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Women's health literacy and the complex decision-making process to use complementary medicine products in pregnancy and lactation.
Health Expect. 2019 10; 22(5):1013-1027.HE

Abstract

BACKGROUND

Little is known about women's decision-making processes regarding using complementary medicine products (CMPs) during pregnancy or lactation.

OBJECTIVES

To explore the decision-making processes of women choosing to use CMPs in pregnancy and lactation; and to investigate how women's health literacy influences their decisions.

DESIGN, SETTING AND PARTICIPANTS

In-depth interviews and focus group discussions were held with twenty-five pregnant and/or breastfeeding women. Data were analysed using thematic analysis.

RESULTS

Key to women's decision making was the desire to establish a CMPs safety and to receive information from a trustworthy source, preferably their most trusted health-care practitioner. Women wanted positive therapeutic relationships with health-care practitioners and to be highly involved in the decisions they made for the health of themselves and their children. Two overarching components of the decision-making process were identified: (a) women's information needs and (b) a preference for CMP use. Women collated and assessed information from other health-care practitioners, other mothers and published research during their decision-making processes. They showed a strong preference for CMP use to support their pregnancy and breastfeeding health, and that of their unborn and breastfeeding babies.

DISCUSSION AND CONCLUSIONS

Complex decision-making processes to use CMPs in pregnancy and lactation were identified. The participants showed high levels of communicative and critical health literacy skills in their decision-making processes. These skills supported women's complex decision-making processes.

Authors+Show Affiliations

School of Pharmacy, The University of Sydney, Sydney, New South Wales, Australia. University Centre for Rural Health, The University of Sydney, Lismore, New South Wales, Australia.University Centre for Rural Health, The University of Sydney, Lismore, New South Wales, Australia. School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.School of Public Health, The University of Sydney, Sydney, New South Wales, Australia.School of Pharmacy, The University of Sydney, Sydney, New South Wales, Australia.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31116500

Citation

Barnes, Larisa A J., et al. "Women's Health Literacy and the Complex Decision-making Process to Use Complementary Medicine Products in Pregnancy and Lactation." Health Expectations : an International Journal of Public Participation in Health Care and Health Policy, vol. 22, no. 5, 2019, pp. 1013-1027.
Barnes LAJ, Barclay L, McCaffery K, et al. Women's health literacy and the complex decision-making process to use complementary medicine products in pregnancy and lactation. Health Expect. 2019;22(5):1013-1027.
Barnes, L. A. J., Barclay, L., McCaffery, K., & Aslani, P. (2019). Women's health literacy and the complex decision-making process to use complementary medicine products in pregnancy and lactation. Health Expectations : an International Journal of Public Participation in Health Care and Health Policy, 22(5), 1013-1027. https://doi.org/10.1111/hex.12910
Barnes LAJ, et al. Women's Health Literacy and the Complex Decision-making Process to Use Complementary Medicine Products in Pregnancy and Lactation. Health Expect. 2019;22(5):1013-1027. PubMed PMID: 31116500.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Women's health literacy and the complex decision-making process to use complementary medicine products in pregnancy and lactation. AU - Barnes,Larisa A J, AU - Barclay,Lesley, AU - McCaffery,Kirsten, AU - Aslani,Parisa, Y1 - 2019/05/22/ PY - 2018/12/22/received PY - 2019/03/27/revised PY - 2019/04/22/accepted PY - 2019/5/23/pubmed PY - 2020/9/9/medline PY - 2019/5/23/entrez KW - complementary therapies KW - dietary supplements KW - health literacy KW - herbal medicine KW - information seeking behaviour KW - lactation KW - patient-provider relationship KW - pregnancy KW - qualitative research KW - self-care SP - 1013 EP - 1027 JF - Health expectations : an international journal of public participation in health care and health policy JO - Health Expect VL - 22 IS - 5 N2 - BACKGROUND: Little is known about women's decision-making processes regarding using complementary medicine products (CMPs) during pregnancy or lactation. OBJECTIVES: To explore the decision-making processes of women choosing to use CMPs in pregnancy and lactation; and to investigate how women's health literacy influences their decisions. DESIGN, SETTING AND PARTICIPANTS: In-depth interviews and focus group discussions were held with twenty-five pregnant and/or breastfeeding women. Data were analysed using thematic analysis. RESULTS: Key to women's decision making was the desire to establish a CMPs safety and to receive information from a trustworthy source, preferably their most trusted health-care practitioner. Women wanted positive therapeutic relationships with health-care practitioners and to be highly involved in the decisions they made for the health of themselves and their children. Two overarching components of the decision-making process were identified: (a) women's information needs and (b) a preference for CMP use. Women collated and assessed information from other health-care practitioners, other mothers and published research during their decision-making processes. They showed a strong preference for CMP use to support their pregnancy and breastfeeding health, and that of their unborn and breastfeeding babies. DISCUSSION AND CONCLUSIONS: Complex decision-making processes to use CMPs in pregnancy and lactation were identified. The participants showed high levels of communicative and critical health literacy skills in their decision-making processes. These skills supported women's complex decision-making processes. SN - 1369-7625 UR - https://www.unboundmedicine.com/medline/citation/31116500/Women's_health_literacy_and_the_complex_decision_making_process_to_use_complementary_medicine_products_in_pregnancy_and_lactation_ L2 - https://doi.org/10.1111/hex.12910 DB - PRIME DP - Unbound Medicine ER -