SELECTION: Should I Have an Elective Induction?
Study Details
Study Description
Brief Summary
The goal of the proposed study is to perform a pilot test of a patient-centered decision support tool to help pregnant people and providers work together in making informed, shared decisions regarding whether or not to opt for elective IOL at 39 weeks gestation
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
60 nulliparous pregnant people with singleton, vertex pregnancies at 36-38 weeks who do not have an indication for induction of labor (IOL) will be enrolled and will view a decision support tool (DST) regarding induction without medical indication. During the enrollment face-to-face interview, participants will interact with the DST and complete pre- and post-DST viewing questionnaires. The investigators will conduct telephone interviews a few days later but before 39+0 weeks, and again 2-4 weeks postpartum and will review the medical record for delivery events and outcomes.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Decision Support Tool Participants will interact with the decision support tool prior to making their decision regarding whether to have an induction of labor without a medical indication |
Behavioral: Elective Induction of Labor Decision Support Tool
Decision support tool for people having their first baby and planning vaginal delivery without a medical indication for induction of labor
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Outcome Measures
Primary Outcome Measures
- Recruitment rate [Date of first patient approached to last patient enrolled, assessed up to 52 weeks]
Recruitment rate, defined as the number of people who agree to participate out of those who are approached for the study
- Proportion of people completing the Decision Support Tool [Date of first patient approached to last patient enrolled, assessed up to 52 weeks]
The proportion of participants who view all of the pages of the decision support tool will be calculated
Secondary Outcome Measures
- Satisfaction with the Decision Support Tool [Date of first patient approached to last patient enrolled, assessed up to 52 weeks]
4 item scale. Range of 0-20, with higher scores indicating higher satisfaction.
- Satisfaction with the Decision Support Tool [38-39 weeks gestation, prior to delivery]
4 item scale. Range of 0-20, with higher scores indicating higher satisfaction.
- Satisfaction with the Decision Support Tool [2-4 weeks Postpartum]
4 item scale. Range of 0-20, with higher scores indicating higher satisfaction.
Eligibility Criteria
Criteria
Inclusion Criteria:
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Pregnant person
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Nulliparous
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Planned vaginal delivery
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No medical indication for induction of labor
Exclusion Criteria:
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Contraindication to vaginal delivery
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Prior delivery (vaginal or cesarean)
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Medical indication for induction of labor
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University of South Florida | Tampa | Florida | United States | 33606 |
2 | The Ohio State University | Columbus | Ohio | United States | 43210 |
Sponsors and Collaborators
- University of South Florida
- Ohio State University
- University of California, San Francisco
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- STUDY004944
- R21HD098496