| Impact of Literacy and Numeracy on Motivation for Behavior Change After Diabetes Genetic Risk Testing. | |
| | |
MedLine Citation:
|
PMID: 22247420 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Type 2 diabetes genetic risk testing might motivate at-risk patients to adopt diabetes prevention behaviors. However, the influence of literacy and numeracy on patient response to diabetes genetic risk is unknown. OBJECTIVE: The authors investigated the association of health literacy, genetic literacy, and health numeracy with patient responses to diabetes genetic risk. DESIGN: and Measurements. Overweight patients at high phenotypic risk for type 2 diabetes were recruited for a clinical trial of diabetes genetic risk testing. At baseline, participants predicted how their motivation for lifestyle modification to prevent diabetes might change in response to hypothetical scenarios of receiving "high" and "low" genetic risk results. Responses were analyzed according to participants' health literacy, genetic literacy, and health numeracy. RESULTS: Two-thirds (67%) of participants (n = 175) reported very high motivation to prevent diabetes. Despite high health literacy (92% at high school level), many participants had limited health numeracy (30%) and genetic literacy (38%). Almost all (98%) reported that high-risk genetic results would increase their motivation for lifestyle modification. In contrast, response to low-risk genetic results varied. Higher levels of health literacy (P = 0.04), genetic literacy (P = 0.02), and health numeracy (P = 0.02) were associated with an anticipated decrease in motivation for lifestyle modification in response to low-risk results. CONCLUSIONS: While patients reported that high-risk genetic results would motivate them to adopt healthy lifestyle changes, response to low-risk results varied by patient numeracy and literacy. However, anticipated responses may not correlate with true behavior change. If future research justifies the clinical use of genetic testing to motivate behavior change, it may be important to assess how patient characteristics modify that motivational effect. |
| | |
Authors:
|
Jason L Vassy; Kelsey E O'Brien; Jessica L Waxler; Elyse R Park; Linda M Delahanty; Jose C Florez; James B Meigs; Richard W Grant |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-1-12 |
Journal Detail:
|
Title: Medical decision making : an international journal of the Society for Medical Decision Making Volume: - ISSN: 1552-681X ISO Abbreviation: - Publication Date: 2012 Jan |
Date Detail:
|
Created Date: 2012-1-16 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8109073 Medline TA: Med Decis Making Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Treatment Experience, Burden, and Unmet Needs (TRIBUNE) in Multiple Sclerosis: The Costs and Utiliti...
Next Document: Effectiveness of Personalized and Interactive Health Risk Calculators: A Randomized Trial.