Evidence map›Paper›PMID 19854023›Full record

Trial reportPatient education and counseling2010

The role of numeracy on client knowledge in BRCA genetic counseling.

David B Portnoy, Debra Roter, Lori H Erby

Abstract readClinical Trial
In one paragraph

Trial report in Patient education and counseling, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Trial
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  8. An Exploratory Study on the Impacts of Individual Skills and Health Information Exposure on Perceptions of Cancer Control and Expert Competence.Journal of cancer education : the official journal of the American Association for Cancer Education · 2023
    Article
  9. Article
  10. Review
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  16. Efficacy of a web-based intelligent tutoring system for communicating genetic risk of breast cancer: a fuzzy-trace theory approach.Medical decision making : an international journal of the Society for Medical Decision Making · 2015
    Article
  17. Physicians' attitudes about communicating and managing scientific uncertainty differ by perceived ambiguity aversion of their patients.Health expectations : an international journal of public participation in health care and health policy · 2013
    Article
  18. Article
  19. Article
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

3 authors.

David B PortnoyCancer Prevention Fellowship Program, National Institutes of Health, Bethesda, MD 20892-7105, USA. portnoydb@mail.nih.gov
Debra Roter
Lori H Erby

Funding

Genetic Counseling Processes and Analogue Client OutcomeR01HG002688 · NHGRI · JOHNS HOPKINS UNIVERSITY · PI ROTER, DEBRA L · 2003 to 2006
$2.3M
Intramural NIH HHS Z99 CA999999NHGRI NIH HHS 1R01HG002688-01A1NHGRI NIH HHS R01 HG002688
6 · The paper itself

Abstract

objectiveTo assess the impact of numeracy and health literacy on client's ability to learn information orally communicated during a BRCA 1/2 genetic counseling session.

methodsFifty-nine videotaped simulated genetic counseling sessions were shown to 246 analogue clients (AC) recruited to imagine themselves as the client in the genetic counseling session. AC numeracy, genetic literacy, state and trait anxiety, and decisional conflict were assessed. The primary outcome was AC learning about BRCA 1/2.

resultsHealth literacy and numeracy were moderately correlated, and each independently predicted learning. Higher numeracy was associated with higher knowledge scores only among ACs with adequate literacy. Decisional conflict was not related to literacy, numeracy, or knowledge acquisition. It was, however, inversely related to state anxiety so that the higher post-session state anxiety, the lower the AC's decisional conflict.

conclusionNumeracy and health literacy are associated with learning of orally communicated information during genetic counseling. It appears that numeracy can facilitate learning for literate subjects; it does not, however, make any difference in learning ability of clients with significant literacy deficits. PRACTICE IMPLICATIONS: Numeracy plays an important role in client's ability to learn information communicated during medical sessions, especially among clients who are otherwise regarded as literate.

Indexed as

Genetic CounselingHealth LiteracyMathematicsPatient Education as TopicProfessional-Patient RelationsAdolescentAdultAgedBreast NeoplasmsConflict, PsychologicalDecision MakingFemaleGenes, BRCA1Genes, BRCA2Health Knowledge, Attitudes, PracticeHumans

Identifiers

PMID19854023
PMCPMC2891310

What OpenQuestion holds

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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.