Caring for providers to improve patient experience (CPIPE): intervention development process

Afulani, PA (通讯作者),Univ Calif San Francisco, Epidemiol & Biostat Dept, 550 16th St,3rd Floor, San Francisco, CA 94158 USA.
2023-12-31
A growing body of research has documented disrespectful, abusive, and neglectful treatment of women in facilities during childbirth, as well as the drivers of such mistreatment. Yet, little research exists on effective interventions to improve Person-Centred Maternal Care (PCMC)-care that is respectful and responsive to individual women's preferences, needs, and values. We sought to extend knowledge on interventions to improve PCMC, with a focus on two factors - provider stress and implicit bias - that are driving poor PCMC and contributing to disparities in PCMC. In this paper we describe the process towards the development of the intervention. The intervention design was an iterative process informed by existing literature, behaviour change theory, formative research, and continuous feedback in consultation with key stakeholders. The intervention strategies were informed by the Social Cognitive Theory, Trauma Informed System framework, and the Ecological Perspective. This process resulted in the 'Caring for Providers to Improve Patient Experience (CPIPE)' intervention, which has 5 components: provider training, peer support, mentorship, embedded champions, and leadership engagement. The training includes didactic and interactive content on PCMC, stress, burnout, dealing with difficult situations, and bias, with some content integrated into emergency obstetric and neonatal care (EmONC) simulations to enable providers apply concepts in the context of managing an emergency. The other components create an enabling environment for ongoing individual behavior and facility culture change. The pilot study is being implemented in Migori County, Kenya. The CPIPE intervention is an innovative theory and evidence-based intervention that addresses key drivers of poor PCMC and centers the unique needs of vulnerable women as well as that of providers. This intervention will advance the evidence base for interventions to improve PCMC and has great potential to improve equity in PCMC and maternal and neonatal health.
GLOBAL HEALTH ACTION
卷号:16|期号:1
收录类别:SCIE
语种
英语
来源机构
University of California System; University of California San Francisco; University of California System; University of California San Francisco; Kenya Medical Research Institute; Kenya Medical Research Institute; University of California System; University of California San Francisco
被引频次(WOS)
0
被引频次(其他)
0
180天使用计数
6
2013以来使用计数
6
EISSN
1654-9880
出版年
2023-12-31
DOI
10.1080/16549716.2022.2147289
WOS学科分类
Public, Environmental & Occupational Health
学科领域
循证公共卫生
关键词
Person-centered maternity care stress implicit bias Kenya respectful maternity care