TY - JOUR AU - Agbadje, Titilayo Tatiana AU - Pilon, Chantale AU - Bérubé， Pierre AU - Forest, Jean-Claude AU - Rousseau, François AU - Rahimi, Samira Abbasgholizadeh AU - Giguère, Yves AU - Légaré，法国PY - 2022 DA - 2022/9/6 TI -基于计算机的产前三体筛查决策辅助的用户体验:混合方法解释性研究JO - JMIR儿科父母SP - e35381 VL - 5 IS - 3kw -共享决策KW -基于计算机的决策辅助KW -产前筛查KW -三体KW -唐氏综合征KW -混合方法AB -背景:移动健康工具可以支持共享决策。我们开发了一种基于计算机的决策辅助(DA)，以帮助孕妇及其伴侣就三体产前筛查做出知情的、价值一致的决定。目的:本研究旨在评估基于计算机的DA在孕妇、临床医生和政策制定者中的可用性和有用性。方法:对于这项混合方法序贯解释性研究，我们计划招募45名孕妇、来自3个临床地点的45名临床医生和15名政策制定者作为方便样本。符合条件的妇女年龄>为18岁，>为怀孕16周或刚刚分娩。符合条件的临床医生和决策者参与了产前护理。我们要求参与者使用基于计算机的DA。我们向这些女性询问了DA的作用以及她们在做决策时的自信。我们询问了所有参与者对DA内容的可用性、质量、可接受性和满意度，并收集了社会人口学数据。 We explored participants’ reactions to the computer-based DA and solicited suggestions. Our interview guide was based on the Mobile App Rating Scale. We performed descriptive analyses of the quantitative data and thematic deductive and inductive analyses of the qualitative data for each participant category. Results: A total of 45 pregnant women, 14 clinicians, and 8 policy makers participated. Most pregnant women were aged between 25 and 34 years (34/45, 75%) and White (42/45, 94%). Most clinicians were aged between 35 and 44 years (5/14, 36%) and women (11/14, 79%), and all were White (14/14, 100%); the largest proportion of policy makers was aged between 45 and 54 years (4/8, 50%), women (5/8, 62%), and White (8/8, 100%). The mean usefulness score for preparing for decision-making for women was 80/100 (SD 13), and the mean self-efficacy score was 88/100 (SD 11). The mean usability score was 84/100 (SD 14) for pregnant women, 77/100 (SD 14) for clinicians, and 79/100 (SD 23) for policy makers. The mean global score for quality was 80/100 (SD 9) for pregnant women, 72/100 (SD 12) for clinicians, and 80/100 (SD 9) for policy makers. Regarding acceptability, participants found the amount of information just right (52/66, 79%), balanced (58/66, 88%), useful (38/66, 58%), and sufficient (50/66, 76%). The mean satisfaction score with the content was 84/100 (SD 13) for pregnant women, 73/100 (SD 16) for clinicians, and 73/100 (SD 20) for policy makers. Participants thought the DA could be more engaging (eg, more customizable) and suggested strategies for implementation, such as incorporating it into clinical guidelines. Conclusions: Pregnant women, clinicians, and policy makers found the DA usable and useful. The next steps are to incorporate user suggestions for improving engagement and implementing the computer-based DA in clinical practice. SN - 2561-6722 UR - https://pediatrics.www.mybigtv.com/2022/3/e35381 UR - https://doi.org/10.2196/35381 UR - http://www.ncbi.nlm.nih.gov/pubmed/35896164 DO - 10.2196/35381 ID - info:doi/10.2196/35381 ER -