Reflections of maternity service users and midwives' on the co-creation of interventions to support midwives addressing alcohol during antenatal care.
Behaviour change
Foetal alcohol syndrome/disorder
Gestational alcohol consumption
Implementation science
Midwives
Journal
Patient education and counseling
ISSN: 1873-5134
Titre abrégé: Patient Educ Couns
Pays: Ireland
ID NLM: 8406280
Informations de publication
Date de publication:
Oct 2023
Oct 2023
Historique:
received:
10
08
2022
revised:
08
07
2023
accepted:
11
07
2023
pubmed:
2
8
2023
medline:
2
8
2023
entrez:
1
8
2023
Statut:
ppublish
Résumé
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. 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. 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. 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. 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. 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. Co-creation of strategies involving both service providers and service users have potential to facilitate evidence-based practice. This research is funded by the National Institute for Health Research (Reference: NIHR201128).
Sections du résumé
BACKGROUND
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
OBJECTIVE
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
UNASSIGNED
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
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
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
CONCLUSIONS
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
CONCLUSIONS
Co-creation of strategies involving both service providers and service users have potential to facilitate evidence-based practice.
FUNDING
BACKGROUND
This research is funded by the National Institute for Health Research (Reference: NIHR201128).
Identifiants
pubmed: 37527593
pii: S0738-3991(23)00276-8
doi: 10.1016/j.pec.2023.107896
pii:
doi:
Types de publication
Journal Article
Langues
eng
Pagination
107896Informations de copyright
Copyright © 2023. Published by Elsevier B.V.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors declare no conflicts of interest.