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9 % rated the videos "good" or "excellent," and 97.2 % believed GOALS would support families in periviable decision-making. Our results highlight the importance of developing a DA that is acceptable for patient use with direct involvement of stakeholders. The GOALS DA may prepare families to engage in shared decision-making to facilitate more patient-centered models of periviable care. The GOALS DA may prepare families to engage in shared decision-making to facilitate more patient-centered models of periviable care. Reconstruction of th