Computerized prenatal genetic testing decision-assisting tool: A randomized controlled trial

Miriam Kuppermann, Mary E. Norton, Elena Gates, Steven E. Gregorich, Lee A. Learman, Sanae Nakagawa, Vickie A. Feldstein, James Lewis, A. Eugene Washington, Robert F. Nease

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

Objective: Guidelines for fetal aneuploidy testing recommend that screening and diagnostic testing be made available to pregnant women of all ages and that providers explain the differences between these tests to help their patients make informed testing decisions. We sought to estimate the effect of a computerized, interactive prenatal testing decision tool on prenatal testing decision making. Methods: Four hundred ninety-six English- or Spanish-speaking women at 20 or fewer weeks of gestation were randomly assigned to view the interactive prenatal testing decision tool or the California Department of Health Services' educational booklet. Primary outcomes were knowledge, risk awareness, intervention satisfaction, decisional conflict, and among women aged at least 35 years, use of invasive diagnostic testing. Results: Women assigned to the interactive prenatal testing decision tool had higher knowledge scores (79.5% compared with 64.9%, P

Original languageEnglish (US)
Pages (from-to)53-63
Number of pages11
JournalObstetrics and Gynecology
Volume113
Issue number1
DOIs
StatePublished - Jan 2009
Externally publishedYes

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Genetic Testing
Randomized Controlled Trials
Pamphlets
Aneuploidy
Health Services
Pregnant Women
Decision Making
Guidelines
Pregnancy

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Kuppermann, M., Norton, M. E., Gates, E., Gregorich, S. E., Learman, L. A., Nakagawa, S., ... Nease, R. F. (2009). Computerized prenatal genetic testing decision-assisting tool: A randomized controlled trial. Obstetrics and Gynecology, 113(1), 53-63. https://doi.org/10.1097/AOG.0b013e31818e7ec4

Computerized prenatal genetic testing decision-assisting tool : A randomized controlled trial. / Kuppermann, Miriam; Norton, Mary E.; Gates, Elena; Gregorich, Steven E.; Learman, Lee A.; Nakagawa, Sanae; Feldstein, Vickie A.; Lewis, James; Washington, A. Eugene; Nease, Robert F.

In: Obstetrics and Gynecology, Vol. 113, No. 1, 01.2009, p. 53-63.

Research output: Contribution to journalArticle

Kuppermann, M, Norton, ME, Gates, E, Gregorich, SE, Learman, LA, Nakagawa, S, Feldstein, VA, Lewis, J, Washington, AE & Nease, RF 2009, 'Computerized prenatal genetic testing decision-assisting tool: A randomized controlled trial', Obstetrics and Gynecology, vol. 113, no. 1, pp. 53-63. https://doi.org/10.1097/AOG.0b013e31818e7ec4
Kuppermann, Miriam ; Norton, Mary E. ; Gates, Elena ; Gregorich, Steven E. ; Learman, Lee A. ; Nakagawa, Sanae ; Feldstein, Vickie A. ; Lewis, James ; Washington, A. Eugene ; Nease, Robert F. / Computerized prenatal genetic testing decision-assisting tool : A randomized controlled trial. In: Obstetrics and Gynecology. 2009 ; Vol. 113, No. 1. pp. 53-63.
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