Introduction: Several factors influence women’s decision to take First Trimester Screening (FTS) tests. These factors are associated with the ambivalence of women toward undergoing screening tests.  Objective: This study aimed to investigate the effect of Shared Decision-Making (SDM) about undergoing FTS on Decisional Conflict (DC) immediately after consultation and uptake of FTS. Materials a...

BACKGROUND In the UK public concern about the safety of the combined measles, mumps and rubella [MMR] vaccine continues to impact on MMR coverage. Whilst the sharp decline in uptake has begun to level out, first and second dose uptake rates remain short of that required for population immunity. Furthermore, international research consistently shows that some parents lack confidence in making a ...

BACKGROUND Decision aids (DAs) increase patient knowledge, reduce decisional conflict, and promote shared decision making (SDM). The extent to which they do so across diverse sociodemographic patient groups is unknown. METHODS AND RESULTS We conducted a patient-level meta-analysis of 7 randomized trials of DA versus usual care comprising 771 encounters between patients and clinicians discussi...

OBJECTIVE To explore the practices of Canadian obstetricians, family physicians, and midwives in recommending bed rest or activity restriction for women at risk for preterm birth (PTB) and to assess the decisional conflict experienced by care providers when they recommend these therapies. METHODS A self-administered mail survey of prenatal care providers was carried out using Dillman's Tailor...

OBJECTIVE This study examines the efficacy of an online screening decision aid (DA) for men with a family history of prostate cancer. METHODS Unaffected Australian men (40-79 years) with at least one affected relative completed the first online questionnaire, were randomized to read either the tailored DA (intervention) or nontailored information about prostate cancer screening (control), the...

BACKGROUND There is a lack of evidence regarding the value of tools designed to aid decision making in patients with newly diagnosed hypertension. AIM To evaluate two interventions for assisting newly diagnosed hypertensive patients in the decision whether to start drug therapy for reducing blood pressure. DESIGN OF STUDY Factorial randomised controlled trial. SETTING Twenty-one general p...

BACKGROUND Not providing adequate patient education interventions to asthma patients remains a major care gap. To help asthma patients and caregivers discuss inhaled controller medication use, our team has previously developed a decision aid (DA). We sought to assess whether adding this DA to education interventions improved knowledge, decisional conflict, and asthma control among adults with a...

The paper deals with the issue of decisional efficiency at European level, given EU’s large bureaucracy and complex decision-making system. The functionality of institutions seems to be assured, to large extent, by the development of a parallel system of informal (or semi-formal) rules and procedures for negotiation and decision-making, which complements and sometimes replaces the formal proced...

background regular physical activity contributes positively to physiological and psychological health. this study aimed to identify exercise behavior changes, self efficacy and decisional balance in nursing and midwifery students. methods this is a cross-sectional study carried out in iran. all undergraduate nursing and midwifery students (n=300) participated in this study. data were collected ...

STUDY QUESTION How do female patients experience fertility preservation (FP) consultation (FPC) with a specialist in reproductive medicine and subsequent decision-making on FP? SUMMARY ANSWER Most patients had positive experiences with FPC, but negative experiences were found to be associated with decisional conflict and decision regret. WHAT IS KNOWN ALREADY When confronted with a need for...