Patient decision aids in routine maternity care: Benefits, barriers, and new opportunities

Stevens, Gabrielle; Thompson, Rachel; Watson, Bernadette Maria; Miller, Yvette D.

doi:10.1016/j.wombi.2015.08.002

Cited by 16 publications

(12 citation statements)

References 33 publications

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“…To prepare parents for shared decision‐making in maternity care, several tools and interventions are available, including decision aids and birth plans . Our results showed a need for further improvement and development of these tools, including health information, to support parents’ preparation for consultations and deliberation.…”

Section: Discussionmentioning

confidence: 92%

Needs of parents and professionals to improve shared decision‐making in interprofessional maternity care practice: A qualitative study

Molenaar

Korstjens

Hendrix

et al. 2018

Birth

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Parents and professionals will benefit from an intervention designed to improve SDM. A practical e-learning for all maternity care providers and e-health information for parents seems most appropriate. Key elements for the e-learning are raising awareness of the roles and responsibilities of parents and professionals, developing good communication skills and encouraging interprofessional collaboration. This requires a variety of educational strategies.

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Section: Discussionmentioning

confidence: 92%

Needs of parents and professionals to improve shared decision‐making in interprofessional maternity care practice: A qualitative study

Molenaar

Korstjens

Hendrix

et al. 2018

Birth

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“…The challenges of implementing DAs in clinical practice are widely reported [54–56]. Although DAs have proven to be effective, they are not commonly used in practice because of communication, cultural, ideological, organisational, and practical barriers [57]. Lepine et al (2016) identified a number of factors influencing whether health professionals would use a prenatal screening DA, ranging from whether the tool was positively appraised, considered relevant, or being readily accessible to having enough time and colleagues endorsing the tool [58].…”

Section: Resultsmentioning

confidence: 99%

“…Future work is also needed to identify and overcome the barriers to implementing DAs, with studies focused on identifying the contextual and facilitative mechanisms that could influence the implementation of the DA [66]. The potential use of social marketing, (the use of commercial marketing strategies to enhance public health and well-being [67], has also been suggested [57]. Future work could be directed towards identifying social marketing strategies (e.g.…”

Section: Resultsmentioning

confidence: 99%

Improving women’s knowledge about prenatal screening in the era of non-invasive prenatal testing for Down syndrome – development and acceptability of a low literacy decision aid

Smith

Cai

Wong

et al. 2018

BMC Pregnancy Childbirth

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BackgroundAccess to information about prenatal screening is important particularly in light of new techniques such as non-invasive prenatal testing (NIPT). This study aimed to develop and examine the acceptability of a low literacy decision aid (DA) about Down syndrome screening among pregnant women with varying education levels and GPs.MethodsWe developed a DA booklet providing information about first-trimester combined testing, maternal serum screening, and NIPT. GPs and women participated in a telephone interview to examine the acceptability of the DA and measure screening knowledge before and after reading the DA. The knowledge measure was designed to assess whether women had understood the gist of the information presented in the decision aid. It comprised conceptual questions (e.g. screening tells you the chance of having a baby with Down syndrome) and numeric questions (e.g. the accuracy of different screening tests).ResultsTwenty-nine women and 18 GPs participated. Regardless of education level, most women found the booklet ‘very’ clearly presented (n = 22, 76%), and ‘very’ informative (n = 23, 80%). Overall, women’s conceptual and numeric knowledge improved after exposure to the DA, from 4% having adequate knowledge to 69%. Women’s knowledge of NIPT also improved after receiving the decision aid, irrespective of education. Most GPs found it ‘very’ clearly presented (n = 13, 72%), and that it would ‘very much’ facilitate decision-making (n = 16, 89%).ConclusionsThe DA was found to be acceptable to women as well as GPs. A comprehensive evaluation of the efficacy of the decision aid compared to standard information is an important next step. Strategies are needed on how to implement the tool in practice.Electronic supplementary materialThe online version of this article (10.1186/s12884-018-2135-0) contains supplementary material, which is available to authorized users.

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“…These media videos will be examined to illuminate what unclear language surrounding maternal mortality may look like and what effects such misleading discourse may have. Patient-informed decision-making in the USA concerning maternity is ‘inconsistently implemented’ (Goldberg, 2009: 32), even though such patient involvement in decision-making has been shown to lower maternal morbidity and mortality (Stevens et al, 2016). This paper argues that any form of shared decision-making starts with language.…”

Section: Introductionmentioning

confidence: 99%

Unravelling US maternal mortality through critical discourse analysis

Batch

Benedetti

2019

Health Education Journal

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Objectives: Given that pregnancy health information seeking is common and considered impactful on health outcomes, the potential lack of fair and clear information within media may be an impediment towards women developing their own agency and working towards the transformation and betterment of their own outcomes. Setting: The USA has the worst maternal mortality rate of any developed country. Women’s opinions are shaped and informed by public media and discourse; therefore, a critical look at how public media texts support women’s agency is of significance. Method: Reducing maternal mortality requires more than just effective health interventions. This paper uses critical discourse analysis to examine two samples of widely viewed public discourse around the issue of US maternal mortality and reveals the murky and polarised dialogue contained in each. Results: The two samples may be representative of a larger lack of clarity in US discourse about maternal mortality, a body of discourse which – to the detriment of women’s maternal morbidity and mortality outcomes – subtly but powerfully either declines to admit mistakes or uses polarising, overly simplified language. Conclusion: Recognising the polarised dialogue surrounding maternal mortality and working towards a more reasoned discussion of the issue at hand may promote women’s advocacy and provide potentially better outcomes.

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Patient decision aids in routine maternity care: Benefits, barriers, and new opportunities

Cited by 16 publications

References 33 publications

Needs of parents and professionals to improve shared decision‐making in interprofessional maternity care practice: A qualitative study

Needs of parents and professionals to improve shared decision‐making in interprofessional maternity care practice: A qualitative study

Improving women’s knowledge about prenatal screening in the era of non-invasive prenatal testing for Down syndrome – development and acceptability of a low literacy decision aid

Unravelling US maternal mortality through critical discourse analysis

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