title: Field testing of decision coaching with a decision aid for parents facing extreme prematurity.
abstract: The objective of this study is to assess and modify an existing decision aid and field-test decision coaching with the modified aid during consultations with parents facing potential delivery at 23 to 24 weeks gestation.
  
  
  
  International Patient Decision Aid Standards instrument (IPDASi) scoring deficits, multi-stakeholder group feedback and α-testing guided modifications. Feasibility/acceptability were assessed. The Decisional Conflict Scale was used to measure participants' decisional conflict before (T1) and immediately after (T2) the consultation.
  
  
  
  IPDASi assessment of the existing aid (score 11/35) indicated it required updated data, more information and a palliative care description. Following modification, IPDASi score increased to 26/35. Twenty subjects (12 pregnancies) participated in field-testing; 15 completed all questionnaires. Most participants (89%) would definitely recommend this form of consultation. Decisional conflict scores decreased (P<0.001) between T1 (52±25) and T2 (10±16).
  
  
  
  Field testing demonstrated that consultations using the aid with decision coaching were feasible, reduced decisional conflict and may facilitate shared decision-making.
authors.affiliation: Division of Neonatology, Department of Obstetrics, Gynecology and Newborn Care, The Ottawa Hospital, Ottawa, ON, Canada.|CHEO Research Institute, Ottawa, ON, Canada.|Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
authors.forename: G P
authors.initials: GP
authors.lastname: Moore
authors.affiliation: Division of Neonatology, Department of Obstetrics, Gynecology and Newborn Care, The Ottawa Hospital, Ottawa, ON, Canada.|CHEO Research Institute, Ottawa, ON, Canada.|Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
authors.forename: B
authors.initials: B
authors.lastname: Lemyre
authors.affiliation: Division of Neonatology, Department of Obstetrics, Gynecology and Newborn Care, The Ottawa Hospital, Ottawa, ON, Canada.|CHEO Research Institute, Ottawa, ON, Canada.|Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
authors.forename: T
authors.initials: T
authors.lastname: Daboval
authors.affiliation: CHEO Research Institute, Ottawa, ON, Canada.
authors.forename: S
authors.initials: S
authors.lastname: Ding
authors.affiliation: CHEO Research Institute, Ottawa, ON, Canada.|Better Outcomes Registry &Network (BORN), Ottawa, ON, Canada.
authors.forename: S
authors.initials: S
authors.lastname: Dunn
authors.affiliation: CHEO Research Institute, Ottawa, ON, Canada.
authors.forename: S
authors.initials: S
authors.lastname: Akiki
authors.affiliation: CHEO Research Institute, Ottawa, ON, Canada.
authors.forename: N
authors.initials: N
authors.lastname: Barrowman
authors.affiliation: CHEO Research Institute, Ottawa, ON, Canada.|Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
authors.forename: A L
authors.initials: AL
authors.lastname: Shephard
authors.affiliation: CHEO Research Institute, Ottawa, ON, Canada.|Children's Hospital of Eastern Ontario, Ottawa, ON, Canada.
authors.forename: M L
authors.initials: ML
authors.lastname: Lawson
mesh_terms: D000328:Adult; D002170:Canada; D003657:Decision Making; D003661:Decision Support Techniques; D005260:Female; D006801:Humans; D062071:Infant, Extremely Premature; D007231:Infant, Newborn; D008297:Male; D000071252:Mentoring / Q000379:methods*; D010290:Parents; D011247:Pregnancy; D011795:Surveys and Questionnaires