Journal article
Developing an Internet-Based Decision Aid for Women Choosing Between Vaginal Birth After Cesarean and Planned Repeat Cesarean
Journal of midwifery & women's health, Vol.60(4), pp.390-400
07/2015
DOI: 10.1111/jmwh.12298
PMID: 26059075
Abstract
IntroductionIn response to the call to develop strategies to engage women and providers in shared decision making, this article outlines a framework and process used to create an Internet-based decision aid about birth choices after previous cesarean. Recognizing the potential benefits of mobile health information technology, a paper-based decision aid was transformed into a secure, interactive Web site to meet the diverse needs of women and providers in this often challenging health care decision.
MethodsAn iterative and participatory research approach was used, engaging targeted users (pregnant women and pregnancy care providers) in the design and development process.
ResultsWomen recommended that features and functions of the decision aid should include individualized information, trustworthy evidence, a secure and private site, quizzes to check knowledge, and a way to share values and preferences with their providers. Providers recommended individualized information for women, a process for women to share and document values and preferences with providers, and balanced, straightforward and complete information about the risks and benefits of each option.
DiscussionThere is great potential for direct linkage between Internet-based decision aids and the electronic medical record. Work is currently underway to integrate and evaluate the Internet-based decision aid within busy practice settings to support shared decision making. This article is part of a special series of articles that address midwifery innovations in clinical practice, education, interprofessional collaboration, health policy, and global health. (C) 2015 by the American College of Nurse-Midwives.
Details
- Title: Subtitle
- Developing an Internet-Based Decision Aid for Women Choosing Between Vaginal Birth After Cesarean and Planned Repeat Cesarean
- Creators
- Allison Shorten - Yale UniversityAngela Fagerlin - University of MichiganJessica Illuzzi - Yale UniversityHolly P. Kennedy - Yale UniversityHannah Lakehomer - Yale UniversityChristian M. Pettker - Yale New Haven Med Ctr, Obstet Gynecol & Reprod Sci, New Haven, CT 06504 USAAllison Saran - Yale UniversityHolly Witteman - Univ Laval, Dept Family & Emergency Med, Quebec City, PQ, CanadaRobin Whittemore - Yale University
- Resource Type
- Journal article
- Publication Details
- Journal of midwifery & women's health, Vol.60(4), pp.390-400
- DOI
- 10.1111/jmwh.12298
- PMID
- 26059075
- NLM abbreviation
- J Midwifery Womens Health
- ISSN
- 1526-9523
- eISSN
- 1542-2011
- Publisher
- Wiley
- Number of pages
- 11
- Grant note
- (R21) R21 HS 022114 / Agency for Health Care Research and Quality, Exploratory and Developmental Grant to Improve Health Care Quality Through Health Information Technology (IT) R21HS022114 / AGENCY FOR HEALTHCARE RESEARCH AND QUALITY; United States Department of Health & Human Services; Agency for Healthcare Research & Quality
- Language
- English
- Date published
- 07/2015
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9985244664502771
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