Úrsula Guillén|Amy Mackley|Naomi Laventhal|Stephanie Kukora|Lori Christ|Matthew Derrick|Jennifer Batza|Sarvin Ghavam|Haresh Kirpalani
Evaluating the Use of a Decision Aid for Parents Facing Extremely Premature Delivery: A Randomized Trial
Christiana Care Health System|Christiana Care Health System|University of Michigan–Ann Arbor|University of Michigan–Ann Arbor|Children's Hospital of Philadelphia|NorthShore University HealthSystem|NorthShore University HealthSystem|Virtua Voorhees Hospital|Children's Hospital of Philadelphia
assess decisional conflict knowledge prematurity among mothers facing extreme premature delivery counseling clinicians randomized counsel using validated decision aid compared usual counselingin randomized trial clinicians 5 level iii neonatal intensive care units us randomized supplement counseling using decision aid counsel mothers usual manner enrolled mothers threatened premature delivery 2207 2567 weeks gestation within 7 days counseling primary outcome decisional conflict scale dcs score one hundred mothers per group enrolled detect clinically relevant effect size 04 decisional conflict scale secondary outcomes included knowledge prematurity scores preparedness decision making scale acceptabilityninetytwo clinicians randomized 316 mothers counseled 201 64 mothers enrolled median gestational age 241 weeks iqr 237249 groups dcs scores low 163 182 vs 168 17 p 97 preparedness decision making scores high 734 283 vs 705 311 p 33 significantly greater knowledge score decision aid group 662 185 vs 572 188 p 005 clinicians parents found decision aid usefulfor parents facing extremely premature delivery use decision aid impact maternal decisional conflict significantly improved knowledge complex information structured decision aid may improve comprehension complex informationclinicaltrialsgov nct01713894