Systematic Development of Materials for Inviting Low Health-Literate Individuals to Participate in Preconception Counseling

Laxsini Murugesu, Miriam E. Hopman, Sabine F. Van Voorst, Ageeth N. Rosman and Mirjam P. Fransen
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Laxsini Murugesu: Amsterdam Public Health Research Institute, Department of Public Health, University of Amsterdam, Amsterdam UMC, 1105 AZ Amsterdam, The Netherlands
Miriam E. Hopman: Amsterdam Public Health Research Institute, Department of Public Health, University of Amsterdam, Amsterdam UMC, 1105 AZ Amsterdam, The Netherlands
Sabine F. Van Voorst: Department of Obstetrics and Gynaecology, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands
Ageeth N. Rosman: Department of Obstetrics and Gynaecology, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands
Mirjam P. Fransen: Amsterdam Public Health Research Institute, Department of Public Health, University of Amsterdam, Amsterdam UMC, 1105 AZ Amsterdam, The Netherlands

IJERPH, 2019, vol. 16, issue 21, 1-16

Abstract: In this study we aimed to systematically analyze problems in the recruitment of women with low health literacy for preconception counseling and to adapt and evaluate written invitations for this group. In a problem analysis (stage 1) we used structured interviews (n = 72) to assess comprehension of the initial invitations, perception of perinatal risks, attitude and intention to participate in preconception counseling. These outcomes were used to adapt the invitation. The adapted flyer was pretested in interviews (n = 16) (stage 2) and evaluated in structured interviews among a new group of women (n = 67) (stage 3). Differences between women in stages 1 and 3 regarding comprehension, risk perception, attitude and intention to participate in counseling were analyzed by linear regression analysis and chi-square tests. Women in stage 3 (who read the adapted flyer) had a more positive attitude towards participation in preconception counselling and a better understanding of how to apply for a consultation than women in stage 1 (who read the initial invitations). No differences were found in intention to participate in preconception counseling and risk perception. Systematic adaptation of written invitations can improve the recruitment of low health-literate women for preconception counselling. Further research should gain insight into additional strategies to reach and inform this group.

Keywords: recruitment; health literacy; written invitation; preconception counseling (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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