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.
Highlights
Poor perinatal outcomes remain a problem in Western countries, despite the development of perinatal care [1,2]
We reviewed the HP4All invitational referral and letter in structured interviews
Adaptation of the materials did not lead to significant changes in the other comprehension questions about the invitational material, their perception of perinatal risk and intention to participate in Preconception counseling (PCC)
Summary
Poor perinatal outcomes remain a problem in Western countries, despite the development of perinatal care [1,2]. Interventions should start before conception to minimize the risks of adverse perinatal outcomes [1,4,5,6]. Preconception counseling (PCC) targeted at (future) parents can play a major role in reducing poor perinatal outcomes [6]. It aims to enable informed decision-making regarding conception and to assess and reduce preconception health risks and the risk on adverse perinatal outcomes [7,8]. To assess the difficulty to understand Dutch the respondents, who were able to communicate in. The cut-off point of 55 was estimated to correctly classify 74% of respondents with inadequate health literacy [25].
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International journal of environmental research and public health
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
