Effect of Presenting Survival Information as Text or Pictograph During Periviable Birth Counseling
NCT ID: NCT04859114
Last Updated: 2023-11-24
Study Results
Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.
View full resultsBasic Information
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COMPLETED
NA
1052 participants
INTERVENTIONAL
2021-06-07
2021-06-22
Brief Summary
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Participants will be randomized to receive this outcome data in one of three formats: as text-only, in a static pictograph, or in an iterative pictograph. Participants will also be randomized to seeing the chance of survival as 30% or 60%.
Participants were then asked to choose between comfort care and intensive care in this situation. Participants' religiosity, value of the sanctity of life, and health literacy were also assessed.
Detailed Description
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The study was conducted using a written vignette that included a paragraph on the chance of survival and the chance of disability among the survivors.
In this study, we will adapt the vignette the Kidszun et al. (2020) team used, and provide it to an internet-based sample of women. In this vignette, participants will be put in a hypothetical situation of being in labor at 22 weeks of pregnancy, provided a description of the treatment choices of intensive care or comfort care, and provided data on outcome information at this gestational age.
After reading the vignette, participants will be randomized to view either: a repeat of the text information on outcome data, a static pictograph, or an iterative pictograph. Participants will also be randomized to seeing the chance of survival as 30% or 60%, making this a 2 (chance of survival) x 3 (data presentation format) between-subjects experiment.
After viewing a repeat of the outcome information, participants will be asked to choose between intensive care or comfort care for their hypothetical child. We will also collect information on values, religiosity, health literacy, subjective numeracy, a subjective probability estimate, and demographics.
Conditions
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Study Design
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RANDOMIZED
FACTORIAL
OTHER
SINGLE
Study Groups
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Text-only outcome data, 30% survival
Participants in this arm are provided a repeat of the outcome data in a text-only format, displaying a 30% chance of survival.
Format of outcome data presentation
Outcome data is provided to participants as either text-only, a static pictograph, or an iterative pictograph.
Displayed chance of survival
In the outcome data provided to participants, they view either a 30% or 60% chance of survival.
Text-only outcome data, 60% survival
Participants in this arm view a repeat of the outcome data in a text-only format, displaying a 60% chance of survival.
Format of outcome data presentation
Outcome data is provided to participants as either text-only, a static pictograph, or an iterative pictograph.
Displayed chance of survival
In the outcome data provided to participants, they view either a 30% or 60% chance of survival.
Static pictograph outcome data, 30% survival
Participants in this arm view a static pictograph displaying the outcome data and showing a 30% chance of survival.
Format of outcome data presentation
Outcome data is provided to participants as either text-only, a static pictograph, or an iterative pictograph.
Displayed chance of survival
In the outcome data provided to participants, they view either a 30% or 60% chance of survival.
Static pictograph outcome data, 60% survival
Participants in this arm view a static pictograph displaying the outcome data and showing a 60% chance of survival.
Format of outcome data presentation
Outcome data is provided to participants as either text-only, a static pictograph, or an iterative pictograph.
Displayed chance of survival
In the outcome data provided to participants, they view either a 30% or 60% chance of survival.
Iterative pictograph outcome data, 30% survival
Participants in this arm view an iterative pictograph displaying the outcome data and showing a 30% chance of survival.
Format of outcome data presentation
Outcome data is provided to participants as either text-only, a static pictograph, or an iterative pictograph.
Displayed chance of survival
In the outcome data provided to participants, they view either a 30% or 60% chance of survival.
Iterative pictograph outcome data, 60% survival
Participants in this arm view an iterative pictograph displaying the outcome data and showing a 60% chance of survival.
Format of outcome data presentation
Outcome data is provided to participants as either text-only, a static pictograph, or an iterative pictograph.
Displayed chance of survival
In the outcome data provided to participants, they view either a 30% or 60% chance of survival.
Interventions
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Format of outcome data presentation
Outcome data is provided to participants as either text-only, a static pictograph, or an iterative pictograph.
Displayed chance of survival
In the outcome data provided to participants, they view either a 30% or 60% chance of survival.
Eligibility Criteria
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Inclusion Criteria
* had a child,
* are currently of child-bearing age (defined as 18-45)
* and who live in the U.S.
Exclusion Criteria
* Those unable to read English
* Those who only could complete the survey on their phone. (For formatting purposes, a tablet or computer is necessary.)
18 Years
45 Years
FEMALE
Yes
Sponsors
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Medical College of Wisconsin
OTHER
Responsible Party
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Mir A Basir
Associate Professor of Pediatrics
Locations
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Medical College of Wisconsin
Milwaukee, Wisconsin, United States
Countries
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References
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McDonnell SM, Basir MA, Yan K, Liegl MN, Windschitl PD. Effect of Presenting Survival Information as Text or Pictograph During Periviable Birth Counseling: A Randomized, Controlled Trial. J Pediatr. 2023 Jun;257:113382. doi: 10.1016/j.jpeds.2023.02.026. Epub 2023 Mar 7.
Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan
Other Identifiers
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2021-121
Identifier Type: -
Identifier Source: org_study_id