scholarly journals Role of Psychosocial Factors and Health Literacy in Pregnant Women’s Intention to Use a Decision Aid for Down Syndrome Screening: A Theory-Based Web Survey

2016 ◽  
Vol 18 (10) ◽  
pp. e283 ◽  
Author(s):  
Agathe Delanoë ◽  
Johanie Lépine ◽  
Stéphane Turcotte ◽  
Maria Esther Leiva Portocarrero ◽  
Hubert Robitaille ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Health Literacy ◽  
Psychosocial Factors ◽  
Decision Aid ◽  
Intention To Use ◽  
Web Survey ◽  
Down Syndrome Screening

scholarly journals Psychosocial Factors of Health Professionals’ Intention to Use a Decision Aid for Down Syndrome Screening: Cross-Sectional Quantitative Study

2018 ◽  
Vol 20 (4) ◽  
pp. e114 ◽  
Author(s):  
Samira Abbasgholizadeh Rahimi ◽  
Johanie Lépine ◽  
Jordie Croteau ◽  
Hubert Robitaille ◽  
Anik MC Giguere ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Psychosocial Factors ◽  
Quantitative Study ◽  
Health Professionals ◽  
Decision Aid ◽  
Intention To Use ◽  
Cross Sectional ◽  
Down Syndrome Screening

scholarly journals Psychosocial Factors of Health Professionals� Intention to Use a Decision Aid for Down Syndrome Screening: Cross-Sectional Quantitative Study (Preprint)

2017 ◽  
Author(s):  
Samira Abbasgholizadeh Rahimi ◽  
Johanie Lépine ◽  
Jordie Croteau ◽  
Hubert Robitaille ◽  
Anik MC Giguere ◽  
...  
Keyword(s):  
Decision Making ◽  
Down Syndrome ◽  
Shared Decision Making ◽  
Health Professionals ◽  
Decision Aid ◽  
Decision Aids ◽  
Intention To Use ◽  
Shared Decision ◽  
Factors Influencing ◽  
Down Syndrome Screening

BACKGROUND Decisions about prenatal screening for Down syndrome are difficult for women, as they entail risk, potential loss, and regret. Shared decision making increases women’s knowledge of their choices and better aligns decisions with their values. Patient decision aids foster shared decision making but are rarely used in this context. OBJECTIVE One of the most promising strategies for implementing shared decision making is distribution of decision aids by health professionals. We aimed to identify factors influencing their intention to use a DA during prenatal visit for decisions about Down syndrome screening. METHODS We conducted a cross-sectional quantitative study. Using a Web panel, we conducted a theory-based survey of health professionals in Quebec province (Canada). Eligibility criteria were as follows: (1) family physicians, midwives, obstetrician-gynecologists, or trainees in these professions; (2) involved in prenatal care; and (3) working in Quebec province. Participants watched a video depicting a health professional using a decision aid during a prenatal consultation with a woman and her partner, and then answered a questionnaire based on an extended version of the theory of planned behavior, including some of the constructs of the theoretical domains framework. The questionnaire assessed 8 psychosocial constructs (attitude, anticipated regret, subjective norm, self-identity, moral norm, descriptive norm, self-efficacy, and perceived control), 7 related sets of behavioral beliefs (advantages, disadvantages, emotions, sources of encouragement or discouragement, incentives, facilitators, and barriers), and sociodemographic data. We performed descriptive, bivariate, and multiple linear regression analyses to identify factors influencing health professionals’ intention to use a decision aid. RESULTS Among 330 health professionals who completed the survey, 310 met the inclusion criteria: family physicians, 55.2% (171/310); obstetrician-gynecologists, 33.8% (105/310); and midwives, 11.0% (34/310). Of these, 80.9% were female (251/310). Mean age was 39.6 (SD 11.5) years. Less than half were aware of any decision aids at all. In decreasing order of importance, factors influencing their intention to use a decision aid for Down syndrome prenatal screening were as follows: self-identity (beta=.325, P<.001), attitude (beta=.297, P<.001), moral norm (beta=.288, P<.001), descriptive norm (beta=.166, P<.001), and anticipated regret (beta=.099, P=.003). Underlying behavioral beliefs significantly related to intention were that the use of a decision aid would promote decision making (beta=.117, 95% CI 0.043-0.190), would reassure health professionals (beta=.100, 95% CI 0.024-0.175), and might require more time than planned for the consultation (beta=−.077, 95% CI −0.124 to −0.031). CONCLUSIONS We identified psychosocial factors that could influence health professionals’ intention to use a decision aid about Down syndrome screening. Strategies should remind them of the following: (1) using a decision aid for this purpose should be a common practice, (2) it would be expected of someone in their societal role, (3) the experience of using it will be satisfying and reassuring, and (4) it is likely to be compatible with their moral values.

scholarly journals Health literacy in pregnant women facing prenatal screening may explain their intention to use a patient decision aid: a short report

2016 ◽  
Vol 9 (1) ◽  
Author(s):  
Agathe Delanoë ◽  
Johanie Lépine ◽  
Maria Esther Leiva Portocarrero ◽  
Hubert Robitaille ◽  
Stéphane Turcotte ◽  
...  
Keyword(s):  
Health Literacy ◽  
Pregnant Women ◽  
Decision Aid ◽  
Prenatal Screening ◽  
Intention To Use ◽  
Short Report ◽  
Patient Decision Aid ◽  
Patient Decision

scholarly journals Informed Choice for Participation in Down Syndrome Screening: Development and Content of a Web-Based Decision Aid

2015 ◽  
Vol 4 (3) ◽  
pp. e113 ◽  
Author(s):  
Mette Maria Skjøth ◽  
Helle Ploug Hansen ◽  
Eva Draborg ◽  
Claus Duedal Pedersen ◽  
Ronald F Lamont ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Pregnant Women ◽  
Decision Aid ◽  
Screening Program ◽  
Informed Choice ◽  
Care Providers ◽  
Patient Decision Aid ◽  
Web Based ◽  
Patient Decision ◽  
Down Syndrome Screening

Background In Denmark, all pregnant women are offered screening in early pregnancy to estimate the risk of having a fetus with Down syndrome. Pregnant women participating in the screening program should be provided with information and support to allow them to make an informed choice. There is increasing interest in the use of Web-based technology to provide information and digital solutions for the delivery of health care. Objective The aim of this study was to develop an eHealth tool that contained accurate and relevant information to allow pregnant women to make an informed choice about whether to accept or reject participation in screening for Down syndrome. Methods The development of the eHealth tool involved the cooperation of researchers, technology experts, clinicians, and users. The underlying theoretical framework was based on participatory design, the International Patient Decision Aid Standards (IPDAS) Collaboration guide to develop a patient decision aid, and the roadmap for developing eHealth technologies from the Center for eHealth Research and Disease Management (CeHRes). The methods employed were a systematic literature search, focus group interviews with 3 care providers and 14 pregnant women, and 2 weeks of field observations. A qualitative descriptive approach was used in this study. Results Relevant themes from pregnant women and care providers with respect to information about Down syndrome screening were identified. Based on formalized processes for developing patient decision aids and eHealth technologies, an interactive website containing information about Down syndrome, methods of screening, and consequences of the test was developed. The intervention was based on user requests and needs, and reflected the current hospital practice and national guidelines. Conclusions This paper describes the development and content of an interactive website to support pregnant women in making informed choices about Down syndrome screening. To develop the website, we used a well-structured process based on scientific evidence and involved pregnant women, care providers, and technology experts as stakeholders. To our knowledge, there has been no research on the combination of IPDAS standards and the CeHRes roadmap to develop an eHealth tool to target information about screening for Down syndrome.

scholarly journals PSYCHOSOCIAL PREDICTORS FOR THE INTENTION OF BRAZILIAN ELDERLY IN RECEIVING THE VACCINE AGAINST COVID-19

2021 ◽  
Author(s):  
Thales Coutinho ◽  
Fernando Assunção ◽  
Mariana Dias ◽  
Thiago Moraes ◽  
Natália Dias
Keyword(s):  
Older Adults ◽  
Psychosocial Factors ◽  
Positive Attitude ◽  
The Elderly ◽  
Political Orientation ◽  
Intention To Use ◽  
Psychosocial Predictors ◽  
Left Wing ◽  
Positive Intention

Abstract Once the immunizers are already available in the COVID-19 Pandemic, there is a need to identify the psychosocial factors that increase the positive attitude towards vaccines, particularly among the elderly. We investigated the role of psychosocial variables, which could affect the attitude towards the vaccines. Factors such as: uncertainty in relation to the vaccine, fear of COVID-19, political orientation, precisely the intention among the Brazilian elderly (>60 years, n = 328) to be vaccinated. There was a more positive intention towards Oxford-AstraZeneca in relation to Sinovac-CoronaVac. For the Oxford-AstraZeneca vaccine, less uncertainty regarding vaccines and greater fear of COVID-19 led the study to predict 26.6% of the intention to use it. In the case of Sinovac-CoronaVac, in addition to the previous variables, a left-wing political orientation led to a prediction of 44.3% in the intention to use it. It was also highlighted the importance of reducing uncertainty about vaccines in public campaigns to achieve older adults' mass vaccination.

scholarly journals Role of Second-Trimester Genetic Sonography After Down Syndrome Screening

2009 ◽  
Vol 114 (6) ◽  
pp. 1189-1196 ◽  
Author(s):  
Kjersti M. Aagaard-Tillery ◽  
Fergal D. Malone ◽  
David A. Nyberg ◽  
T Flint Porter ◽  
Howard S. Cuckle ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Second Trimester ◽  
Down Syndrome Screening

Role of ultrasound for Down syndrome screening in advanced maternal age

2001 ◽  
Vol 185 (5) ◽  
pp. 1028-1031 ◽  
Author(s):  
James F.X. Egan ◽  
Lillian Malakh ◽  
Garry W. Turner ◽  
Glenn Markenson ◽  
Joseph R. Wax ◽  
...  
Keyword(s):  
Down Syndrome ◽  
Maternal Age ◽  
Advanced Maternal Age ◽  
Down Syndrome Screening
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