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Decision aids for prenatal testing: A systematic review and meta-analysis.
Lin Yu1, Shu Yang1, Chunmiao Zhang2
1School of Nursing, Jilin University, Changchun, Jilin Province, China.
Journal of Advanced Nursing
|May 4, 2021
Summary
Decision aids (DAs) significantly improve pregnant women's knowledge and satisfaction with prenatal testing decisions. These tools enhance informed choices without increasing anxiety or regret, supporting patient-centered care.
Area of Science:
- Reproductive Health
- Medical Decision-Making
- Evidence-Based Practice
Background:
- Patient-centered care emphasizes incorporating pregnant women's values into prenatal testing decisions.
- Decision aids (DAs) are tools designed to support informed choices in healthcare.
Purpose of the Study:
- To systematically review and meta-analyze the impact of decision aids (DAs) on pregnant women's prenatal testing decisions.
- To evaluate the effect of DAs on knowledge, decision conflict, anxiety, and other outcomes.
Main Methods:
- Systematic review and meta-analysis of 18 studies.
- Searched major databases (Embase, PubMed, Web of Science, Cochrane Library) up to October 2020.
- Assessed study quality using the Cochrane risk of bias tool.
Main Results:
- Decision aids significantly improved knowledge and decision-making satisfaction.
- DAs reduced decision conflict and increased informed choice proportions.
- No significant influence on anxiety or decision regret was observed.
Conclusions:
- Decision aids positively impact pregnant women's decision-making regarding prenatal testing.
- Nurses should develop and implement DAs for diverse pregnant populations.
- DAs enhance patient participation and decision quality in prenatal testing.
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