Consensus Preconception Educational Domains for People With Mobility Disabilities: A Delphi Study.

Autor: Gabor A; Norton College of Medicine, SUNY Upstate Medical University, Syracuse, New York., Stephens J; UPMC Magee-Women's Hospital, Pittsburgh, Pennsylvania., McKee MM; Department of Family Medicine, University of Michigan Medical School, Ann Arbor, Michigan., Brown HK; Department of Health and Society, University of Toronto Scarborough, Toronto, Ontario, Canada., Ayers KB; Department of Pediatrics, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; College of Medicine, University of Cincinnati, Cincinnati, Ohio., Valentine A; Lurie Institute for Disability Policy, Brandeis University, Waltham, Massachusetts., Horner-Johnson W; Institute on Development and Disability, Oregon Health & Science University, Portland, Oregon., Mitra M; Lurie Institute for Disability Policy, Brandeis University, Waltham, Massachusetts., Harris JA; Department of Obstetrics, Gynecology and Reproductive Sciences, Magee-Women's Research Institute, School of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania. Electronic address: jah299@pitt.edu.
Jazyk: angličtina
Zdroj: Women's health issues : official publication of the Jacobs Institute of Women's Health [Womens Health Issues] 2024 Dec 21. Date of Electronic Publication: 2024 Dec 21.
DOI: 10.1016/j.whi.2024.11.001
Abstrakt: Background: Preconception health education is critical to improve pregnancy and neonatal outcomes, but people with mobility disabilities have specific, often unique issues related to preparing for pregnancy. This study sought to develop consensus-based domains for a preconception education curriculum for people with mobility disabilities.
Methods: We used a mixed methods approach, including a literature review and a Delphi method to develop consensus. Delphi panel members and domains were identified by a systematic review and purposive sampling and included physicians, researchers, and individuals with lived experience of mobility disabilities. A Delphi method was used to reach consensus on domains for a preconception education curriculum for people with mobility disabilities.
Results: The systematic review identified 53 domains of preconception health education. Seventeen individuals participated in the Delphi panel process. After three rounds of quantitative and qualitative consensus feedback, 13 educational domains were selected for preconception education for people with mobility disabilities. The domains were 1) Pregnancy Interest; 2) Infertility and Obstetric History; 3) Genetic History and Screening; 4) Medical History; 5) Medication History; 6) Mental Health History; 7) Nutrition and Weight History; 8) Social Determinants of Health; 9) Intimate Partner Violence and Caregiver Abuse; 10) Functional Mobility and Physical Accommodations; 11) Musculoskeletal and Skin Health; 12) Bowel and Bladder Surgery; and 13) Neurological and Neurosurgical History.
Conclusions: A consensus preconception education curriculum for people with mobility disabilities include standard domains plus additional domains focused on functional mobility and physical accommodations: musculoskeletal and skin health, bowel and bladder surgery, and neurological and neurosurgical history.
(Copyright © 2024 Jacobs Institute of Women's Health, George Washington University. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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