Abstract
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.
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Acknowledgements
We thank Dr Thierry Lacaze (Professor, University of Ottawa) for his critical review of the manuscript and Ms Danielle Robinson (Undergraduate student, University of Ottawa) for her assistance with data input.
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Moore, G., Lemyre, B., Daboval, T. et al. Field testing of decision coaching with a decision aid for parents facing extreme prematurity. J Perinatol 37, 728–734 (2017). https://doi.org/10.1038/jp.2017.29
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DOI: https://doi.org/10.1038/jp.2017.29
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