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. Author manuscript; available in PMC: 2017 Jun 1.
Published in final edited form as: J Adv Nurs. 2015 Jun 15;72(6):1430–1440. doi: 10.1111/jan.12702

Table 1.

Overview of the CHOICES and e-Book computer programs

CHOICES Intervention e-Book Intervention
Design Computer-based.
Tailored, multimedia educational
program about SCD, reproductive
options and consequences.
Designed to help young men and
women with SCD or SCT
implement their preferred parenting
plans.
Computer-based.
Educational program designed
using the content shared by the
Chicago area sickle cell clinic
programs with individuals and their
families affected by SCD or SCT.
Sound Narrated by either a female or a
male voice.
Participants select the voice or
engage the material without
narration.
Narrated by either a female or a
male voice.
Participants select the voice or
engage the material without
narration.
Length 57 web pages 9 web pages
Graphics and
Content
14 video clips and 17 graphical
animations.
Clips included couples discussing
issues related to reproductive
options and animations that
demonstrate:
  • Genetic inheritance of SCD.

  • Risks of a child inheriting SCD or SCT if the parents have SCD, SCT, or normal hemoglobin.

  • How advanced reproductive technologies work.

  • All available parenting choices (e.g., take the chance of SCD or SCT inheritance, prenatal testing, abortion, advanced reproductive technologies, adopt, or foster children).

  • Reproductive behaviors needed to achieve the parenting choice.

No video clips.
Some illustration and animation
enhanced content that included
information on:
  • Incidence and inheritance of SCD and SCT.

  • Management of SCD.

  • Health problems associated with SCD and SCT.

  • Effects of SCD on pregnancy.

Questionnaires
(Number of
Items)
Pre-Test = 85 items.
Post-Test (completed immediately)
= 66 items.
Post-Test (completed at 24
months) = 78 items.
Pre-Test = 85 items.
Post-Test (completed immediately)
= 66 items.
Post-Test (completed at 24 months)
= 78 items.

Copyright © 2014 CHOICES Study Team, reprinted with permission