain-framed messages to increase confidence in quitting have shown promise for smokers with lower self-efficacy. This study examined the impact of message framing on perceived effectiveness of targeted, pregnancy-related smoking cessation messages among pregnant and not-pregnant smoking women of reproductive age. METHODS An obstetrics-gynecological clinic-based sample of female, current smokers of reproductive age (18-44 years old) was recruited during January to May 2019 (n = 135). Participants self-reported ratings for 10 pregnancy-related cessation messages (half gain-framed) on a validated perceived effectiveness scale. Multivariable regression analyses were conducted using generalized estimating equations to account for clustering by message themes. RESULTS Gain-framed messages were rated significantly higher (0.20; p < 0.01) compared to loss-framed messages for perceived effectiveness, after accounting for quit intentions, self-efficacy to quit, health literacy, cessation risk perceptions, nicotine dependence, and pregnancy status. CONCLUSIONS Gain-framed health messages about cessation were deemed to be more effective than loss-framed messages among adult female smokers. Targeted, positively framed messages to highlight the benefits of quitting to women of reproductive age show promise as a strategy to promote smoking cessation.
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Affiliation(s)
- Elizabeth G. Klein
- College of Public Health, Ohio State University, Columbus, OH, United States
| | - Joseph Macisco
- College of Public Health, Ohio State University, Columbus, OH, United States
| | - Allison Lazard
- Hussman School of Journalism and Media, University of North Carolina, Chapel Hill, NC, United States
| | - Audrey Busho
- College of Medicine, Ohio State University, Columbus, OH, United States
| | - Austin Oslock
- College of Public Health, Ohio State University, Columbus, OH, United States
- College of Medicine, Ohio State University, Columbus, OH, United States
| | - Brett Worly
- College of Medicine, Ohio State University, Columbus, OH, United States
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