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Pilot study for a preconception educational intervention for people with mobility disabilities.

Melina A McCabe1, Amelia Gabor2, Jennifer Stephens3

  • 1School of Medicine, University of Pittsburgh, 300 Halket Street, Pittsburgh, PA 15213, USA.

Sexual & Reproductive Healthcare : Official Journal of the Swedish Association of Midwives
|April 23, 2025
PubMed
Summary

A new educational program for individuals with mobility disabilities was found to be feasible and acceptable. This intervention successfully improved preconception health knowledge, potentially leading to better pregnancy outcomes.

Keywords:
DisabilityHealth educationPreconceptionPregnancy

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Area of Science:

  • Reproductive Health
  • Disability Studies
  • Health Education

Background:

  • Individuals with mobility disabilities face unique challenges in accessing preconception care.
  • Tailored educational interventions are needed to address specific health knowledge gaps in this population.
  • Improving preconception health knowledge is crucial for positive pregnancy outcomes.

Purpose of the Study:

  • To evaluate the feasibility and acceptability of a newly designed, tailored preconception educational intervention.
  • To assess the impact of the intervention on general health and preconception knowledge among individuals with mobility disabilities.

Main Methods:

  • A prospective pre-post pilot study design was employed.
  • The study included individuals with mobility disabilities who could become pregnant within five years.
  • Paired t-tests were used to compare knowledge scores before and after the intervention.

Main Results:

  • Twenty-six participants completed the study, with common diagnoses including spinal cord injury, spina bifida, and cerebral palsy.
  • The intervention significantly increased preconception health knowledge by 2.7 points (p=0.025).
  • A significant increase in preconception knowledge (1.8 points, p<0.001) compared to general health knowledge indicated targeted improvement.

Conclusions:

  • The tailored preconception educational intervention is feasible and acceptable for individuals with mobility disabilities.
  • The intervention shows potential for enhancing health literacy and preconception health knowledge.
  • This program may ultimately contribute to improved pregnancy outcomes for people with mobility disabilities.