Article
Public, Environmental & Occupational Health
Stacy Cooper Bailey, Emma N. Andrews, Candida C. Halton, Michael S. Wolf
Summary: The study found that providing a health literacy-appropriate discussion guide significantly improved women's understanding of menopause symptoms and treatment options compared to traditional standard educational materials. The majority of women preferred the discussion guide and rated it highly in terms of appearance and content.
JOURNAL OF WOMENS HEALTH
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Shanmukha Srinivas, Isabel G. Newton, Maciej Waradzyn, Nishita Kothary, Eric J. Keller
Summary: The purpose of this study was to evaluate the impact of patient decision aids (PDAs) on understanding and satisfaction among patients undergoing informed consent conversations before outpatient image-guided procedures. The study found that patients who received PDAs had greater understanding and satisfaction regarding the procedure's benefits, risks, and alternatives. The implementation of PDAs did not require additional clinician time or effort.
AMERICAN JOURNAL OF ROENTGENOLOGY
(2023)
Article
Health Care Sciences & Services
Christine M. Gunn, Ariel Maschke, Michael K. Paasche-Orlow, Nancy R. Kressin, Mara A. Schonberg, Tracy A. Battaglia
Summary: The study aimed to explore the informational needs and shared decision-making experiences between women with limited health literacy and primary care providers regarding mammography decisions. Findings revealed that patients lacked technical and process knowledge, viewing them as essential for decision-making. PCPs were hesitant to engage patients with limited health literacy in SDM due to time constraints and concerns that increased information might confuse or deter patients from undergoing mammograms.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Medicine, General & Internal
Maria I. Rodriguez, Menolly Kaufman, Stephan Lindner, Aaron B. Caughey, Ana Lopez DeFede, K. John McConnell
Summary: This study found that expanding Emergency Medicaid benefits to include prenatal care significantly improved receipt of guideline-concordant prenatal care. However, prenatal care coverage alone was not sufficient to significantly improve postpartum contraception or reduce subsequent short interpregnancy interval births.
Article
Public, Environmental & Occupational Health
Alexander Testa, Jacqueline Lee, Daniel C. Semenza, Dylan B. Jackson, Kyle T. Ganson, Jason M. Nagata
Summary: Past research has shown that intimate partner violence (IPV) is associated with less adequate access to prenatal care. This study examines the association between physical IPV during and before pregnancy and the adequacy of prenatal care, as well as the barriers to prenatal care. The findings indicate that women with IPV exposure, especially those who experience IPV before and during pregnancy, are more likely to experience inadequate prenatal care and face various barriers to accessing care.
SOCIAL SCIENCE & MEDICINE
(2023)
Article
Obstetrics & Gynecology
Laxsini Murugesu, Olga C. Damman, Danielle R. M. Timmermans, Sanne de Wit, Marianne Nieuwenhuijze, Ellen M. A. Smets, Mirjam P. Fransen
Summary: This study examines how professionals apply HL-sensitive SDM in Dutch maternity care and their needs for support. The survey shows professionals find it challenging to estimate clients' information comprehension. Observations reveal that while most midwives inform clients about options, exploring preferences and actual decision-making need improvement. The professionals' needs focus on clients' information comprehension, but value clarification and decision-making require more attention in HL-sensitive SDM.
BMC PREGNANCY AND CHILDBIRTH
(2023)
Review
Health Care Sciences & Services
Hong Yat Conrad Wong, Saba Asim, Qi Feng, Sherry Xiao-hong Fu, Daljit Singh Sahota, Po Lam So, Dong Dong
Summary: This study assessed the effectiveness of interactive digital decision aids (IDDAs) on pregnant women's decision-making regarding prenatal screening. The results showed that IDDAs can improve pregnant women's knowledge and decrease decisional conflict in prenatal screening, but caution is needed in interpreting the results.
JOURNAL OF MEDICAL INTERNET RESEARCH
(2023)
Article
Health Care Sciences & Services
Kristen E. Pecanac, Roger L. Brown, Hanna B. Kremsreiter
Summary: The study found that about 43% of respondents reported making a major medical treatment decision, with decisions about surgery and life support being the most difficult. Decisional conflict was higher for those making decisions for a spouse/partner, parent, or someone else, and lower for those with stronger abilities to actively engage with healthcare providers and understand health information.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)
Article
Substance Abuse
Sarah C. M. Roberts, Claudia Zaugg, Noelle Martinez
Summary: This study aimed to understand the factors that influence healthcare providers' reporting practices regarding pregnant/birthing individuals who use alcohol and/or drugs (AOD). The findings revealed that most physicians saw reporting as someone else's responsibility, primarily social workers. Although a few physicians associated reporting with increased access to services, many expressed concerns about the negative consequences of reporting. Physicians faced constraints in their decision-making process due to interpersonal, hospital-level, and state policy-level factors. The study highlights the need for social, structural, and policy changes to influence physician reporting practices.
DRUG AND ALCOHOL DEPENDENCE
(2022)
Article
Substance Abuse
Sarah C. M. Roberts, Claudia Zaugg, Noelle Martinez
Summary: Most healthcare providers see reporting pregnant/birthing people who use AOD as someone else's job, primarily social workers. They are more concerned about potential harms to the baby associated with not reporting, but also aware of the negative consequences reporting may bring.
DRUG AND ALCOHOL DEPENDENCE
(2022)
Article
Clinical Neurology
Sandra R. Dewar, Huibrie C. Pieters, Itzhak Fried
Summary: The process of consenting to surgery for drug-resistant temporal lobe epilepsy is a significant treatment milestone for patients, involving understanding and overcoming risks, family-centered decision-making, and building decisional confidence. Despite challenges, patients often express satisfaction with the information provided during the surgical visit, highlighting the importance of informed consent as a systematic, structured interdisciplinary process over time.
FRONTIERS IN NEUROLOGY
(2021)
Article
Pediatrics
Nicole Racine, Whitney Ereyi-Osas, Teresa Killam, Sheila McDonald, Sheri Madigan
Summary: The study found that the implementation of trauma-informed care in a low-risk maternity clinic led to improved infant health outcomes, while having no significant impact on maternal health during pregnancy. Further research is needed to explore other potential benefits of trauma-informed care approaches, particularly among women of high socio-demographic and medical risk.
Article
Ethics
Kyoko Tanaka, Maoko Hayakawa, Makiko Mori, Naoko Maeda, Masako Nagata, Keizo Horibe
Summary: The study examines the difficulties in explaining disease and obtaining informed consent for adolescent cancer patients. A questionnaire survey was conducted with physicians who have been treating adolescent cancer patients for at least five years. The results show the challenges in explaining the disease and treatment to patients and parents, as well as the correlation between difficulties in obtaining informed consent and patient's refusal of medical treatment.
BMC MEDICAL ETHICS
(2023)
Review
Dermatology
Meredith Hengy, Marlee Hewitt, Victoria Dekany, Nastassja Bedford-Lyon, Steven Daveluy
Summary: Informed consent is a legal and ethical obligation of healthcare providers, but there are challenges to obtaining it including health literacy gaps, language barriers, and inadequate consent forms. Dermatologists must understand the importance and process of informed consent to protect patients and avoid litigation. This review provides an overview of the informed consent process, discusses challenges and recommendations, and briefly reviews litigation related to improper consent among dermatologists.
INTERNATIONAL JOURNAL OF DERMATOLOGY
(2023)
Article
Health Care Sciences & Services
Danielle M. Muscat, Heather L. Shepherd, Don Nutbeam, Lyndal Trevena, Kirsten J. McCaffery
Summary: This paper presents an integrated model that aims to enhance patient engagement in healthcare by drawing on the strengths of health literacy and shared decision-making concepts. The model includes addressing patients' skills and capacities, as well as modifying written and verbal information. It proposes an expanded model of shared decision-making that incorporates health literacy concepts and promotes two-tiered intervention methods to improve communication targeting and personalization and support the development of transferable health literacy skills among patients.
JOURNAL OF GENERAL INTERNAL MEDICINE
(2021)