Document Detail


A randomized trial comparing alternative approaches to prenatal diagnosis counseling in advanced maternal age patients.
MedLine Citation:
PMID:  15733266     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Prenatal diagnosis (PND) is offered routinely as part of pregnancy care to a large number of women at increased risk of fetal anomalies. Despite an extraordinary growth in the use of PND and significant resource allocation, few studies have examined outcomes of PND counseling, and virtually no research has evaluated the relative efficacy of various approaches to genetic counseling. This study was a randomized trial that compared which counseling methods - individual, group, and use of a decision aid - are effective in PND counseling for women of advanced maternal age (>/=35 years) and their partners. Three hundred and fifty-two women and 225 partners completed pre- and post-intervention questionnaires assessing changes in knowledge, decisional conflict, state anxiety, satisfaction, use of PND, and pregnancy outcomes. All participants showed a significant increase in knowledge and a decrease in decisional conflict post intervention. Those in the group intervention showed a significantly greater increase in knowledge than those in the individual counseling intervention. While high levels of satisfaction were reported by all, those in individual counseling were significantly more satisfied than those receiving group counseling or the decision aid. This study has shown unique benefits with each type of intervention such that women and their partners preferred individual genetic counseling, while they learned best in group-counseling sessions, and experienced the least decisional conflict regarding genetic testing with a decision aid.
Authors:
A G W Hunter; M Cappelli; L Humphreys; J E Allanson; T T Chiu; C Peeters; D Moher; A Zimak
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Publication Detail:
Type:  Clinical Trial; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Clinical genetics     Volume:  67     ISSN:  0009-9163     ISO Abbreviation:  Clin. Genet.     Publication Date:  2005 Apr 
Date Detail:
Created Date:  2005-02-28     Completed Date:  2005-06-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0253664     Medline TA:  Clin Genet     Country:  Denmark    
Other Details:
Languages:  eng     Pagination:  303-13     Citation Subset:  IM    
Affiliation:
Department of Genetics, Children's Hospital of Eastern Ontario (CHEO), Ottawa, Ontario, Canada. heddalasdair@aol.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Conflict (Psychology)
Decision Support Techniques
Female
Genetic Counseling / methods*
Group Processes
Humans
Male
Manifest Anxiety Scale
Maternal Age*
Patient Satisfaction
Pregnancy
Prenatal Diagnosis / methods
Questionnaires

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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