Table 1 Key themes from application of APEASE criteria to intervention options

Extend appointment times with patients by 10–15 min

AND/OR Add an additional appointment time during pregnancy journey

(Environmental context and resources)

It was not practical or acceptable to extend appointment times to support SDM as this would result in resourcing issues and changes in workflow that were too difficult for other systems to absorb

Affordability

Acceptability

Practicability

Update booking letters to patients to include information about what to expect in terms of SDM while at the Women’s

(Knowledge)

Adding additional information about SDM to letters sent to patients advising them on their care at the Women’s (booking letters) was deemed too overwhelming and not suitable by participants

Equity

Update care guidelines to include SDM and how it applies to the specific decision being made by clinician/patient

The guideline text may include steps of shared decision-making

(Environmental context and resources)

Participants felt changes to care guidelines to include SDM would not be enough to change clinician’s behaviour and would not be effective

Effectiveness

Use feedback to provide clinicians with insights into whether or not they are using SDM and how they might be able to improve

This method could use other trained clinicians, when practising or improving clinicians should be provided positive feedback

(Social Influence, Knowledge, Skills)

Participants (especially clinicians) felt having clinicians provide feedback to their colleagues about their SDM behaviour in clinic would not be acceptable or practical as this would require additional resources and clinician time

Affordability

Acceptability

Practicability