CONFERENCE PROCEEDING
Evaluation of a co-designed digital animation in service improvement (DAISI) sharing messages around modifiable behaviours to reduce the risk of stillbirth
 
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1
Manchester University NHS Foundation Trust, Saint Mary's Hospital Managed Clinical Service, Manchester, United Kingdom
 
2
The University of Manchester, Division of Developmental Biology and Medicine, Manchester, United Kingdom
 
3
Kings College London, Faculty of Nursing Midwifery and Palliative care, London, United Kingdom
 
4
University of Bradford, Faulty of Health Studies, Bradford, United Kingdom
 
 
Eur J Midwifery 2026;10(Supplement 1):A1041
 
ABSTRACT
BACKGROUND:
In the United Kingdom, women from minoritised ethnic backgrounds experience increased rates of stillbirth compared to White women. To address this disparity, a digital animation, the Stillbirth DAISI (Digital Animation in Service Improvement), was co-produced to communicate messages in Arabic, English and Urdu about health behaviours that can reduce the risk of stillbirth.

OBJECTIVES:
To evaluate the acceptability and accessibility of the Stillbirth DAISI and its impact on knowledge of stillbirth and health behaviours that can reduce the risk of stillbirth.

METHODS:
Data were collected using two structured telephone interviews with 29 Arabic, English and Urdu-speaking women from minoritised ethnic backgrounds. Between 16-20 weeks of pregnancy, participants were asked about their demographic characteristics, knowledge of stillbirth and behaviours to reduce the risk of stillbirth, before being provided with the Stillbirth DAISI. Between 24-28 weeks of pregnancy participants were asked the same questions, as well as their thoughts and experience of using DAISI.

RESULTS:
All participants accessed the Stillbirth DAISI and demonstrated an increase in knowledge of stillbirth and behaviors to reduce the risk of stillbirth. The median knowledge score increased from 5/14 [IQR 4-6.25] in the first interview to 11/14 [IQR 9.75-12] in the second interview (p<0.001). Participants thought the DAISI was an acceptable and accessible resource that provided important health messages. Content analysis of qualitative data identified three higher-order categories: i) Ease of access and use, ii) Importance of the messaging, and iii) Health literacy benefits.

CONCLUSIONS:
The Stillbirth DAISI is an effective means to communicate messages about stillbirth prevention in different languages to minoritised ethnic women. Further studies are needed to determine whether improvement in knowledge translates to more equitable pregnancy outcomes.

KEY MESSAGE:
Digital animation is an acceptable, accessible and effective means of communicating health messages about stillbirth during pregnancy to women from minoritised ethnic groups. Poster session 4 (Group B)
eISSN:2585-2906
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