Evidence map›Paper›PMID 19291763›Full record

SynthesisAmerican journal of medical genetics. Part A2009

Interventions to improve patient education regarding multifactorial genetic conditions: a systematic review.

Katherine G Meilleur, Marguerite T Littleton-Kearney

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in American journal of medical genetics. Part A, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% of its field
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

27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Systematic evidence review and meta-analysis of outcomes associated with cancer genetic counseling.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
    Pooled it
  2. Effective teaching strategies and methods of delivery for patient education: a systematic review and practice guideline recommendations.Journal of cancer education : the official journal of the American Association for Cancer Education · 2011
    Guideline
  3. Trial
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  8. Review
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  13. Parents' Understanding of Genetics and Heritability.Journal of genetic counseling · 2017
    Article
  14. Evaluation of a Web-based decision aid for people considering the APOE genetic test for Alzheimer risk.Genetics in medicine : official journal of the American College of Medical Genetics · 2017
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Katherine G MeilleurJohns Hopkins University, School of Nursing, Bethesda, Maryland, USA. meilleurk@mail.nih.gov
Marguerite T Littleton-Kearney
Johns Hopkins University · US

Funding

ESTROGEN/PLATELET INTERACTION IN CEREBRAL ISCHEMIAR01NR005339 · NINR · JOHNS HOPKINS UNIVERSITY · PI KEARNEY, MARGUERITE LITTLETON · 2000 to 2011
$3.8M
NINR Intramural Research Training ProgramsZ01NR000016 · NINR · NATIONAL INSTITUTE OF NURSING RESEARCH · PI DIONNE, RAYMOND · 2007 to 2008
$1.6M
Intramural NIH HHS Z99 NS999999NINR NIH HHS R01 NR005339
6 · The paper itself

Abstract

The careful education of patients with complex genetic disease is essential. However, healthcare providers often have limited time to spend providing thorough genetic education. Furthermore, the number of healthcare professionals possessing strong genetics training may be inadequate to meet increasing patient demands. Due to such constraints, several interventions have been investigated over the past decade to identify potential resources for the facilitation of this specific type of patient education. This systematic literature review of these interventions for patient education attempts to elucidate the answer to the question: is there sufficient evidence for best practice for delivering genetic information to patients with multifactorial conditions? The various interventions (CD-ROM, group counseling, video/decision aid, and miscellaneous) were analyzed in terms of quality criteria and achievement of specific outcomes and were rated according to the Stetler model for evidence-based practice. Seven main outcomes were evaluated: (1) objective and subjective knowledge assessment, (2) psychological measures (general anxiety, depression, stress, cancer worry), (3) satisfaction/effectiveness of intervention, (4) time spent in counseling (time spent on basic genetic information vs. specific concerns), (5) decision-making/intent to undergo genetic testing, (6) treatment choice and value of that choice, and, finally (7) risk perception. Overall, the computer interventions resulted in more significant findings that were beneficial than any other category followed by the video category, although the group and miscellaneous categories did not measure all of the outcomes reported by the other two categories. Nevertheless, while these groups had neutral or negative findings in some of the outcomes, the computer intervention group showed significant improvement in genetics knowledge, psychological measures, satisfaction/effectiveness, time spent with counselor, and decision/intent to undergo testing.

Indexed as

Genetic Diseases, InbornBreast NeoplasmsComputer-Assisted InstructionDecision MakingEvidence-Based PracticeFemaleGenetic CounselingHumansKnowledgeMalePatient Education as TopicPatient SatisfactionPerceptionRisk Factors

Identifiers

PMID19291763
PMCPMC2776676
OpenAlexW1965255565

What OpenQuestion holds

Textmetadata
LicenceTDM
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.