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Shared decision aids in pregnancy care: A scoping review
Kate Kennedy1, Pamela Adelson2, Julie Fleet3
1Rosemary Bryant AO Research Centre, School of Nursing and Midwifery, Division of Health Sciences, University of South Australia, Australia. GPO Box 2471, Adelaide, SA 5001, Australia.
Midwifery
|December 3, 2019
Summary
Shared decision aids for pregnancy and birth improve informed choices by reducing decisional conflict and increasing knowledge. These tools are effective regardless of format, supporting women in making key healthcare decisions.
Area of Science:
- Maternal Health
- Healthcare Decision-Making
- Evidence Synthesis
Background:
- Shared decision-making (SDM) is crucial for woman-centered maternity care.
- Despite evidence, SDM adoption in pregnancy care remains slow.
Purpose of the Study:
- To identify and describe effective shared decision aids for antenatal care in Australia.
- To assess the quality, feasibility, and cultural appropriateness of these aids for diverse populations, including those with low literacy.
Main Methods:
- A scoping review using PRISMA-ScR guidelines.
- Searched five databases and grey literature (2009 onwards).
- Assessed 27 decision aids for quality and usability using International Patient Decision Aid Standards.
Main Results:
- 27 decision aids identified, primarily for birth (52%) and antenatal screening (37%).
- Moderate to high quality aids effectively communicated risks/benefits.
- Decision aids reduced decisional conflict and increased knowledge; format (paper, video, audio) did not impact outcomes.
- 11 aids suitable for low literacy, 6 for culturally diverse groups; none specific to Aboriginal and Torres Strait Islander peoples.
Conclusions:
- 27 decision aids are adoptable in Western healthcare settings for use by clinicians with women.
- Decision aids supplement, not replace, healthcare professional interaction.
- High-quality decision aids enhance women's understanding of medical terminology and options, decreasing conflict and increasing knowledge.
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