{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:22:35Z","timestamp":1773274955938,"version":"3.50.1"},"reference-count":34,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,5,1]]},"abstract":"<jats:sec>\n                  <jats:title>OBJECTIVE:<\/jats:title>\n                  <jats:p>To examine whether parents\u2019 delivery room management decisions for extremely preterm infants are influenced by (1) the degree of detail with which options (comfort care [CC] or intensive care [IC]) are presented or (2) their order of presentation.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS:<\/jats:title>\n                  <jats:p>A total of 309 volunteers, 18 to 55 years old, were each randomized to 1 of 4 groups: (1) detailed descriptions, CC presented first; (2) detailed descriptions, IC presented first; (3) brief descriptions, CC presented first; or (4) brief descriptions, IC presented first. Each received the description of a hypothetical delivery of a 23-week gestation infant and chose either IC or CC. Open-ended and structured questions elicited reasoning. Data were analyzed by \u03c72 and logistic regression analysis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS:<\/jats:title>\n                  <jats:p>Neither degree of detail, comparing groups 1+2 with 3+4 (37% vs 41%, odds ratio = 0.85, 95% confidence interval = 0.54\u20131.34, P = .48), nor order, comparing groups 1+3 with 2+4 (40% vs 37%, odds ratio = 0.88, 95% confidence interval = 0.56\u20131.39; P = .59), influenced the likelihood of choosing IC. Participants choosing IC were more likely to invoke sanctity of life and religiosity as personal values. Additional reasons for choosing IC were experiences with infants born at later gestational ages, giving the infant a chance, not watching their infant die, and equating CC with euthanasia. Some choosing CC wanted to avoid infant suffering.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS:<\/jats:title>\n                  <jats:p>The degree of detail and order of presentation had no effect on treatment decisions, suggesting that individuals bring well-articulated preexisting preferences to such decisions. Understanding beliefs and attitudes motivating these preferences can assist physicians in helping parents make informed decisions consistent with their values.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1542\/peds.2011-0574","type":"journal-article","created":{"date-parts":[[2012,4,10]],"date-time":"2012-04-10T00:14:41Z","timestamp":1334016881000},"page":"891-902","source":"Crossref","is-referenced-by-count":33,"title":["Effects of Description of Options on Parental Perinatal Decision-Making"],"prefix":"10.1542","volume":"129","author":[{"given":"Marlyse F.","family":"Haward","sequence":"first","affiliation":[{"name":"Division of Newborn Medicine, Department of Pediatrics, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania;"},{"name":"Division of Neonatology, Department of Pediatrics, Albert Einstein School of Medicine, Montefiore Medical Center, New York, New York;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie K.","family":"John","sequence":"additional","affiliation":[{"name":"Department of Social and Decision Sciences, Carnegie Mellon University, Pittsburgh, Pennsylvania; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John M.","family":"Lorenz","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, College of Physicians and Surgeons, Columbia University, New York, New York"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baruch","family":"Fischhoff","sequence":"additional","affiliation":[{"name":"Department of Social and Decision Sciences, Carnegie Mellon University, Pittsburgh, Pennsylvania; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"417","published-online":{"date-parts":[[2012,5,1]]},"reference":[{"issue":"1","key":"2022051617183451800_B1","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1542\/peds.108.1.152","article-title":"Attitudes of parents and health care professionals toward active treatment of extremely premature infants.","volume":"108","author":"Streiner","year":"2001","journal-title":"Pediatrics"},{"issue":"1","key":"2022051617183451800_B2","doi-asserted-by":"crossref","first-page":"109","DOI":"10.1542\/peds.2007-0620","article-title":"Message framing and perinatal decisions.","volume":"122","author":"Haward","year":"2008","journal-title":"Pediatrics"},{"issue":"3","key":"2022051617183451800_B3","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1177\/0272989X09344750","article-title":"Changes of heart: the switch-value method for assessing value uncertainty. 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