ArticleHealth research policy and systems2023
Co-designing a theory-informed intervention to increase shared decision-making in maternity care.
Article in Health research policy and systems, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Cocreation and codesign in maternal health: processes, outcomes and implementation challenges.BMJ quality & safety · 2026Pooled it
- Trust As the Foundation for Informed Decision-Making in Prenatal Genetic Screening and Diagnostic Testing: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Health information delivery to patients at risk of having a small for gestational age/growth restricted baby in Aotearoa New Zealand: what can we learn from lived experience?BMC pregnancy and childbirth · 2026Article
- Virtual Maternity Care During Pregnancy: A Metasynthesis of the Qualitative Literature on Women's Experiences.International journal of environmental research and public health · 2026Review
- Preconception Perceptions, Knowledge and Behaviours of Women With Gestational Diabetes Mellitus: A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Person-centered maternity care: adaptation and validation of a tool to measure person-centered maternity care in Sri Lanka.Reproductive health · 2025Article
- The Development of the CAIRDE General Awareness Training.International journal of environmental research and public health · 2025Article
- An evidence-based digital prescription opioid safety toolkit for national dissemination: co-design and user testing.Frontiers in digital health · 2025Article
- A qualitative exploration of women's expectations of birth and knowledge of birth interventions following antenatal education.BMC pregnancy and childbirth · 2024Article
- Co-creation of a health literate-sensitive training and conversation aid to support shared decision-making in maternity care.PEC innovation · 2024Article
- Shared Decision Making in Perinatal Care.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2024Article
- Knowledge, attitude, and practice of atrial fibrillation in high altitude areas.Frontiers in public health · 2024Article
- Increasing chronic disease preventive care in community mental health services: clinician-generated strategies.BMC psychiatry · 2023Article
- "The Terminology Might Be Ahead of Practice": Embedding Shared Decision Making in Practice-Barriers and Facilitators to Implementation of SDM in the Context of Maternity Care.MDM policy & practiceArticle
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundShared decision-making (SDM) has been shown to improve healthcare outcomes and is a recognized right of patients. Policy requires health services to implement SDM. However, there is limited research into what interventions work and for what reasons. The aim of the study was to develop a series of interventions to increase the use of SDM in maternity care with stakeholders.
methodsInterventions to increase the use of SDM in the setting of pregnancy care were developed using Behaviour Change Wheel and Theoretical Domains Framework and building on findings of an in-depth qualitative study which were inductively analysed. Intervention development workshops involved co-design, with patients, clinicians, health service administrators and decision-makers, and government policy makers. Workshops focused on identifying viable SDM opportunities and tailoring interventions to the local context (the Royal Women's Hospital) and salient qualitative themes.
resultsPain management options during labour were identified by participants as a high priority for application of SDM, and three interventions were developed including patient and clinician access to the Victorian Government's maternity record via the patient portal and electronic medical records (EMR); a multi-layered persuasive communications campaign designed; and clinical champions and SDM simulation training. Factors identified by participants for successful implementation included having alignment with strategic direction of the service, support of leaders, using pre-standing resources and workflows, using clinical champions, and ensuring equity.
conclusionThree interventions co-designed to increase the use of SDM for pain management during labour address key barriers and facilitators to SDM in maternity care. This study exemplifies how health services can use behavioural science and co-design principles to increase the use of SDM. Insights into the co-design of interventions to implement SDM in routine practice provide a framework for other health services, policy makers and researchers.
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