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Updated: Nov 10, 2025

Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling
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Information Order for Periviable Counseling: Does It Make a Difference?

Siobhan McDonnell1, Ke Yan2, U Olivia Kim1

  • 1Department of Pediatrics, Division of Neonatology, Medical College of Wisconsin, Milwaukee, WI.

The Journal of Pediatrics
|April 3, 2021
PubMed
Summary
This summary is machine-generated.

Presenting survival information before disability data slightly increases the likelihood of choosing intensive care for periviable births. However, individual values significantly impact treatment decisions.

Keywords:
decision-makingparentpatient-centered carepremature birthpremature infant

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Area of Science:

  • Perinatal medicine
  • Medical ethics
  • Decision science

Background:

  • Periviable birth counseling requires presenting complex survival and disability information.
  • Understanding how information presentation affects treatment choices is crucial for ethical counseling.

Purpose of the Study:

  • To investigate if the order of presenting survival versus disability information influences treatment decisions in hypothetical periviable birth scenarios.
  • To assess the impact of detailing neonatal intensive care unit (NICU) experiences on these decisions.

Main Methods:

  • An online survey of 839 women of childbearing age.
  • Randomized presentation of survival and disability pictographs, with or without NICU experience details.
  • Participants chose between intensive care or comfort care and reported personal values.

Main Results:

  • The order of information significantly influenced treatment choice (P=.02), with survival-first presentation favoring intensive care (70% vs 62%).
  • NICU experience details did not affect treatment choice (P=.92).
  • Personal values (sanctity of life, autonomy, religiosity, health literacy) were stronger predictors of intensive care preference than information order.

Conclusions:

  • Subtle changes in information sequencing can impact critical perinatal treatment decisions.
  • Despite presentation effects, significant diversity in treatment choices persists, underscoring the role of individual values.