Audiovisual information affects informed choice and experience of information in antenatal Down syndrome screening--a randomized controlled trial

Patient Educ Couns. 2012 Mar;86(3):390-5. doi: 10.1016/j.pec.2011.07.004. Epub 2011 Jul 31.


Objective: To evaluate the effects of an information film on making an informed choice regarding Down syndrome screening, and women's knowledge and experiences of information.

Methods: Randomized controlled trial including 184 women in the intervention group and 206 controls recruited from maternity units in Stockholm, Sweden. The intervention was an information film presented as a complement to written and verbal information. Data were collected via a questionnaire in gestational week 27. Three different measures were combined to measure informed choice: attitudes towards Down syndrome screening, knowledge about Down syndrome and Down syndrome screening, and uptake of CUB (combined ultrasound and biochemical screening).

Results: In the intervention group 71.5% made an informed choice versus 62.4% in the control group. Women in the intervention group had significantly increased knowledge, and to a greater extent than the control group, experienced the information as being sufficient, comprehensible, and correct.

Conclusions: An information film tended to increase the number of women who made an informed choice about Down syndrome screening. Participants were more satisfied with the information received.

Practice implications: Access to correct, nondirective, and sufficient information is essential when making a choice about prenatal diagnostics. It is essential with equivalent information to all women.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Choice Behavior
  • Decision Support Techniques
  • Down Syndrome / diagnosis*
  • Female
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Infant, Newborn
  • Informed Consent*
  • Mental Competency
  • Middle Aged
  • Mothers / education*
  • Mothers / psychology
  • Patient Education as Topic / methods*
  • Pregnancy
  • Prenatal Care / methods
  • Prenatal Diagnosis* / psychology
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Sweden
  • Videotape Recording*
  • Young Adult