Decision-making about mode of delivery after previous caesarean section: development and piloting of two computer-based decision aids.
Objective To develop and pilot two computer-based decision aids to assist women with decision-making about mode of delivery after a previous caesarean section (CS), which could then be evaluated in a randomized-controlled trial. Background Women with a previous CS are faced with a decision between r...
| Publicado en: | Health Expectations Vol. 10; no. 2; pp. 161 - 173 |
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| Autores principales: | , , , , , , , , |
| Formato: | research Journal Article |
| Publicado: |
Wiley-Blackwell
Jun2007
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105828317&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105828317 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13696513 EVY jtl: Health Expectations issn: 13696513 maglogo: Y pubinfo: dt: Jun2007 vid: 10 iid: 2 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 105828317 2009726113 10.1111/j.1369-7625.2006.00429.x NLM17524009 105828317 ppf: 161 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Decision-making about mode of delivery after previous caesarean section: development and piloting of two computer-based decision aids. aug: au: Emmett CL Murphy DJ Patel RR Fahey T Jones C Ricketts IW Gregor P Macleod M Montgomery AA affil: Academic Unit of Primary Health Care, University of Bristol, Bristol, UK; clare.emmett@bristol.ac.uk sug: subj: Cesarean Section Utilization Decision Making Decision Making, Computer Assisted Patient Education Methods Vaginal Birth After Cesarean Utilization Academic Medical Centers Adult Attitude to Health Delivery, Obstetric Methods Delivery, Obstetric Psychosocial Factors Female Great Britain Interviews Pilot Studies Pregnancy User-Computer Interface Human Adult: 19-44 years Female ab: Objective To develop and pilot two computer-based decision aids to assist women with decision-making about mode of delivery after a previous caesarean section (CS), which could then be evaluated in a randomized-controlled trial. Background Women with a previous CS are faced with a decision between repeat elective CS and vaginal birth after caesarean. Research has shown that women may benefit from access to comprehensive information about the risks and benefits of the delivery options. Design A qualitative pilot study of two novel decision aids, an information program and a decision analysis program, which were developed by a multidisciplinary research team. Participants and setting 15 women who had recently given birth and had previously had a CS and 11 pregnant women with a previous CS, recruited from two UK hospitals. Women were interviewed and observed using the decision aids. Results Participants found both decision aids useful and informative. Most liked the computer-based format. Participants found the utility assessment of the decision analysis program acceptable although some had difficulty completing the tasks required. Following the pilot study improvements were made to expand the program content, the decision analysis program was accompanied by a training session and a website version of the information program was developed to allow repeat access. Conclusions This pilot study was an essential step in the design of the decision aids and in establishing their acceptability and feasibility. In general, participating women viewed the decision aids as a welcome addition to routine antenatal care. A randomized trial has been conducted to establish the effectiveness and cost-effectiveness of the decision aids. pubtype: Academic Journal doctype: research Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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