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Labour analgesia decisions are often made under time pressure, while in pain, which may lead patients to feel unprepared or uninformed. Shared decision-making (SDM) enhances patient satisfaction, promotes alignment with personal values, and improves trust in clinical care. Digital tools can support SDM by providing accessible, evidence-based information.
The Society for Obstetric Anesthesia and Perinatology (SOAP) is an international organization made up of doctors who specialize in managing pain and anesthesia during pregnancy. Their focus is the wellbeing and safety of mothers and their babies from early pregnancy through delivery and recovery. The Painless Push digital resource educates mothers about ways to manage pain during labour.
This trial aims to evaluate whether directing patients to access to the website https://thepainlesspush.com/ improves preparedness for shared decision-making compared to the current care, which is access to the Mount Sinai Obstetric Anesthesia website.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Society for Obstetric Anesthesia and Perinatology (SOAP) Painless push website | Other | Comparator: The Painless Push digital resource educates mothers about ways to manage pain during labour. |
|
| Mount Sinai Obstetric Anesthesia website | Other | Control group: website currently available to patients. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Preparation for Decision Making (PrepDM) Scale | Other | Electronic questionnaire: (PrepDM) Scale, a 10-item validated tool scored from 0 to 100. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Preparation for Decision Making (PrepDM) score | PrepDM is a 10-item validated tool scored from 0 to 100. Higher scores reflect greater readiness for informed and shared decision-making | Immediately following intervention (reading material) |
| Measure | Description | Time Frame |
|---|---|---|
| Questionnaire - additional questions about digital material provided | Additional questions about the clarity of the information, perceived understanding, likelihood of recommending, and intent to engage in shared decision-making in future health decisions. | Immediately following intervention (reading material) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ronald George, MD | Contact | 416-586-4800 | 2681 | ron.george@uhn.ca |
| Kristi Downey, MSc | Contact | 416-586-4800 | 2366 | kristi.downey@uhn.ca |
| Name | Affiliation | Role |
|---|---|---|
| Ronald George, MD | MOUNT SINAI HOSPITAL | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Mount Sinai Hospital | Toronto | Ontario | M5G1X5 | Canada |
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| ID | Term |
|---|---|
| D048949 | Labor Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D014894 | Weights and Measures |
| D011795 | Surveys and Questionnaires |
| ID | Term |
|---|---|
| D008919 | Investigative Techniques |
| D003625 | Data Collection |
| D004812 | Epidemiologic Methods |
| D017531 | Health Care Evaluation Mechanisms |
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| Questionnaire | Other | Electronic questionnaire, to determine clarity and understanding. Scored on 5-point Likert scale. |
|
| D011787 | Quality of Health Care |
| D017530 | Health Care Quality, Access, and Evaluation |
| D011634 | Public Health |
| D004778 | Environment and Public Health |