JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 1.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
Effect of Shared Decision-making on Decisional Conflict and Uptake of First-trimester Screening Tests
Dublin Core
Title
JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 1.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
Effect of Shared Decision-making on Decisional Conflict and Uptake of First-trimester Screening Tests
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
Effect of Shared Decision-making on Decisional Conflict and Uptake of First-trimester Screening Tests
Subject
Prenatal diagnosis, Decision making, conflict, Pregnancy
Description
Introduction: Several factors influence women’s decision to take First Trimester Screening
(FTS) tests. These factors are associated with the ambivalence of women toward undergoing
screening tests.
Objective: This study aimed to investigate the effect of Shared Decision-Making (SDM) about
undergoing FTS on Decisional Conflict (DC) immediately after consultation and uptake of FTS.
Materials and Methods: This quasi-experimental study was conducted on 200 pregnant
women (100 women in the intervention and 100 in the control groups) referred to
health centers for prenatal care in 2019. They were selected by the block randomization
sampling method. The control group received the routine care and the intervention
group, in addition to routine care, attended a 90-min long consultation session based on
SDM. The women were contacted via phone at 14 weeks of pregnancy to collect data
on their undertaking prenatal screening tests. The demographic characteristics form and
O’Conner’s decisional conflict scale were filled out immediately after the consultation
session for the intervention group. The obtained data were analyzed by the Chi-square,
Fisher exact-test, Mann-Whitney U, and linear regression tests. The P value less than 0.05
was considered statistically significant.
Results: There was no significant difference between the two groups regarding women’s
demographic characteristics, except for education level, job, and insurance coverage. The
Mean±SD DC score was significantly lower in the intervention group (7.35±8.55) compared
to the control group (27.32±13.81) (95%CI; 16.80-24.19, P=0.001). In addition, there was
a significant difference between the two groups in terms of undergoing the offered FTS
(P=0.04). The DC scores ≥25 were associated with a decreased chance of undergoing FTS
(P=0.02). Women were less likely to undergo FTS when they were self-employed (OR=0.15,
95%CI; 0.03-0.71, P=0.01).
Conclusion: The SDM consultation can help women experience significantly lower levels of
DC. Furthermore, factors such as self-employment can prevent women from undergoing FTS
despite lower levels of DC.
(FTS) tests. These factors are associated with the ambivalence of women toward undergoing
screening tests.
Objective: This study aimed to investigate the effect of Shared Decision-Making (SDM) about
undergoing FTS on Decisional Conflict (DC) immediately after consultation and uptake of FTS.
Materials and Methods: This quasi-experimental study was conducted on 200 pregnant
women (100 women in the intervention and 100 in the control groups) referred to
health centers for prenatal care in 2019. They were selected by the block randomization
sampling method. The control group received the routine care and the intervention
group, in addition to routine care, attended a 90-min long consultation session based on
SDM. The women were contacted via phone at 14 weeks of pregnancy to collect data
on their undertaking prenatal screening tests. The demographic characteristics form and
O’Conner’s decisional conflict scale were filled out immediately after the consultation
session for the intervention group. The obtained data were analyzed by the Chi-square,
Fisher exact-test, Mann-Whitney U, and linear regression tests. The P value less than 0.05
was considered statistically significant.
Results: There was no significant difference between the two groups regarding women’s
demographic characteristics, except for education level, job, and insurance coverage. The
Mean±SD DC score was significantly lower in the intervention group (7.35±8.55) compared
to the control group (27.32±13.81) (95%CI; 16.80-24.19, P=0.001). In addition, there was
a significant difference between the two groups in terms of undergoing the offered FTS
(P=0.04). The DC scores ≥25 were associated with a decreased chance of undergoing FTS
(P=0.02). Women were less likely to undergo FTS when they were self-employed (OR=0.15,
95%CI; 0.03-0.71, P=0.01).
Conclusion: The SDM consultation can help women experience significantly lower levels of
DC. Furthermore, factors such as self-employment can prevent women from undergoing FTS
despite lower levels of DC.
Creator
Zahra Moudi , Raheleh Jam, Hossein Ansari , Mostafa Montazer Zohour
Date
January 2022, Volume 32, Number 1
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Citation
Zahra Moudi , Raheleh Jam, Hossein Ansari , Mostafa Montazer Zohour, “JURNAL INTERNASIONAL KEBIDANAN 2020-2023 UNIVERSITAS KEDOKTERAN GUILAN VOLUME 32 ISSUE 1.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
Effect of Shared Decision-making on Decisional Conflict and Uptake of First-trimester Screening Tests,” Repository Horizon University Indonesia, accessed October 13, 2024, https://repository.horizon.ac.id/items/show/918.
JOURNAL OF HOLISTIC NURSING OF MIDWIFERY.
Effect of Shared Decision-making on Decisional Conflict and Uptake of First-trimester Screening Tests,” Repository Horizon University Indonesia, accessed October 13, 2024, https://repository.horizon.ac.id/items/show/918.