Details

Autor(en) / Beteiligte

• Moore, G P
• Lemyre, B
• Daboval, T
• Ding, S
• Dunn, S
• Akiki, S
• Barrowman, N
• Shephard, A L
• Lawson, M L

Titel

Field testing of decision coaching with a decision aid for parents facing extreme prematurity

Ist Teil von

• Journal of perinatology, 2017-06, Vol.37 (6), p.728-734

Ort / Verlag

New York: Nature Publishing Group US

Erscheinungsjahr

2017

Quelle

MEDLINE

Beschreibungen/Notizen

• Objective: The objective of this study is to assess and modify an existing decision aid and field-test decision coaching with the modified aid during consultations with parents facing potential delivery at 23 to 24 weeks gestation. Study Design: International Patient Decision Aid Standards instrument (IPDASi) scoring deficits, multi-stakeholder group feedback and α-testing guided modifications. Feasibility/acceptability were assessed. The Decisional Conflict Scale was used to measure participants’ decisional conflict before (T1) and immediately after (T2) the consultation. Results: IPDASi assessment of the existing aid (score 11/35) indicated it required updated data, more information and a palliative care description. Following modification, IPDASi score increased to 26/35. Twenty subjects (12 pregnancies) participated in field-testing; 15 completed all questionnaires. Most participants (89%) would definitely recommend this form of consultation. Decisional conflict scores decreased ( P <0.001) between T1 (52±25) and T2 (10±16). Conclusion: Field testing demonstrated that consultations using the aid with decision coaching were feasible, reduced decisional conflict and may facilitate shared decision-making.