Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| Canadian Institutes of Health Research (CIHR) | OTHER_GOV |
Not provided
Not provided
Not provided
Not provided
The purpose of this study is to find out if including a decision support tool in clinical practice guidelines will improve how doctors discuss the option of antenatal corticosteroid treatment with patients who might deliver at 34 to 36 weeks of pregnancy.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Guideline + decision support tool | Experimental | A decision support tool summarizing harms and benefits of late preterm antenatal corticosteroids will be integrated into the clinical practice guideline available to clinicians in the hospitals in the experimental arm. |
|
| Guideline only | No Intervention | Clinicians in the hospitals in the 'no-intervention' arm will have access to the standard guideline only (without the integrated decision support tool). |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Decision support tool | Behavioral | Decision support tool for late preterm antenatal corticosteroids |
|
| Measure | Description | Time Frame |
|---|---|---|
| The change in frequency of clinical counselling about late preterm antenatal corticosteroids. | The difference in the proportion of patients who delivered a neonate at 34+0 to 36+6 weeks' gestation who report having had a discussion about antenatal corticosteroids with their care provider pre-intervention versus post-intervention. | up to 8 months following implementation of the intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| The change in quality of clinical counselling about late preterm antenatal corticosteroids as assessed by the COMRADE scale. | The difference in the average median score on the Combined Outcome Measure for Risk Communication and Treatment Decision Making Effectiveness (COMRADE) scale, among those that report having had a discussion about late preterm antenatal corticosteroids with their health care provider. We will use an adapted scale including 19 items, each of which are scored on a 5-point Likert scale. A higher score indicates better risk communication and treatment decision making effectiveness. |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jessica Liauw, MD | Contact | 604-875-2424 | 5779 | jessica.liauw@phsa.ca |
| Name | Affiliation | Role |
|---|---|---|
| Jessica Liauw, MD | University of British Columbia | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Surrey Memorial Hospital | Recruiting | Surrey | British Columbia | V3V 1Z2 | Canada |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D047928 | Premature Birth |
| ID | Term |
|---|---|
| D007752 | Obstetric Labor, Premature |
| D007744 | Obstetric Labor Complications |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
Not provided
Not provided
Controlled before and after study
Not provided
Not provided
Not provided
Not provided
| up to 8 months following implementation of the intervention. |
| BC Women's Hospital | Recruiting | Vancouver | British Columbia | V6H 3N1 | Canada |
|
| D000091642 | Urogenital Diseases |