Field testing of decision coaching with a decision aid for parents facing extreme prematurity

Objective: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.study design: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.results: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).conclusion:field testing demonstrated that consultations using the aid with decision coaching were feasible, reduced decisional conflict and may facilitate shared decision-making.