Women’s views on the use of decision aids for decision making about the method of delivery following a previous caesarean section: qualitative interview study

Frost, Julia; Shaw, Adrienne; Montgomery, AA; Murphy, Deirdre J.

doi:10.1111/j.1471-0528.2009.02120.x

Cited by 53 publications

(68 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is known that women's decision making about mode of delivery may be influenced by cultural norms, family situation and the way risk information is presented to them by clinicians 31 32…”

Section: Resultsmentioning

confidence: 99%

Helping pregnant women make better decisions: a systematic review of the benefits of patient decision aids in obstetrics

2011

View full text Add to dashboard Cite

ObjectivesPatient decision aids can be used to support pregnant women engaging in shared decisions, but little is known about their effects in obstetrics. The authors aimed to evaluate the effects of patient decision aids designed for pregnant women on clinical and psychosocial outcomes.DesignSystematic review. Data on all outcomes were extracted and summarised. All studies were critically appraised for potential sources of bias and, when possible to obtain, the reported decision aids were evaluated. Meta-analysis was not possible due to the heterogeneity of outcomes in primary studies and the small number of studies.Data sourcesElectronic searches were performed using Medline, Embase, the Cochrane Library and Medion databases from inception until December 2010. Reference lists of all included articles were also examined and key experts contacted.Eligibility criteria for selecting studiesEligibility criteria included randomised controlled trials, which reported on patient decision aids for women facing any treatment decision in pregnancy published in English. Studies evaluating health education material that did not address women's values and preferences were excluded.ResultsPatient decision aids have been developed for decisions about prenatal testing, vaginal birth after Caesarean section, external cephalic version and labour analgesia. Use of decision aids is associated with a number of positive effects including reduced anxiety, lower decisional conflict, improved knowledge, improved satisfaction and increased perception of having made an informed choice.ConclusionsPatient decision aids have the potential to improve obstetric care. However, currently the evidence base is limited by the small number of studies, the quality of the studies and because they involved heterogeneous decision aids, patient groups and outcomes.

show abstract

“…It is known that women's decision making about mode of delivery may be influenced by cultural norms, family situation and the way risk information is presented to them by clinicians 31 32…”

Section: Resultsmentioning

confidence: 99%

Helping pregnant women make better decisions: a systematic review of the benefits of patient decision aids in obstetrics

2011

View full text Add to dashboard Cite

show abstract

“…Bredin et al 41 looked at risk related to physical activity in pregnant women and suggested using a decision tree; this approach may be a useful tool to develop for acupuncture in the context of pregnancy. 42 These tools may, without being alarmist or protectionist, enable practitioners to ensure that patients are fully informed about intervention risks and benefits, and thereby satisfy personal ethical concerns 43 and allow them to be more confident in their decision making.…”

mentioning

confidence: 99%

Physical Therapists' Views and Experiences of Pregnancy-Related Low Back Pain and the Role of Acupuncture: Qualitative Exploration

et al. 2015

View full text Add to dashboard Cite

The findings suggest that UK physical therapists are reluctant to use acupuncture in the management of pregnancy-related low back pain. The explanations for these findings include perceived lack of knowledge and confidence, as well as a pervasive professional culture of caution, particularly fears of inducing early labor and of litigation. These findings have been key to informing the content of the training program for physical therapists delivering acupuncture within the pilot EASE Back trial.

show abstract

“…Semistructured interviews will also be conducted with a sample of 30 participants across trial arms and research sites, after participation in the trial has been completed and in order to examine aspects of intervention and participants’ experiences of diabetes consultations in more depth 48. With the participants’ consent, these interviews will be audio-recorded and will explore: participants’ experience of diabetes and clinical consultations; raising concerns with health professionals in primary and secondary care; participants’ experience of either usual care or intervention and trial participation.…”

Section: Methodsmentioning

confidence: 99%

A pilot randomised controlled trial of a preconsultation web-based intervention to improve the care quality and clinical outcomes of diabetes outpatients (DIAT)

et al. 2013

View full text Add to dashboard Cite

IntroductionDiabetes is a chronic condition associated with many long-term complications. People with diabetes need to actively manage their condition, which can be complex. In consultations with healthcare professionals, patients receive advice about their diabetes but do not always discuss things which concern them, perhaps because of the perceived limited time or embarrassment. We want to test a ‘preconsultation’ intervention in which the patient is supported by a healthcare assistant to complete a web-based intervention aimed at producing an agenda to help them identify important areas for discussion in the consultation. Use of this agenda may enable the patient to play a more active role in that consultation and consequently become more confident, and hence more successful, in managing their condition.Methods and analysisIn this pilot randomised controlled trial, 120 people with diabetes will be randomised with equal allocation to receive the intervention or usual clinical care. The primary outcome is reduction in glycosylated haemoglobin(HbA1c). Secondary outcomes are patient-reported communication, enablement, self-care activity, diabetes-dependent quality of life, empowerment, satisfaction, health-related quality of life and resource use. The aim of the pilot study was to estimate parameters to inform the design of the definitive trial. Follow-up on quantitative outcomes will be at 3 and 6 months. A nested qualitative study will collect data on the patients’ experiences of producing an agenda. Resource use data and medication use will also be collected via a review of medical records for a sample of participants.Ethics and disseminationApproval was granted by the NHS Research Ethics Committee North West—Preston (13/NW/0123). Dissemination will include publication of quantitative and qualitative findings, and experience of public involvement in peer-reviewed journals. Results will also be disseminated to trial participants via workshops led by lay coapplicants.Trial RegistrationISRCTN75070242.

show abstract

Women’s views on the use of decision aids for decision making about the method of delivery following a previous caesarean section: qualitative interview study

Cited by 53 publications

References 19 publications

Helping pregnant women make better decisions: a systematic review of the benefits of patient decision aids in obstetrics

Helping pregnant women make better decisions: a systematic review of the benefits of patient decision aids in obstetrics

Physical Therapists' Views and Experiences of Pregnancy-Related Low Back Pain and the Role of Acupuncture: Qualitative Exploration

A pilot randomised controlled trial of a preconsultation web-based intervention to improve the care quality and clinical outcomes of diabetes outpatients (DIAT)

Contact Info

Product

Resources

About