Anna Hebda-Boon, Adam P Shortland, Aleksandra Birn-Jeffery, Dylan Morrissey
Can on-line gait training improve clinical practice? Study protocol for feasibility randomised controlled trial of an on-line educational intervention to improve clinician's gait-related decision-making in ambulant children and young people with cerebral palsy
Pilot and feasibility studies
mamaact intervention aims reduce ethnic social disparities stillbirth infant death improving communication pregnant women midwives regarding warning signs pregnancy complications study evaluates effect intervention pregnant womens health literacy two domains health literacy questionnaire complication management interpreted improved health literacy responsiveness among midwives cluster randomized controlled trial 20182019 19 20 danish maternity wards crosssectional survey data collected using telephone interviews n 4150 pregnant women including 670 women nonwestern immigrant background sixhour training session midwives intercultural communication cultural competence two followup dialog meetings health education materials pregnant women warning signs pregnancy complications six languages differences mean scores postimplementation domains active engagement healthcare providers active engagement navigating healthcare system health literacy questionnaire differences certainty respond pregnancy complication signs women intervention control group difference observed womens level active engagement navigating healthcare system women intervention group certain respond complication signs redness swelling heat one leg 694 vs 591 aor 157 95 ci 132188 severe headache 756 vs 673 aor 150 95 ci 124182 vaginal bleeding 973 vs 951 aor 167 95 ci 104266 intervention improved womens certainty respond complication signs unable improve pregnant womens health literacy levels active engagement navigating healthcare system likely due barriers related organization antenatal care reorganization antenatal care care model sensitive diversity within entire healthcare system might help reduce disparities perinatal health clinicaltrialsgov identifier nct03751774