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Comprehensive communication and information have been highlighted in the literature as important elements in supporting women\u2019s reproductive decision-making and addressing relevant ethical concerns such as routinisation. Countries such as England and France are adopting broadly similar implementation models, offering NIPT for pregnancies with high aneuploidy probability. However, we do not have a deeper understanding of how professionals\u2019 counselling values and practices may differ between these contexts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this paper, we explore how professionals in England and France support patient decision-making in the provision of NIPT and critically compare professional practices and values. We draw on data from semi-structured interviews with healthcare professionals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Both English and French professionals emphasised values relating to patient choice and consent. However, understandings and application of these values into the practice of NIPT provision differed. English interviewees placed a stronger emphasis on interpreting and describing the process of counselling patients and clinical care through a \u201cprinciple\u201d lens. Their focus was on non-directiveness, standardisation, and the healthcare professional as \u201cdecision-facilitator\u201d for patients. French interviewees described their approach through a \u201cprocedural\u201d lens. Their focus was on formal consent, information, and the healthcare professional as \u201cinformation-giver\u201d. Both English and French professionals indicated that insufficient resources were a key barrier in effectively translating their values into practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings illustrate that supporting patient choice in the provision of NIPT may be held as an important value in common on a surface level, but can be understood and translated into practice in different ways. Our findings can guide further research and beneficially inform practice and policy around NIPT provision.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12910-024-01032-0","type":"journal-article","created":{"date-parts":[[2024,3,21]],"date-time":"2024-03-21T07:02:30Z","timestamp":1711004550000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Supporting patient decision-making in non-invasive prenatal testing: a comparative study of professional values and practices in England and France"],"prefix":"10.1186","volume":"25","author":[{"given":"Hilary","family":"Bowman-Smart","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adeline","family":"Perrot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Horn","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,21]]},"reference":[{"key":"1032_CR1","doi-asserted-by":"crossref","unstructured":"Warsof SL, Larion S, Abuhamad AZ. 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All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration of 1975, as revised in 2000. Informed consent was obtained from all patients and all the participants for being included in the study.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"N\/A.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"34"}}