ArticleHealth expectations : an international journal of public participation in health care and health policy2007
Decision-making about mode of delivery after previous caesarean section: development and piloting of two computer-based decision aids.
Article in Health expectations : an international journal of public participation in health care and health policy, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 6 of them syntheses that pooled it.
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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.
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Who cites it
15 citing papers in PubMed, 6 syntheses or guidelines pooled it.
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Public target interventions to reduce the inappropriate use of medicines or medical procedures: a systematic review.Implementation science : IS · 2020Pooled it
- Women's and communities' views of targeted educational interventions to reduce unnecessary caesarean section: a qualitative evidence synthesis.Reproductive health · 2018Pooled it
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2017Pooled it
- Features of Computer-Based Decision Aids: Systematic Review, Thematic Synthesis, and Meta-Analyses.Journal of medical Internet research · 2016Pooled it
- Interventions for supporting pregnant women's decision-making about mode of birth after a caesarean.The Cochrane database of systematic reviews · 2013Pooled it
- Preferences for mode of delivery after previous caesarean section: what do women want, what do they get and how do they value outcomes?Health expectations : an international journal of public participation in health care and health policy · 2011Trial
- Two decision aids for mode of delivery among women with previous caesarean section: randomised controlled trial.BMJ (Clinical research ed.) · 2007Trial
- Practical applications of methods to incorporate patient preferences into medical decision models: a scoping review.BMC medical informatics and decision making · 2025Article
- Clinical decision support systems for maternity care: a systematic review and meta-analysis.EClinicalMedicine · 2024Article
- Educational interventions targeting pregnant women to optimise the use of caesarean section: What are the essential elements? A qualitative comparative analysis.BMC public health · 2023Article
- Simulation model of the relationship between cesarean section rates and labor duration.Health care management science · 2019Article
- User-testing an interactive option grid decision aid for prostate cancer screening: lessons to improve usability.BMJ open · 2019Article
- A critical analysis of the implementation of service user involvement in primary care research and health service development using normalization process theory.Health expectations : an international journal of public participation in health care and health policy · 2016Review
- Delivering information: a descriptive study of Australian women's information needs for decision-making about birth facility.BMC pregnancy and childbirth · 2012Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo 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.
backgroundWomen 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.
designA 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
setting15 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.
resultsParticipants 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.
conclusionsThis 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.
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