Experiences of pregnant women and healthcare professionals of participating in a digital antenatal CMV education intervention
Experiences of pregnant women and healthcare professionals of participating in a digital antenatal CMV education intervention
Objective: the study aimed to explore the perspectives of participating pregnant women and Health Care Professionals (HCPs) towards receiving and providing cytomegalovirus (CMV) education so that barriers and facilitators towards incorporating CMV in routine antenatal care could be better understood. Design: This process evaluation phase employed a qualitative design using individual, semi-structured, face-to-face interviews.
Setting: recruitment and interviews took place within a large teaching hospital from an ethnically diverse area of South-west London Participants: The study sample included 20 participants: 15 pregnant women, and five HCPs. All participants were involved in a single centre randomized controlled trial of a digital CMV educational intervention in pregnancy.
Findings: pregnant participants expressed a strong desire to receive information about CMV as part of routine antenatal care. Although HCPs were accepting of the need for CMV education, it was evident that they felt unequipped to provide this; reasons included lack of time, uncertainty about clinical pathways and concern about the potential emotive impact of CMV education. Pregnant women suggested that expressing behaviour changes as risk reduction rather than prevention, made the behaviours feel more achievable and realistic. The support of partners was considered a key factor in the successful adoption of behavioural changes by pregnant women.
Key conclusions and implications for practice: there is an onus on HCPs to consider how CMV can be included as part of antenatal education, with messaging framed as risk reducing rather than prevention.
Antenatal education, Congenital cytomegalovirus, Pregnancy, Qualitative, Risk prevention
Montague, Amy
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Vandrevala, Tushna
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Calvert, Anna
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Yeh, L. Ling
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Star, Caroline
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Khalil, Asma
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Griffiths, Paul
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Heath, Paul T.
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Jones, Christine E.
48229079-8b58-4dcb-8374-d9481fe7b426
March 2022
Montague, Amy
13c24d92-41bf-46aa-829a-e31037691ad8
Vandrevala, Tushna
45ccaf5a-cb30-40df-ba91-1ef166672468
Calvert, Anna
03bc971b-ed4f-4c6c-bcb5-29943bff1661
Yeh, L. Ling
7a407eeb-4e19-4ba3-8d30-da673ec8bae2
Star, Caroline
6c77cbfa-699d-47a1-a8d5-d0bbef7e86a6
Khalil, Asma
93c83da8-a44d-4294-b4c2-be2e6bed0731
Griffiths, Paul
bf1dfc3d-551e-4ea0-b763-6f7010e96b7f
Heath, Paul T.
b9b6e0e4-6bd0-4c16-b9f6-607b00137fe4
Jones, Christine E.
48229079-8b58-4dcb-8374-d9481fe7b426
Montague, Amy, Vandrevala, Tushna, Calvert, Anna, Yeh, L. Ling, Star, Caroline, Khalil, Asma, Griffiths, Paul, Heath, Paul T. and Jones, Christine E.
(2022)
Experiences of pregnant women and healthcare professionals of participating in a digital antenatal CMV education intervention.
Midwifery, 106, [103249].
(doi:10.1016/j.midw.2022.103249).
Abstract
Objective: the study aimed to explore the perspectives of participating pregnant women and Health Care Professionals (HCPs) towards receiving and providing cytomegalovirus (CMV) education so that barriers and facilitators towards incorporating CMV in routine antenatal care could be better understood. Design: This process evaluation phase employed a qualitative design using individual, semi-structured, face-to-face interviews.
Setting: recruitment and interviews took place within a large teaching hospital from an ethnically diverse area of South-west London Participants: The study sample included 20 participants: 15 pregnant women, and five HCPs. All participants were involved in a single centre randomized controlled trial of a digital CMV educational intervention in pregnancy.
Findings: pregnant participants expressed a strong desire to receive information about CMV as part of routine antenatal care. Although HCPs were accepting of the need for CMV education, it was evident that they felt unequipped to provide this; reasons included lack of time, uncertainty about clinical pathways and concern about the potential emotive impact of CMV education. Pregnant women suggested that expressing behaviour changes as risk reduction rather than prevention, made the behaviours feel more achievable and realistic. The support of partners was considered a key factor in the successful adoption of behavioural changes by pregnant women.
Key conclusions and implications for practice: there is an onus on HCPs to consider how CMV can be included as part of antenatal education, with messaging framed as risk reducing rather than prevention.
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Accepted/In Press date: 4 January 2022
e-pub ahead of print date: 6 January 2022
Published date: March 2022
Additional Information:
Funding Information:
This project is funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Ref. No. PB-PG-0215-36120) to CEJ. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. The funding body had no role in the design of the study, or the collection, analysis, and interpretation of data, or in the writing of the manuscript.
Funding Information:
The authors would like to thank the National Institute for Health Research (NIHR) for funding this project under its Research for Patient Benefit (RfPB) Programme. Additionally, the authors would also like to thank all those who participated in the study and who supported data collection.
Funding Information:
The authors would like to thank the National Institute for Health Research (NIHR) for funding this project under its Research for Patient Benefit (RfPB) Programme. Additionally, the authors would also like to thank all those who participated in the study and who supported data collection. The study was approved by the NHS Health Research Authority and South-Central Oxford Research Ethics Committee (16/SC/0683). This project is funded by the National Institute for Health Research (NIHR) under its Research for Patient Benefit (RfPB) Programme (Grant Ref. No. PB-PG-0215-36120) to CEJ. The views expressed are those of the author(s) and not necessarily those of the NIHR or the Department of Health and Social Care. The funding body had no role in the design of the study, or the collection, analysis, and interpretation of data, or in the writing of the manuscript. Clinicaltrials.gov: NCT03511274
Publisher Copyright:
© 2022
Copyright:
Copyright 2022 Elsevier B.V., All rights reserved.
Keywords:
Antenatal education, Congenital cytomegalovirus, Pregnancy, Qualitative, Risk prevention
Identifiers
Local EPrints ID: 455186
URI: http://eprints.soton.ac.uk/id/eprint/455186
ISSN: 0266-6138
PURE UUID: 5eca04a6-cb39-4dc8-bc0c-2945869a85e8
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Date deposited: 14 Mar 2022 17:45
Last modified: 18 Mar 2024 03:39
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Contributors
Author:
Amy Montague
Author:
Tushna Vandrevala
Author:
Anna Calvert
Author:
L. Ling Yeh
Author:
Caroline Star
Author:
Asma Khalil
Author:
Paul Griffiths
Author:
Paul T. Heath
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