{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T03:46:04Z","timestamp":1787024764889,"version":"build-2736575974"},"reference-count":65,"publisher":"JMIR Publications Inc.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Nursing"],"abstract":"\n Background<\/jats:title>\n Nurses play an important role in supporting pregnant women making decisions about prenatal screening for Down syndrome. We developed a web-based shared decision-making (SDM) training program for health professionals focusing on Down syndrome screening decisions.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n In this study, we aim to assess the impact of an SDM training program on nurses\u2019 intention to use a decision aid with pregnant women deciding on prenatal screening for Down syndrome.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n In this 2-arm, parallel controlled trial, French-speaking nurses working with pregnant women in the province of Quebec were recruited by a private survey firm. They were allocated by convenience either to the intervention group (web-based SDM course that included prenatal screening) or to the control group (web-based course focusing on prenatal screening alone, with no SDM content). The primary outcome was the intention to use a decision aid. Secondary outcomes were psychosocial variables of intention, knowledge, satisfaction, acceptability, perceived usefulness, and reaction to the pedagogical approach. All outcomes were self-assessed through web-based questionnaires, including the space for written comments. We used 2-tailed Student t test and Fisher exact test to compare continuous and categorical variables between groups, respectively.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Of the 57 participants assessed for eligibility, 40 (70%) were allocated to the intervention (n=20) or control group (n=20) and 36 (n=18 in each) completed the courses. The mean age of the participants was 41 (SD 9) years. Most were women (39\/40, 98%), White (38\/40, 95%), clinical nurses (28\/40, 70%), and had completed at least a bachelor\u2019s degree (30\/40, 75%). After the intervention, the mean score of intention was 6.3 (SD 0.8; 95% CI 5.9-6.7) for the intervention group and 6.0 (SD 1.2; 95% CI 5.42-6.64) for the control group (scale 1-7). The differences in intention and other psychosocial variable scores between the groups were not statistically significant. Knowledge scores for SDM were significantly higher in the intervention group (79%, 95% CI 70-89 vs 64%, 95% CI 57-71; P=.009). The intervention was significantly more acceptable in the intervention group (4.6, 95% CI 4.4-4.8 vs 4.3, 95% CI 4.1-4.5; P=.02), and reaction to the pedagogical approach was also significantly more positive in the intervention group (4.7, 95% CI 4.5-4.8 vs 4.4, 95% CI 4.2-4.5; P=.02). There was no significant difference in overall satisfaction (or in perceived usefulness). Furthermore, 17 participants (9 in the intervention group and 8 in the control group) provided written comments on the intervention.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n This study focuses on web-based nursing education and its potential to support pregnant women\u2019s decision-making needs. It shows that nurses\u2019 intention to use a decision aid to enhance SDM in prenatal care is high, with or without training, but that their knowledge about SDM can be improved with web-based training.<\/jats:p>\n <\/jats:sec>\n \n International Registered Report Identifier (IRRID)<\/jats:title>\n RR2-10.2196\/17878<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/31380","type":"journal-article","created":{"date-parts":[[2021,12,7]],"date-time":"2021-12-07T11:21:24Z","timestamp":1638876084000},"page":"e31380","source":"Crossref","is-referenced-by-count":7,"title":["Web-Based Training for Nurses on Using a Decision Aid to Support Shared Decision-making About Prenatal Screening: Parallel Controlled Trial"],"prefix":"10.2196","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6693-2271","authenticated-orcid":false,"given":"Alex","family":"Poulin 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