| Effects of knowledge, education, and experience on acceptance of first trimester screening for chromosomal anomalies. | |
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MedLine Citation:
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PMID: 20235896 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To assess pregnant women's knowledge and understanding of first trimester prenatal screening (nuchal translucency, maternal serum free beta-human chorionic gonadotrophin and pregnancy-associated plasma-protein-A), to evaluate the impact of a new information booklet and investigate the effects of education and experiential knowledge of congenital disabilities on the perceived likelihood of accepting prenatal screening. DESIGN: A quasi-experimental quantitative study with a self-completion questionnaire. SETTING: Five different maternity care clinics in Iceland. POPULATION: Expectant mothers in first trimester of pregnancy (n = 379). MATERIAL AND METHODS: Expectant mothers were divided into two groups, an intervention and a control group, both receiving traditional care and information. The intervention group additionally received an information booklet about prenatal screening and diagnosis. MAIN OUTCOME MEASURES: Women's knowledge score of prenatal screening. The correlation between education, knowledge score, experiential knowledge of congenital disabilities, and the likelihood of accepting prenatal screening. RESULTS: More than half of the women (57%) believed they received sufficient information to make an informed decision about screening. Knowledge scores were significantly higher for the intervention group (with mean 4.8 compared with 3.7 on a 0-8 scale, p < 0.0001). Those with higher scores were more likely to accept screening (p < 0.0001). Women with experiential knowledge of congenital anomalies in their own families were more likely to accept prenatal screening (p = 0.017). CONCLUSIONS: Various factors, e.g. experiential knowledge, education and information about prenatal screening affect the likelihood of participation in prenatal screening programs. More information results in better knowledge and higher uptake rate. |
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Authors:
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Vigdis Stefansdottir; Heather Skirton; Kristjan Jonasson; Hildur Hardardottir; Jon Johannes Jonsson |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta obstetricia et gynecologica Scandinavica Volume: 89 ISSN: 1600-0412 ISO Abbreviation: Acta Obstet Gynecol Scand Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-06-29 Completed Date: 2010-07-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0370343 Medline TA: Acta Obstet Gynecol Scand Country: England |
Other Details:
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Languages: eng Pagination: 931-8 Citation Subset: IM |
Affiliation:
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Department of Genetics and Molecular Medicine, Landspitali University Hospital, Iceland. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Chorionic Gonadotropin, beta Subunit, Human / blood Chromosome Disorders / diagnosis* Female Genetic Testing / utilization* Health Knowledge, Attitudes, Practice* Humans Iceland Intervention Studies Maternal Health Services / statistics & numerical data, utilization Nuchal Translucency Measurement / methods Patient Acceptance of Health Care / statistics & numerical data* Patient Compliance Patient Education as Topic Pregnancy Pregnancy Trimester, First Pregnancy-Associated Plasma Protein-A / metabolism Prenatal Care / utilization Prenatal Diagnosis / methods*, trends Questionnaires Risk Factors |
| Chemical | |
Reg. No./Substance:
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0/Chorionic Gonadotropin, beta Subunit, Human; EC 3.4.24.-/Pregnancy-Associated Plasma Protein-A |
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