Trial reportBMJ (Clinical research ed.)2002
Use of evidence based leaflets to promote informed choice in maternity care: randomised controlled trial in everyday practice.
Trial report in BMJ (Clinical research ed.), 2002. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 14 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
41 citing papers in PubMed, 14 syntheses or guidelines pooled it.
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Analysing cluster randomised controlled trials using GLMM, GEE1, GEE2, and QIF: results from four case studies.BMC medical research methodology · 2023Pooled it
- Decision coaching for people making healthcare decisions.The Cochrane database of systematic reviews · 2021Pooled it
- Pooled it
- A systematic review of person-centered care interventions to improve quality of facility-based delivery.Reproductive health · 2018Pooled it
- Interventions for increasing the use of shared decision making by healthcare professionals.The Cochrane database of systematic reviews · 2018Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Measuring informed choice in population-based reproductive genetic screening: a systematic review.European journal of human genetics : EJHG · 2015Pooled it
- Client preferences affect treatment satisfaction, completion, and clinical outcome: a meta-analysis.Clinical psychology review · 2014Pooled it
- Interventions to promote informed consent for patients undergoing surgical and other invasive healthcare procedures.The Cochrane database of systematic reviews · 2013Pooled it
- Enhancing informed choice to undergo health screening: a systematic review.American journal of health behavior · 2013Pooled it
- Patients' perceptions of sharing in decisions: a systematic review of interventions to enhance shared decision making in routine clinical practice.The patient · 2012Pooled it
- Individual or group antenatal education for childbirth or parenthood, or both.The Cochrane database of systematic reviews · 2007Pooled it
- A systematic review of information in decision aids.Health expectations : an international journal of public participation in health care and health policy · 2007Pooled it
- Trial
- Assisting informed decision making for labour analgesia: a randomised controlled trial of a decision aid for labour analgesia versus a pamphlet.BMC pregnancy and childbirth · 2010Trial
- Evaluation of a decision aid for women with breech presentation at term: a randomised controlled trial [ISRCTN14570598].BJOG : an international journal of obstetrics and gynaecology · 2007Trial
- Qualitative study of evidence based leaflets in maternity care.BMJ (Clinical research ed.) · 2002Trial
- Perspectives of pregnant women on maternal health information handouts at KwaZulu-Natal sub-district.African journal of primary health care & family medicine · 2024Article
- A survey on the perceptions of midwives, women, and support persons on the introduction of a support person information resource.European journal of midwifery · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo assess the effect of leaflets on promoting informed choice in women using maternity services.
designCluster trial, with maternity units randomised to use leaflets (intervention units) or offer usual care (control units). Data collected through postal questionnaires.
setting13 maternity units in Wales.
participantsFour separate samples of women using maternity services. Antenatal samples: women reaching 28 weeks' gestation before (n=1386) and after (n=1778) the intervention. Postnatal samples: women at eight weeks after delivery before (n=1741) and after (n=1547) the intervention.
interventionProvision of 10 pairs of Informed Choice leaflets for service users and midwives and a training session for staff in their use.
main outcome measuresChange in the proportion of women who reported exercising informed choice. SECONDARY OUTCOMES: changes in women's knowledge; satisfaction with information, choice, and discussion; and possible consequences of informed choice.
resultsThere was no change in the proportion of women who reported that they exercised informed choice in the intervention units compared with the control units for either antenatal or postnatal women. There was a small increase in satisfaction with information in the antenatal samples in the intervention units compared with the control units (odds ratio 1.40, 95% confidence interval 1.05 to 1.88). Only three quarters of women in the intervention units reported being given at least one of the leaflets, indicating problems with the implementation of the intervention.
conclusionIn everyday practice, evidence based leaflets were not effective in promoting informed choice in women using maternity services.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.