Role of Psychosocial Factors and Health Literacy in Pregnant Women’s Intention to Use A Decision Aid for Down Syndrome Screening: A Theory-Based Web Survey

Role of Psychosocial Factors and Health Literacy in Pregnant Women’s Intention to Use A Decision Aid for Down Syndrome Screening: A Theory-Based Web Survey

Role of Psychosocial Factors and Health Literacy in Pregnant Women’s Intention to Use A Decision Aid for Down Syndrome Screening: A Theory-Based Web Survey

Role of Psychosocial Factors and Health Literacy in Pregnant Women’s Intention to Use A Decision Aid for Down Syndrome Screening: A Theory-Based Web Surveys

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Référence bibliographique [19478]

Delanoë, Agathe, Lépine, Johanie, Turcotte, Stéphane, Portocarrero, Maria Esther Leiva, Robitaille, Hubert, Giguère, Anik M. C., Wilson, Brenda J., Witteman, Holly O., Lévesque, Isabelle, Guillaumie, Laurence et Légaré, France. 2016. «Role of Psychosocial Factors and Health Literacy in Pregnant Women’s Intention to Use A Decision Aid for Down Syndrome Screening: A Theory-Based Web Survey ». Journal of Medical Internet Research, vol. 18, no 10, p. 147-164.

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Fiche synthèse

1. Objectifs


Intentions :
«The objective of this study was to identify the influence of psychosocial factors on pregnant women’s intention to use a DA [decision aid] for prenatal screening for Down syndrome (DS).» (p. 147)

2. Méthode


Échantillon/Matériau :
L’étude est basée sur la participation de 350 femmes enceintes de la province de Québec.

Instruments :
Questionnaire

Type de traitement des données :
Analyse statistique

3. Résumé


«Deciding about undergoing prenatal screening is difficult, as it entails risks, potential loss and regrets, and challenges to personal values. Shared decision making and decision aids […] can help pregnant women give informed and values-based consent or refusal to prenatal screening […].» (p. 147) Results indicate «that pregnant women showed high levels of intention to use a DA for prenatal screening for Down syndrome. Also, we observed that, in order of importance, attitude, moral and descriptive norms, and anticipated regret were the factors that explained most of their behavioral intention. In other words, the perception of the advantages of using a DA (attitude), the possible regret foreseen if the DA is not used (anticipated regret), the perception that it is a common practice (descriptive norm), and the feeling that using a DA for this decision would be in agreement with their moral values (moral norm) were significantly associated with a strong intention to use the DA. In addition, we identified 3 attitudinal beliefs significantly associated with women’s intention: perceiving that using a DA (1) would reassure them, (2) would facilitate their reflection with their spouse, and (3) would let them know about the advantages of doing or not doing a prenatal screening test for Down syndrome.» (p. 157)