TY - JOUR
T1 - Sharing the decision about VBAC
T2 - Introducing the ARCS-V motivational learning model
AU - Stockdale, Janine
AU - Lawther, Lorna
AU - McKenna, Jennifer
AU - O’Neill, Deirdre
N1 - Publisher Copyright:
© 2019 MA Healthcare Ltd. All rights reserved.
PY - 2019/8
Y1 - 2019/8
N2 - Shared decision‑making is considered key to influencing women’s motivation to choose vaginal birth after caesarean section (VBAC), as when women’s self‑determination is respected, they are more likely to avoid intervention. However, the shared decision‑making conversation can be challenging. This article introduces the ARCS‑V (attention, relevance, confidence, satisfaction, volition), an model for understanding and responding to women’s motivation to share the decision about VBAC vs repeat caesarean section. Each of the model’s components are introduced, including the psychological basis for managing a shared conversation; capturing and holding women’s attention on what they need to learn; matching the learning goals with women’s personal goals; building their confidence to achieve their optimal birth; and ensuring they are satisfied with decision‑making experience. When these educational conditions are met, women are more likely to use shared decision‑making conversations to choose optimally.
AB - Shared decision‑making is considered key to influencing women’s motivation to choose vaginal birth after caesarean section (VBAC), as when women’s self‑determination is respected, they are more likely to avoid intervention. However, the shared decision‑making conversation can be challenging. This article introduces the ARCS‑V (attention, relevance, confidence, satisfaction, volition), an model for understanding and responding to women’s motivation to share the decision about VBAC vs repeat caesarean section. Each of the model’s components are introduced, including the psychological basis for managing a shared conversation; capturing and holding women’s attention on what they need to learn; matching the learning goals with women’s personal goals; building their confidence to achieve their optimal birth; and ensuring they are satisfied with decision‑making experience. When these educational conditions are met, women are more likely to use shared decision‑making conversations to choose optimally.
KW - ARCS‑V
KW - Motivation and volition
KW - Shared decision‑making
KW - Vaginal birth after caesarean
UR - http://www.scopus.com/inward/record.url?scp=85106832333&partnerID=8YFLogxK
U2 - 10.12968/bjom.2019.27.8.482
DO - 10.12968/bjom.2019.27.8.482
M3 - Article
AN - SCOPUS:85106832333
SN - 0969-4900
VL - 27
SP - 482
EP - 489
JO - British Journal of Midwifery
JF - British Journal of Midwifery
IS - 8
ER -