Debra Roter|Lori H. Erby|Rajiv N. Rimal|Katherine Clegg Smith|Susan Larson|Ian M. Bennett|Katie Washington Cole|Yue Guan|Matthew Molloy|Jessica L. Bienstock
Empowering Women's Prenatal Communication: Does Literacy Matter?
Johns Hopkins University|National Human Genome Research Institute|National Institutes of Health|George Washington University|Johns Hopkins University|Johns Hopkins University|University of Pennsylvania|Johns Hopkins University|Johns Hopkins University|Johns Hopkins Children's Center|Johns Hopkins University|Johns Hopkins University|Johns Hopkins Medicine
study designed evaluate impact interactive computer program developed empower prenatal communication among women restricted literacy skills total 83 women seeing 17 clinicians randomized computerbased communication activation intervention healthy babies healthy moms hbhm prenatal education baby basics bb prior prenatal visit visit communication coded roter interaction analysis system postvisit satisfaction reported participants average 24 years age 25 weeks pregnant 80 african american two thirds scored 8th grade literacy screener women literacy deficits verbally active disclosed medical psychosociallifestyle information rated dominant coders hbhm group relative counterparts bb group ps 05 clinicians less verbally dominant patient centered literate hbhm relative bb group women p 05 similar nonsignificant trend p 1 lower literate women clinicians communicated less medical information made fewer reassurance statements lower literate women hbhm relative bb group p 05 trend toward lower visit satisfaction women restricted literacy hbhm relative bb group p 1 difference satisfaction evident literate women hbhm intervention empowered communication women facilitated verbal engagement relevant disclosure medical psychosocial information women literacy deficits satisfaction however tended lower women