| Use of a Visual Aid to Improve Counseling at the Threshold of Viability. | |
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MedLine Citation:
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PMID: 22106080 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Objectives:To pilot-test a visual aid developed to help counsel pregnant women.Methods:After agreeing to participate, pregnant women at >28 weeks of gestation were assigned randomly to counseling with or without a visual aid. The visual aid contained pictures, graphics, and short messages about delivery room resuscitation, chances of survival, anticipated neonatal course, and long-term neurodevelopmental disabilities. A neonatal fellow performed counseling with a standardized script for an anticipated delivery at 23 weeks of gestation. In precounseling and postcounseling sessions, women were given a structured interview to assess their knowledge of chances of survival and disability and attitudes toward resuscitation.Results:Of the 89 women who participated, 76% were black and 59% read below a 9th-grade level. Compared with the no-visual aid group, women in the visual aid group recalled more disabilities and predicted longer neonatal stays (P = .01). For both groups, mothers' perceptions of the chances of survival were lower after counseling; the decrease was greater in the visual aid group (P = .03). The majority of women in each group opted for resuscitation, which was not affected by counseling. In multivariate analyses, use of the visual aid was a significant independent factor in explaining before/after differences in survival chances and recall of a long NICU stay and number of disabilities; higher literacy levels also were significant for recalling the number of disabilities.Conclusions:Use of a visual aid improved mothers' knowledge and showed promise as a decision aid for counseling at the threshold of viability. |
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Authors:
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Venkatakrishna Kakkilaya; Lynn J Groome; Daci Platt; Dalibor Kurepa; Arun Pramanik; Gloria Caldito; Lesley Conrad; Joseph A Bocchini; Terry C Davis |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-11-21 |
Journal Detail:
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Title: Pediatrics Volume: - ISSN: 1098-4275 ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-11-22 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Departments of Pediatrics. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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