Although several studies explored the effect of decision aid interventions on treatment decision making as a proxy for the effectiveness of the intervention, we believe that patient attitudes toward the decision making process may be a more important indicator of shared decision making effectiveness as the ultimate treatment choice may depend on several individual factors.
Risk benefit analysis provides crucial information for disease intervention decision making.
The sixth step, which is to evaluate whether the net risks are justified by the potential benefits of other interventions, is decision making.
The aim of the study is to evaluate two interventions to assist decision making about mode of delivery among pregnant women with one previous CS.
The DiAMOND study is a randomised trial that aims to inform best practice in this area, by evaluating the effectiveness of two interventions to assist decision making in terms of decision quality and actual mode of delivery.
The aim of this paper is to describe the protocol for a randomised controlled trial of two interventions to aid decision making about mode of delivery among pregnant women with one previous CS.
This approach deals with a critical research gap highlighted by recent Cochrane Reviews, 8 13 which is the need for further studies to help provide evidence of the optimal types of exercise interventions and support decision making by patients, clinicians, and service commissioners.
This was done during assessment and intervention phases of decision making.
Therefore, further work in which the intervention includes linking decision making to behaviour change is required.
Interventions to assist patient decision making can improve knowledge about treatment options, make patients more realistic in their expectations, reduce decisional conflict and increase active involvement in decision making [ 18].
Shared decision making interventions and the use of decision aids should be considered for this area.
