Psychosocial intervention programme based on the needs of women undergoing termination of pregnancy for foetal anomalies: A modified Delphi study.
Ying Wang, Chi Huang, Jiaying Xie and 5 others
PMID 38606808WHAT IT FOUND
Experts and women affected by foetal anomaly termination agreed a four-period support programme with 27 indicators, including acceptance and commitment therapy.
It was not tested for effectiveness, so it is a care plan to try, not proof it helps.
Key findings
01The final consensus programme had four periods, three needs-based supports and 27 intervention indicators.
02Acceptance and commitment therapy was introduced as the professional psychological support component.
03The programme's practicability and effectiveness still need validation in a randomized controlled trial.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
This was a consensus development study, not a treatment trial; it did not test whether the programme helps women. No patients were enrolled to receive the intervention, so there are no clinical outcomes. The panel was small: 18 people, including 15 experts and 3 women stakeholders. All experts and stakeholders were from China, so transferability to other health systems is uncertain. The authors state that practicability and effectiveness still need validation by a randomized controlled trial.
Declared interests
Funding was from the National Natural Science Foundation of China, a Hunan Provincial Health Commission health research project, and a Changsha Municipal Natural Science Foundation grant. The funding sources had no role in conducting the research or preparing the article. The authors declared no conflict of interest.
The easy way to misread this
Do not read this as evidence that the programme reduces depression or anxiety after termination for foetal anomaly. It is a consensus plan, and the authors say its practicability and effectiveness still need validation in a randomized controlled trial.