Background: Improving maternal health, diminishing maternal mortality and preventing avoidable neonatal deaths are international priorities. Educational interventions (EI) are innovative methods to impact health indicators by encouraging patient involvement. However, its design should follow some considerations. Strategies to improve its design include needs assessment, interactivity, adaptation of the EI to the public and the use of the best evidence on content design.
Objectives: To design 12 evidence-based knowledge clips (KC) regarding topics of maternal and neonatal health.
Methods: Design of the KC considered 3 steps: critical analysis of recommendations available in clinical practice guidelines (CPG) and checklists, the preliminary design of contents and, their validation by an expert panel. Four CPG were analysed using the instrument AGREE II, one issued by the Ministry of Health and Social Protection of Colombia and three published by the World Health Organization (WHO). The validated Colombian version of the WHO Safe Childbirth Checklist was also reviewed. Topic and content proposed based on the findings. Afterwards, 10 clinical experts (patient education and safety, obstetrics, gynaecology, psychology, pediatrics and neonatology) participated in the consensus applying the modified Delphi method.
Results: Scores above 50% on all the domains of AGREE II indicated good quality of the CPG. The proposal on content and topic presented to experts reached consensus after 2 rounds of discussion and voting. The main recommendations oriented towards encouraging an environment of trust during the clinical consultation, promoting the preconception visit, precisions of clinical aspects and its presentation in a patient-friendly manner, details of warning signs according to gestational trimester, promotion of breastfeeding and importance of diagnostic tests.
Conclusions: Accurate and rich content for the KP was created after an iterative process that involved evidence of high-quality and formal expert opinion. The final KC included key recommendations and information for antenatal care, vaginal and caesarean section birth and postpartum (Figure 1).