Effect of Presenting Survival Information as Text or Pictograph During Periviable Birth Counseling: A Randomized, Controlled Trial
Effect of Presenting Survival Information as Text or Pictograph During Periviable Birth Counseling: A Randomized, Controlled Trial
复制标题
在围产期咨询期间以文本或象形文字呈现生存信息的效果：一项随机对照试验
DOI：
10.1016/j.jpeds.2023.02.026
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Windschitl, Paul D.
中科院分区：
文献类型：
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作者：
McDonnell, Siobhan M.;Basir, Mir A.;Yan, Ke;Liegl, Melodee Nugent;Windschitl, Paul D.
研究目的为了检验在不同的生存信息格式中呈现30%或60%的生存机会是否会影响假设的围产期分娩治疗选择，以及治疗选择是否与参与者的回忆或他们对生存机会的直觉信念有关。（n = 1052）被随机分配到一个小插曲，无论是30%或60%的生存机会与重症监护期间围手术期。参与者被随机分配到以纯文本、静态象形图或迭代象形图形式呈现的生存信息中。参与者选择了重症监护或姑息治疗，并报告了他们的回忆的生存机会和他们的直觉信念，他们的婴儿的机会survival.ResultsThere是没有区别的治疗选择的介绍与30%与60%的生存机会（P= .48），生存信息格式（P= .80），或他们的相互作用（P= .18）。然而，参与者对生存机会的直觉信念显着预测治疗选择（P<0.001），并具有任何参与者特征的最大解释力。直观的信念是乐观的，并没有不同的介绍了30%或60%的生存机会（P= .65），即使在那些准确的回忆生存的机会（P= .09）。ConclusionsPhysicians应该认识到，父母可能会使用更多的结果数据，使治疗的选择，并在形成自己的，往往是乐观的，直观的信念，他们的婴儿的生存机会。registrationClinicalTrials.gov
ObjectivesTo examine whether presenting a 30% or a 60% chance of survival in different survival information formats would influence hypothetical periviable birth treatment choice and whether treatment choice would be associated with participants’ recall or their intuitive beliefs about the chances of survival.Study designAn internet sample of women (n = 1052) were randomized to view a vignette with either a 30% or 60% chance of survival with intensive care during the periviable period. Participants were randomized to survival information presented as text-only, in a static pictograph, or in an iterative pictograph. Participants chose intensive care or palliative care and reported their recall of the chance of survival and their intuitive beliefs about their infant’s chance of survival.ResultsThere was no difference in treatment choice by presentation with a 30% vs 60% chance of survival (P= .48), by survival information format (P= .80), or their interaction (P= .18). However, participants’ intuitive beliefs about chance of survival significantly predicted treatment choice (P< .001) and had the most explanatory power of any participant characteristic. Intuitive beliefs were optimistic and did not differ by presentation of a 30% or 60% chance of survival (P= .65), even among those with accurate recall of the chance of survival (P= .09).ConclusionsPhysicians should recognize that parents may use more than outcome data to make treatment choices and in forming their own, often-optimistic, intuitive beliefs about their infant’s chance of survival.Trial registrationClinicalTrials.gov: NCT04859114.