Evidence map›Paper›PMID 36550063›Full record

Trial reportPrenatal diagnosis2023

Does an educational video for aneuploidy screening improve informed choice among pregnant women? A randomised controlled trial.

Karen Mei Xian Lim, Celine Lewis, Hung Chew Wong, Glenda Sze Ling Chong, Arundhati Gosavi, Mahesh Arjandas Choolani

Registry-linked trialOpen access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Prenatal diagnosis, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05492981 (Does an Educational Video for Aneuploidy Screening Improve Informed Choice Among Pregnant Women? A Randomized Controlled Trial), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT05492981 naunknown statusnot on this map

Does an Educational Video for Aneuploidy Screening Improve Informed Choice Among Pregnant Women? A Randomized Controlled Trial

TypeinterventionalSponsorNational University Hospital, SingaporeRan2021 to 2022Enrolled286ConditionsAneuploidy, Down Syndrome, Pregnancy EarlyArmsEnhanced (intervention) education
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 2 countries.

Karen Mei Xian LimDepartment of Obstetrics & Gynaecology, National University Hospital, Singapore, Singapore.ORCID 0000-0002-8524-2177
Celine LewisPopulation, Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, UK.ORCID 0000-0001-7169-1521
Hung Chew WongYong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Glenda Sze Ling ChongDepartment of Obstetrics & Gynaecology, National University Hospital, Singapore, Singapore.
Arundhati GosaviDepartment of Obstetrics & Gynaecology, National University Hospital, Singapore, Singapore.
Mahesh Arjandas ChoolaniDepartment of Obstetrics & Gynaecology, National University Hospital, Singapore, Singapore.ORCID 0000-0001-8336-0973
National University of Singapore · SGNational University Hospital · SGGreat Ormond Street Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPoor knowledge and the lack of deliberation have been cited as reasons for women making uninformed choices about aneuploidy screening. Adequate pre-test counselling is of particular importance where non-invasive prenatal screening (NIPS) is being increasingly offered as a primary screening test.

designWomen attending the antenatal clinic with a singleton pregnancy below 14 weeks were randomised to receive routine counselling or the intervention-a 16-min educational video on aneuploidy screening before their consult. The primary outcome, rate of informed choice, was assessed using an adapted multidimensional measure of informed choice questionnaire, where informed choice was defined as good knowledge and value-consistent behaviour. Secondary outcomes included informed choice with deliberation, decisional conflict and anxiety.

resultsTwo hundred and eighty-six women were recruited. 69.8% of women in the intervention group made an informed choice compared with 53.6% in the control group (Risk Ratio [RR] 1.30, p = 0.014). A significantly higher number of women in the intervention group had good knowledge compared to controls (81% vs. 60.9%; RR 1.33, p = 0.001). Decisional conflict did not differ between groups, but women in the intervention group had higher anxiety scores (p < 0.001).

conclusionThe study intervention was effective in helping women make informed choice. Qualitative studies to determine the reason for increased anxiety are needed.

trial registrationTrial registry: ClinicalTrials.gov; Identifier: NCT05492981.

Indexed as

Pregnant PeoplePrenatal DiagnosisAneuploidyAnxietyFemaleHumansPregnancy

Identifiers

PMID36550063
PMCPMC10107633
OpenAlexW4312096919

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.