Abstract
Objective
This study aimed to evaluate the impact of educational tools concerning pre-eclampsia
on knowledge, anxiety, and women's satisfaction.
Methods
The investigators conducted a randomized controlled trial from March to July 2014
at the Centre Hospitalier Universitaire de Sherbrooke (Sherbrooke, QC) by comparing
ambulatory pregnant women (20–32 weeks of gestation) who were receiving educational
tools on pre-eclampsia with control patients who received routine care. Tools consisted
of an informative pamphlet, a video, and a pictographic magnet, all validated by a
multidisciplinary team. The primary outcome was global knowledge (number of correct
answers on 35 items) about the disease after 1 month, as assessed by questionnaire.
Secondary outcomes included anxiety regarding pre-eclampsia and satisfaction concerning
the different tools (a 1–6 Likert scale was used).
Results
Among 362 pregnant women approached for the research, 269 were randomized. After 1
month, 247 questionnaires (92%) were filled and analyzed: 122 from the control group
and 125 from the intervention group. Baseline characteristics were similar between
the groups. Patients who received the tools scored significantly higher on global
knowledge (70.1% ± 19.2% compared with 51.1% ± 23.4%; mean difference of 19.0%; P < 0.001). Anxiety scores regarding pre-eclampsia were similar between the groups,
with a mean of 2.40 out of 6 for the control group and 2.53 out of 6 for the intervention
group (equivalence test, P < 0.001). High score levels of satisfaction for the pamphlet and video were found:
5.1 out of 6 and 5.2 out of 6, respectively.
Conclusion
These well-received educational tools for pregnant women increased their knowledge
about pre-eclampsia without increasing their anxiety about it. Women reported the
highest satisfaction for the tools.
Résumé
Objectif
Cette étude visait à évaluer l'incidence de ressources éducatives concernant la prééclampsie
sur les connaissances et les degrés d'anxiété et de satisfaction des femmes.
Méthodologie
Les chercheurs ont mené un ECR de mars à juillet 2014 au Centre hospitalier universitaire
de Sherbrooke (Québec), durant lequel des femmes enceintes ambulatoires (20 à 32 semaines
de gestation) ayant reçu des ressources éducatives sur la prééclampsie ont été comparées
avec des femmes enceintes ayant reçu les soins usuels. Les ressources, soit un document
instructif, une vidéo et un aimant pictographique, avaient toutes été validées par
une équipe multidisciplinaire. L'issue principale de cette étude était les connaissances
générales sur la maladie (nombre de bonnes réponses sur 35 questions) après un mois,
évaluées à l'aide du questionnaire. Les issues secondaires étaient l'anxiété à propos
de la prééclampsie et la satisfaction à l'égard des différentes ressources (une échelle
de Likert de 1 à 6 a été utilisée).
Résultats
Parmi les 362 femmes enceintes ayant été approchées pour participer à l'essai, 269
ont été réparties aléatoirement. Après 1 mois, 247 questionnaires (92 %) ont été remplis
et analysés : 122 provenaient du groupe témoin, et 125, du groupe d'intervention.
Les patientes qui avaient reçu les ressources ont obtenu un résultat significativement
plus élevé sur le plan des connaissances générales (70,1 % ± 19,2 %, comparativement
à 51,1 % ± 23,4 %; différence moyenne de 19,0 %; P < 0,001). Le degré d'anxiété à
l'égard de la prééclampsie était semblable dans les deux groupes : la moyenne du groupe
témoin était de 2,40 sur 6, et celle du groupe d'intervention, de 2,53 sur 6 (test
d'équivalence, P < 0,001). Les degrés de satisfaction associés au document et à la
vidéo étaient élevés et se chiffraient respectivement à 5,1 et à 5,2 sur 6.
Conclusion
Les ressources éducatives ont été bien accueillies et ont permis d'améliorer les connaissances
des femmes enceintes sur la prééclampsie sans augmenter leur degré d'anxiété. Les
femmes se sont montrées très satisfaites à l'égard des ressources.
Key Words
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Article info
Publication history
Published online: December 15, 2018
Accepted:
October 20,
2018
Footnotes
This study was the object of an oral research presentation at the North American Society of Obstetric Medicine annual meeting in Banff, Alberta, on November 14–15 2015.
Competing interests: See Acknowledgements.
Each author has indicated that they meet the journal's requirements for authorship.
Identification
Copyright
© 2018 The Society of Obstetricians and Gynaecologists of Canada/La Société des obstétriciens et gynécologues du Canada. Published by Elsevier Inc. All rights reserved.
