Trial reportThe Journal of pediatrics2019
Evaluating the Use of a Decision Aid for Parents Facing Extremely Premature Delivery: A Randomized Trial.
Trial report in The Journal of pediatrics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01713894 (Utility of a Clinically Relevant Decision Aid, for Parents Facing Extremely Premature Delivery), which is not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Utility of a Clinically Relevant Decision Aid, for Parents Facing Extremely Premature Delivery
Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Swiss Recommendations for the Perinatal Care of Extremely Low Gestational Age Neonates.Acta paediatrica (Oslo, Norway : 1992) · 2026Guideline
- Decision aids for people facing health treatment or screening decisions.The Cochrane database of systematic reviews · 2024Pooled it
- Decision coaching for people making healthcare decisions.The Cochrane database of systematic reviews · 2021Pooled it
- Optimistic vs Pessimistic Message Framing in Communicating Prognosis to Parents of Very Preterm Infants: The COPE Randomized Clinical Trial.JAMA network open · 2024Trial
- Prenatal consults with illustrated literature (PnCIL): a RCT studying visual aids during prenatal consults.Journal of perinatology : official journal of the California Perinatal Association · 2020Trial
- Effect of Neonatal Outcome Estimates on Decision-Making Preferences of Mothers Facing Preterm Birth: A Randomized Clinical Trial.JAMA pediatrics · 2020Trial
- Perinatal prediction of mortality for neonates born at 22-25 weeks gestation.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Integrating family values into antenatal consultations: An observational study on structured communication training curriculum for neonatal care providers.World journal of clinical pediatrics · 2026Article
- Development of a checklist for evaluation of shared decision-making in consultation for extremely preterm delivery.Journal of perinatology : official journal of the California Perinatal Association · 2025Article
- Qualitative analysis of mothers' perception related to the delivery of information regarding preterm births.BMC pregnancy and childbirth · 2024Article
- Strategies to improve interpersonal communication along the continuum of maternal and newborn care: A scoping review and narrative synthesis.PLOS global public health · 2023Article
- A Qualitative Study of Parental Perspectives on Prenatal Counseling at Extreme Prematurity.The Journal of pediatrics · 2022Article
- The 30-Minute Sprint: Recognizing Intrapartum Prematurity Counseling Limitations.Journal of pediatric intensive care · 2022Article
- Words matter: exploring communication between parents and neonatologists.Journal of perinatology : official journal of the California Perinatal Association · 2022Article
- Decisional Satisfaction, Regret, and Conflict Among Parents of Infants with Neurologic Conditions.The Journal of pediatrics · 2022Article
- Decision making at extreme prematurity: Innovation in clinician education.Seminars in perinatology · 2022Article
- Decision-making in imminent extreme premature births: perceived shared decision-making, parental decisional conflict and decision regret.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Optimism bias in understanding neonatal prognoses.Journal of perinatology : official journal of the California Perinatal Association · 2021Article
- Outcomes following medical termination versus prolonged pregnancy in women with severe preeclampsia before 26 weeks.PloS one · 2021Article
- Historical Perspectives: Shared Decision Making in the NICU.NeoReviews · 2020Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
objectiveTo assess decisional conflict and knowledge about prematurity among mothers facing extreme premature delivery when the counseling clinicians were randomized to counsel using a validated decision aid compared with usual counseling. STUDY
designIn this randomized trial, clinicians at 5 level III neonatal intensive care units in the US were randomized to supplement counseling using the decision aid or to counsel mothers in their usual manner. We enrolled mothers with threatened premature delivery at 22
resultsNinety-two clinicians were randomized and 316 mothers were counseled. Of these, 201 (64%) mothers were enrolled. The median gestational age was 24.1 weeks (IQR 23.7-24.9). In both groups, DCS scores were low (16.3 ± 18.2 vs 16.8 ± 17, P = .97) and Preparedness for Decision Making scores were high (73.4 ± 28.3 vs 70.5 ± 31.1, P = .33). There was a significantly greater knowledge score in the decision aid group (66.2 ± 18.5 vs 57.2 ± 18.8, P = .005). Most clinicians and parents found the decision aid useful.
conclusionsFor parents facing extremely premature delivery, use of a decision aid did not impact maternal decisional conflict, but it significantly improved knowledge of complex information. A structured decision aid may improve comprehension of complex information.
trial registrationClinicaltrials.gov: NCT01713894.
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