Vandrevala, T; Montague, A; Boulton, R; Coxon, K; Jones, CE
(2024)
Exploring the implementation of an educational film within antenatal care to reduce the risk of cytomegalovirus infection in pregnancy: A qualitative study.
BMC Pregnancy Childbirth, 24 (1).
p. 524.
ISSN 1471-2393
https://doi.org/10.1186/s12884-024-06715-5
SGUL Authors: Boulton, Richard
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Abstract
BACKGROUND: Congenital cytomegalovirus (CMV) infection is a leading cause of sensorineural hearing loss and neuro-disability in childhood. In the absence of a licensed vaccine, adoption of hygiene-based measures may reduce the risk of CMV infection in pregnancy, however these measures are not routinely discussed with pregnant women as part of National Health Service (NHS) antenatal care in the United Kingdom (UK). METHODS: An exploratory qualitative study was conducted, underpinned by Normalization Process Theory (NPT), to investigate how an educational intervention comprising of a short film about CMV may best be implemented, sustained, and enhanced in real-world routine antenatal care settings. Video, semi-structured interviews were conducted with participants who were recruited using a purposive sample that comprised of midwives providing antenatal care from three NHS hospitals (n = 15) and participants from professional colleges and from organisations or charities providing, or with an interest in, antenatal education or health information in the UK (n = 15). FINDINGS: Midwives were reluctant to include CMV as part of early pregnancy discussions about reducing the risk of other infections due to lack of time, knowledge and absence of guidance or policies relating to CMV in antenatal education. However, the educational intervention was perceived to be a useful tool to encourage conversations and empower women to manage risk by all stakeholders, which would overcome some identified barriers. Macro-level challenges such as screening policies and lack of official guidelines to legitimise dissemination were identified. DISCUSSION: Successful implementation of education about CMV as part of routine NHS care in the UK will require an increase in awareness and knowledge about CMV amongst midwives. NPT revealed that 'coherence' and 'cognitive participation' between service members are vital to imbed CMV education in routine practice. 'Collective action' and 'reflexive monitoring' is required to sustain service changes.
Item Type: | Article | ||||||
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Additional Information: | © The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. | ||||||
Keywords: | Congenital Cytomegalovirus CMV, Healthcare education, Implementation science, Improvement science, Normalisation Process Theory, Humans, Female, Pregnancy, Cytomegalovirus Infections, Qualitative Research, Prenatal Care, Pregnancy Complications, Infectious, United Kingdom, Motion Pictures, Midwifery, Adult, Health Knowledge, Attitudes, Practice, Patient Education as Topic, State Medicine, 1110 Nursing, 1114 Paediatrics and Reproductive Medicine, 1117 Public Health and Health Services, Obstetrics & Reproductive Medicine | ||||||
Journal or Publication Title: | BMC Pregnancy Childbirth | ||||||
ISSN: | 1471-2393 | ||||||
Language: | eng | ||||||
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Publisher License: | Creative Commons: Attribution 4.0 | ||||||
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PubMed ID: | 39127657 | ||||||
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URI: | https://openaccess.sgul.ac.uk/id/eprint/116752 | ||||||
Publisher's version: | https://doi.org/10.1186/s12884-024-06715-5 |
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