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Poulin Herron A, Agbadje TT, Cote M, et al. Web-Based Training for Nurses on Shared Decision Making and Prenatal Screening for Down Syndrome: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2020;9(10):e17878doi: 10.2196/17878.
Poulin Herron, A., Agbadje, T. T., Cote, M., Djade, C. D., Roch, G., Rousseau, F., & Légaré, F. (2020). Web-Based Training for Nurses on Shared Decision Making and Prenatal Screening for Down Syndrome: Protocol for a Randomized Controlled Trial. JMIR research protocols, 9(10), e17878. https://doi.org/10.2196/17878
Poulin Herron, Alex, et al. "Web-Based Training for Nurses on Shared Decision Making and Prenatal Screening for Down Syndrome: Protocol for a Randomized Controlled Trial." JMIR research protocols vol. 9,10 (2020): e17878. doi: https://doi.org/10.2196/17878
Poulin Herron A, Agbadje TT, Cote M, Djade CD, Roch G, Rousseau F, Légaré F. Web-Based Training for Nurses on Shared Decision Making and Prenatal Screening for Down Syndrome: Protocol for a Randomized Controlled Trial. JMIR Res Protoc. 2020 Oct 29;9(10):e17878. doi: 10.2196/17878. PMID: 33118955; PMCID: PMC7661244.
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JMIR Res Protoc. 2020 Oct 29;9(10):e17878. doi: 10.2196/17878.

Web-Based Training for Nurses on Shared Decision Making and Prenatal Screening for Down Syndrome: Protocol for a Randomized Controlled Trial.

JMIR research protocols

Alex Poulin Herron, Titilayo Tatiana Agbadje, Melissa Cote, Codjo Djignefa Djade, Geneviève Roch, Francois Rousseau, France Légaré

Affiliations

  1. Canada Research Chair in Shared Decision Making and Knowledge Translation, Université Laval, Québec, QC, Canada.
  2. Centre de recherche en santé durable (VITAM), Québec, QC, Canada.
  3. Faculty of Nursing, Université Laval, Québec, QC, Canada.
  4. Centre Intégré Universitaire de Santé et Services Sociaux de la Capitale-Nationale, Québec, QC, Canada.
  5. Centre Hospitalier Universitaire de Québec - Université Laval Research Centre, Hôpital Saint-François d'Assise, Québec City, QC, Canada.
  6. Department of Molecular Biology, Medical Biochemistry and Pathology, Université Laval, Québec City, QC, Canada.
  7. Department of Family Medicine and Emergency Medicine, Université Laval, Québec, QC, Canada.

PMID: 33118955 PMCID: PMC7661244 DOI: 10.2196/17878

Abstract

BACKGROUND: Pregnant women often find it difficult to choose from among the wide variety of available prenatal screening options. To help pregnant women and their partners make informed decisions based on their values, needs, and preferences, a decision aid and a web-based shared decision making (SDM) training program for health professionals have been developed. In Canada, nurses provide maternity care and thus can train as decision coaches for prenatal screening. However, there is a knowledge gap about the effectiveness of SDM interventions in maternity care in nursing practice.

OBJECTIVE: This study aims to assess the impact of an SDM training program on nurses' intentions to use a decision aid for prenatal screening and on their knowledge and to assess their overall impressions of the training.

METHODS: This is a 2-arm parallel randomized trial. French-speaking nurses working with pregnant women in the province of Quebec were recruited online by a private survey firm. They were randomly allocated (1:1 ratio) to either an experimental group, which completed a web-based SDM training program that included prenatal screening, or a control group, which completed a web-based training program focusing on prenatal screening alone. The experimental intervention consisted of a 3-hour web-based training hosted on the Université Laval platform with 4 modules: (1) SDM; (2) Down syndrome prenatal screening; (3) decision aids; and (4) communication between health care professionals and the patient. For the control group, the topic of SDM in Module 1 was replaced with "Context and history of prenatal screening," and the topic of decision aids in Module 3 was replaced with "Consent in prenatal screening." Participants completed a self-administered sociodemographic questionnaire with close-ended questions. We also assessed the participants' (1) intention to use a decision aid in prenatal screening clinical practice, (2) knowledge, (3) satisfaction with the training, (4) acceptability, and (5) perceived usefulness of the training. The randomization was done using a predetermined sequence and included 40 nurses. Participants and researchers were blinded. Intention to use a decision aid will be assessed by a t test. Bivariate and multivariate analysis will be performed to assess knowledge and overall impressions of the training.

RESULTS: This study was funded in 2017 and approved by Genome Canada. Data were collected from September 2019 to late January 2020. This paper was initially submitted before data analysis began. Results are expected to be published in winter 2020.

CONCLUSIONS: Study results will inform us on the impact of an SDM training program on nurses' intention to use and knowledge of decision aids for prenatal screening and their overall impressions of the training. Participant feedback will also inform an upgrade of the program, if needed.

TRIAL REGISTRATION: ClinicalTrials.gov NCT04162288; https://clinicaltrials.gov/ct2/show/NCT04162288.

INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/17878.

©Alex Poulin Herron, Titilayo Tatiana Agbadje, Melissa Cote, Codjo Djignefa Djade, Geneviève Roch, Francois Rousseau, France Légaré. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 29.10.2020.

Keywords: Down syndrome; behavioral intention; continuing professional development; nurses; prenatal screening; shared decision making; training

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