Does an informational film increase women's possibility to make an informed choice about second trimester ultrasound?

Abstract

An informational film does not increase women's knowledge or the number of women making an informed choice about the second trimester ultrasound. Women who did not make an informed choice about the second trimester ultrasound had a lower level of education and less knowledge about second trimester ultrasound screening.

Interventions aiming to improve informed decision on prenatal screening and testing: A scoping review of the literature

“…The outcome measures were assessed by both validated and author-developed instruments. In the studies evaluating the effect of any interventions on patient outcomes during prenatal screening and testing process, informed decision, informed choice, decisional conflict, and decisional regret were among the main outcomes assessed by mostly validated tools such as the decisional conflict scale, the decisional regret scale, the informed choice questionnaire, and the multidimensional measure of informed choice (Bekker et al, 2004;Beulen et al, 2016;Björklund et al, 2012;Cloutier et al, 2017;Hunter et al, 2005;Kaiser et al, 2002;Kordi et al, 2018;Kuppermann et al, 2009;Nagle et al, 2008;Öhman et al, 2012;Skjøth et al, 2015). In some studies, authors used non-validated questionnaires to assess some aspects of informed decision making (Brajenović-Milić et al, 2008;Gammon et al, 2018;Graham et al, 2000;Hewison et al, 2001;Hwa et al, 2010;Kleinveld et al, 2008;Knutzen et al, 2013;Leung et al, 2004;Peters et al, 2017;Rothwell et al, 2019;Smith et al, 2018;Stefansdottir et al, 2010;Yee et al, 2014).…”

“…Video-based interventions included educational films (Björklund et al, 2012;Öhman et al, 2012;Peters et al, 2017) and video-based educational materials (Hewison et al, 2001).…”

“…Four studies using video-based interventions are included in this scoping review (Björklund et al, 2012;Hewison et al, 2001;Öhman et al, 2012;Peters et al, 2017). Three of these studies used informed decision and informed choice as outcome measures which both were described as the combination of sufficient knowledge, positive attitude, and uptake of screening and/or testing and measured by self-reported surveys (Björklund et al, 2012;Öhman et al, 2012;Peters et al, 2017). Peters et al (2017) developed a culturally competent educational film and reported an increase in informed decisions about prenatal screening after their intervention (Peters et al, 2017).…”

“…The information around genetic testing has become more complicated, and as a result, genetic counseling has become more critical for informed decision making on prenatal screening and testing. There might be limited resources such as genetic counselors and counseling services; therefore, other sources to facilitate informed decision making have been explored in the literature (Cloutier et al, 2017;Öhman et al, 2012;Rothwell et al, 2019). However, there is a lack of review on the available interventions and their effectiveness in improving patient outcomes during the decision making process regarding prenatal screening and testing.…”

Digital tools in the Informed Consent process: a systematic review

“…A repository of available innovative tools with a constant update system would be desirable. In addition, the digital divide has been reported to act as a barrier to access for some segments of the population such as the elderly, people from low socio-cultural backgrounds, or disabled persons (23), (24), (25). Additional considerations may be necessary to ensure inclusion of these populations.…”