Onukwugha F, Dyson J, Howlett H, Combe K, Catterick M, Cohen J, Smith L. Reflections of maternity service users and midwives' on the co-creation of interventions to support midwives addressing alcohol during antenatal care.
Patient Educ Couns 2023;
115:107896. [PMID:
37527593 DOI:
10.1016/j.pec.2023.107896]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/10/2022] [Revised: 07/08/2023] [Accepted: 07/11/2023] [Indexed: 08/03/2023]
Abstract
BACKGROUND
There are divergent perspectives between midwives and pregnant women on how alcohol consumption during pregnancy could be addressed. Co-creation is an approach where lay people and professionals work together as equal partners, offering the opportunity to bridge the gap.
OBJECTIVES
Our aim was to evaluate how well we carried out authentic co-creation of an intervention to support midwives have a dialogue about alcohol consumption with pregnant women.
PATIENT INVOLVEMENT
Recent maternity service users including women with experience of harm due to alcohol during pregnancy provided feedback on the design, conduct and dissemination of the study.
METHODS
An iterative co-creation approach rooted in participatory research methods was used. Five online workshops were carried out with thirteen midwives and six maternity service users via Zoom July-August 2021. Data were analysed using the core values of co-create as a framework: equality, inclusivity, holistic, resource, positivity, transparency, iterative, and sustainability.
RESULTS
The co-creation process was productive and rewarding to midwives and maternity service users. There were positive experiences across the co-creation framework with some unintended positive consequences for maternity-service users.
DISCUSSION
This evaluation provides new knowledge on how well the co-creation process worked in relation to research involving a sensitive topic that can invite stigma. Co-creation projects require generous time and financial resources to ensure a high-quality process and robust outcome for all.
PRACTICAL VALUE
Co-creation of strategies involving both service providers and service users have potential to facilitate evidence-based practice.
FUNDING
This research is funded by the National Institute for Health Research (Reference: NIHR201128).
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