Evidence map›Paper›PMID 17986068›Full record

ArticleHealth expectations : an international journal of public participation in health care and health policy2007

'Balance' is in the eye of the beholder: providing information to support informed choices in antenatal screening via Antenatal Screening Web Resource.

Shenaz Ahmed, Louise Bryant, Jenny Hewison

Abstract read
In one paragraph

Article in Health expectations : an international journal of public participation in health care and health policy, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Presenting life with cystic fibrosis: a Q-methodological approach to developing balanced, experience-based prenatal screening information.Health expectations : an international journal of public participation in health care and health policy · 2015
    Article
  8. Imagined futures: how experiential knowledge of disability affects parents' decision making about fetal abnormality.Health expectations : an international journal of public participation in health care and health policy · 2012
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Considering 'balance' in information.Health expectations : an international journal of public participation in health care and health policy · 2007
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Shenaz AhmedLeeds Institute of Health Sciences, Academic Unit of Public Health, University of Leeds, Leeds, UK. s.ahmed@leeds.ac.uk
Louise Bryant
Jenny Hewison

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe Antenatal Screening Web Resource (AnSWeR) was designed to support informed prenatal testing choices by providing balanced information about disability, based on the testimonies of disabled people and their families. We were commissioned by the developers to independently evaluate the website. This paper focused on how participants evaluated AnSWeR in terms of providing balanced information.

settingWest Yorkshire.

participantsA total of 69 people were drawn from three groups: health professionals, people with personal experience of tested-for conditions (Down's syndrome, cystic fibrosis and spina bifida) and people representing potential users of the resource.

methodData were collected via focus groups and electronic questionnaires.

resultsParticipants believed that information about the experience of living with the tested-for conditions and terminating a pregnancy for the conditions were important to support informed antenatal testing and termination decisions. However, there were differences in opinion about whether the information about the tested-for conditions was balanced or not. Some people felt that the inclusion of photographs of people with the tested-for conditions introduced biases (both positive and negative). Many participants were also of the opinion that AnSWeR presented insufficient information on termination of an affected pregnancy to support informed choice.

conclusionThis study highlighted the difficulty of designing 'balanced' information about tested-for conditions and a lack of methodology for doing so. It is suggested that AnSWeR currently provides a counterbalance to other websites that focus on the medical aspects of disability. Its aim to provide 'balanced' information would be aided by increasing the number and range of case studies available on the website.

Indexed as

Decision MakingInternetAdultFemaleFocus GroupsGenetic CounselingHumansMaleParentingPersons with DisabilitiesPregnancyPrenatal DiagnosisSurveys and Questionnaires

Identifiers

PMID17986068
PMCPMC5060415

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.