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Integration of the Opportunity‐Ability‐Motivation behavior change framework into a coaching‐based WHO Safe Childbirth Checklist program in India
OBJECTIVE: To evaluate whether integration of the Opportunity‐Ability‐Motivation plus Supplies (OAMS) framework into coaching improved the delivery of essential birth practices in a low‐resource setting. METHODS: This prospective mixed‐methods study used routine coaching visit data obtained from the...
Autores principales: | , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6099329/ https://www.ncbi.nlm.nih.gov/pubmed/29862506 http://dx.doi.org/10.1002/ijgo.12542 |
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author | Hirschhorn, Lisa R. Krasne, Margaret Maisonneuve, Jenny Kara, Nabihah Kalita, Tapan Henrich, Natalie Rana, Darpan Maji, Pinki Delaney, Megan M. Firestone, Rebecca Sharma, Narender Kumar, Vishwajeet Gawande, Atul A. Semrau, Katherine E.A. |
author_facet | Hirschhorn, Lisa R. Krasne, Margaret Maisonneuve, Jenny Kara, Nabihah Kalita, Tapan Henrich, Natalie Rana, Darpan Maji, Pinki Delaney, Megan M. Firestone, Rebecca Sharma, Narender Kumar, Vishwajeet Gawande, Atul A. Semrau, Katherine E.A. |
author_sort | Hirschhorn, Lisa R. |
collection | PubMed |
description | OBJECTIVE: To evaluate whether integration of the Opportunity‐Ability‐Motivation plus Supplies (OAMS) framework into coaching improved the delivery of essential birth practices in a low‐resource setting. METHODS: This prospective mixed‐methods study used routine coaching visit data obtained from the first eight intervention facilities of the BetterBirth trial in Uttar Pradesh, India, between December 19, 2014, and October 21, 2015. The 8‐month intervention was peer coaching that integrated the OAMS framework to support uptake of the WHO Safe Childbirth Checklist. Descriptive statistics were used to measure nonadherence to essential birth practices. The frequency and accuracy of coaches’ coding of barriers and the appropriateness of chosen resolution strategies to measure feasibility, acceptability, and fidelity of using OAMS, were assessed. RESULTS: Coaches observed 666 deliveries, including 12 602 practices. Overall, essential practice nonadherence decreased from 15.6% (262/1675 practices observed) to 4.5% (4/88 practices) (P<0.001). Of the 1048 barriers identified, opportunity (556 [53.1%]) and motivation (287 [27.4%]) were the most frequently reported categories; the frequency of both decreased over time (P=0.003 and P<0.001, respectively). The coaches appropriately categorized 930 (99.8%) of 932 barriers and provided an appropriate strategy for 800 (85.8%). The commonest reason for unaddressed barriers was lack of coaching opportunities. CONCLUSION: Successful integration of OAMS framework into delivery attendant coaching enabled coaches to rapidly diagnose barriers to practice adherence and develop responsive strategies. CLINICALTRIALS.GOV: NCT2148952 (WHO Universal Trial Number: U11111‐1315‐647). |
format | Online Article Text |
id | pubmed-6099329 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-60993292018-08-23 Integration of the Opportunity‐Ability‐Motivation behavior change framework into a coaching‐based WHO Safe Childbirth Checklist program in India Hirschhorn, Lisa R. Krasne, Margaret Maisonneuve, Jenny Kara, Nabihah Kalita, Tapan Henrich, Natalie Rana, Darpan Maji, Pinki Delaney, Megan M. Firestone, Rebecca Sharma, Narender Kumar, Vishwajeet Gawande, Atul A. Semrau, Katherine E.A. Int J Gynaecol Obstet Clinical Articles OBJECTIVE: To evaluate whether integration of the Opportunity‐Ability‐Motivation plus Supplies (OAMS) framework into coaching improved the delivery of essential birth practices in a low‐resource setting. METHODS: This prospective mixed‐methods study used routine coaching visit data obtained from the first eight intervention facilities of the BetterBirth trial in Uttar Pradesh, India, between December 19, 2014, and October 21, 2015. The 8‐month intervention was peer coaching that integrated the OAMS framework to support uptake of the WHO Safe Childbirth Checklist. Descriptive statistics were used to measure nonadherence to essential birth practices. The frequency and accuracy of coaches’ coding of barriers and the appropriateness of chosen resolution strategies to measure feasibility, acceptability, and fidelity of using OAMS, were assessed. RESULTS: Coaches observed 666 deliveries, including 12 602 practices. Overall, essential practice nonadherence decreased from 15.6% (262/1675 practices observed) to 4.5% (4/88 practices) (P<0.001). Of the 1048 barriers identified, opportunity (556 [53.1%]) and motivation (287 [27.4%]) were the most frequently reported categories; the frequency of both decreased over time (P=0.003 and P<0.001, respectively). The coaches appropriately categorized 930 (99.8%) of 932 barriers and provided an appropriate strategy for 800 (85.8%). The commonest reason for unaddressed barriers was lack of coaching opportunities. CONCLUSION: Successful integration of OAMS framework into delivery attendant coaching enabled coaches to rapidly diagnose barriers to practice adherence and develop responsive strategies. CLINICALTRIALS.GOV: NCT2148952 (WHO Universal Trial Number: U11111‐1315‐647). John Wiley and Sons Inc. 2018-06-20 2018-09 /pmc/articles/PMC6099329/ /pubmed/29862506 http://dx.doi.org/10.1002/ijgo.12542 Text en © 2018 The Authors. International Journal of Gynecology & Obstetrics published by John Wiley & Sons Ltd on behalf of International Federation of Gynecology and Obstetrics This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Articles Hirschhorn, Lisa R. Krasne, Margaret Maisonneuve, Jenny Kara, Nabihah Kalita, Tapan Henrich, Natalie Rana, Darpan Maji, Pinki Delaney, Megan M. Firestone, Rebecca Sharma, Narender Kumar, Vishwajeet Gawande, Atul A. Semrau, Katherine E.A. Integration of the Opportunity‐Ability‐Motivation behavior change framework into a coaching‐based WHO Safe Childbirth Checklist program in India |
title | Integration of the Opportunity‐Ability‐Motivation behavior change framework into a coaching‐based WHO Safe Childbirth Checklist program in India |
title_full | Integration of the Opportunity‐Ability‐Motivation behavior change framework into a coaching‐based WHO Safe Childbirth Checklist program in India |
title_fullStr | Integration of the Opportunity‐Ability‐Motivation behavior change framework into a coaching‐based WHO Safe Childbirth Checklist program in India |
title_full_unstemmed | Integration of the Opportunity‐Ability‐Motivation behavior change framework into a coaching‐based WHO Safe Childbirth Checklist program in India |
title_short | Integration of the Opportunity‐Ability‐Motivation behavior change framework into a coaching‐based WHO Safe Childbirth Checklist program in India |
title_sort | integration of the opportunity‐ability‐motivation behavior change framework into a coaching‐based who safe childbirth checklist program in india |
topic | Clinical Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6099329/ https://www.ncbi.nlm.nih.gov/pubmed/29862506 http://dx.doi.org/10.1002/ijgo.12542 |
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