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The tool was pilot tested in a 12\u2010week trial with participants with physical disabilities considering or actively planning a pregnancy. Feasibility outcomes were acceptability, implementation, and demand (collected at end of the trial); preliminary efficacy focused on decisional conflict and readiness (baseline, 6\u2009weeks, and end of trial).<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Collection<\/jats:title><jats:p>Survey data were collected using an online form. One\u2010on\u2010one interviews were conducted to learn more about experience using the tool.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>Thirty eight participants with mild, moderate, or severe physical disabilities participated. Feasibility outcomes indicated that the tool provided participants with information, guiding questions, and helped them to consider multiple aspects of the decision about pregnancy. Most participants responded positively to the new decision making tool, finding it easy to use and the information balanced. Feedback highlighted opportunity for improvement, such as more specific information, peer stories, and the limitations of a paper format. There was significant linear effect of time, with increased decisional certainty and readiness, values clarity, and decisional support (partial \u03b7<jats:sup>2<\/jats:sup> [90% CI]\u00a0=\u00a00.310 [0.08, 0.46], 0.435 [0.19, 0.60], 0.134 [0, 0.29], 0.178 [0.01, 0.35], respectively). Decisional certainty and readiness had high observed power (96.7% and 99.3%, respectively) with lower observed power for clarity and support (60.6% and 75.1%, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The new tool shows promise for supporting women with physical disabilities in navigating pregnancy decision making. Future development of complementary strategies to support health care providers will help improve shared decision making and patient\u2010centered care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.14103","type":"journal-article","created":{"date-parts":[[2022,11,19]],"date-time":"2022-11-19T16:44:59Z","timestamp":1668876299000},"page":"223-233","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Development and pilot test of a pregnancy decision making tool for women with physical disabilities"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6652-1245","authenticated-orcid":false,"given":"Claire Z.","family":"Kalpakjian","sequence":"first","affiliation":[{"name":"Department of Physical Medicine and Rehabilitation University of Michigan Medical School  Ann Arbor Michigan 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