Journal of perinatology : official journal of the California Perinatal Association · 2024
Development of a checklist for evaluation of shared decision-making in consultation for extremely preterm delivery.
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Guindon Michael, Feltman Dalia M, Litke-Wager Carrie, Okonek Elizabeth, Mullin Kaitlyn T, Anani Uchenna E, Murray Ii Peter D, Mattson Christopher, Krick Jeanne
Аннотация
OBJECTIVE: Shared decision-making (SDM) between parents facing extremely preterm delivery and the medical team is recommended to develop the best course of action for neonatal care. We aimed to describe the creation and testing of a literature-based checklist to assess SDM practices for consultation with parents facing extremely preterm delivery.
STUDY DESIGN: The checklist of SDM counseling behaviors was created after literature review and with expert consensus. Mock consultations with a standardized patient facing extremely preterm delivery were performed, video-recorded, and scored using the checklist. Intraclass correlation coefficients and Cronbach's alpha were calculated.
RESULT: The checklist was moderately reliable for all scorers in aggregate. Differences existed between subcategories within classes of scorer, and between scorer classes. Agreement was moderate between expert scorers, but poor between novice scorers. Internal consistency of the checklist was excellent (Cronbach's alpha = 0.93).
CONCLUSION: This novel checklist for evaluating SDM shows promise for use in future research, training, and clinical settings.
STUDY DESIGN: The checklist of SDM counseling behaviors was created after literature review and with expert consensus. Mock consultations with a standardized patient facing extremely preterm delivery were performed, video-recorded, and scored using the checklist. Intraclass correlation coefficients and Cronbach's alpha were calculated.
RESULT: The checklist was moderately reliable for all scorers in aggregate. Differences existed between subcategories within classes of scorer, and between scorer classes. Agreement was moderate between expert scorers, but poor between novice scorers. Internal consistency of the checklist was excellent (Cronbach's alpha = 0.93).
CONCLUSION: This novel checklist for evaluating SDM shows promise for use in future research, training, and clinical settings.