Evidence map›Paper›PMID 21624881›Full record

ArticlePediatrics2011

Parents' decisions to screen newborns for FMR1 gene expansions in a pilot research project.

Debra Skinner, Summer Choudhury, John Sideris, Sonia Guarda, Allen Buansi, Myra Roche, Cynthia Powell, Donald B Bailey

Abstract readComparative Study
In one paragraph

Article in Pediatrics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
–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

26 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Parental interest in genomic sequencing of newborns: enrollment experience from the BabySeq Project.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
    Article
  10. Review
  11. Article
  12. Article
  13. Developmental profiles of infants with anJournal of neurodevelopmental disorders · 2016
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Developmental and behavioral pediatricians' attitudes toward screening for fragile X.American journal on intellectual and developmental disabilities · 2013
    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

8 authors.

Debra SkinnerFPG Child Development Institute, University of North Carolina at Chapel Hill, Carrboro, NC 27510, USA. debra.skinner@unc.edu
Summer Choudhury
John Sideris
Sonia Guarda
Allen Buansi
Myra Roche
Cynthia Powell
Donald B Bailey

Funding

UNC CLINICAL AND TRANSLATIONAL SCIENCE AWARD: BPCAUL1RR025747 · NCRR · UNIV OF NORTH CAROLINA CHAPEL HILL · PI RUNGE, MARSCHALL S. · 2008 to 2011
$44.6M
UNC MRDD Research CenterP30HD003110 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI BELGER, AYSENIL · 1985 to 2012
$28.7M
Center for Genomics and SocietyP50HG004488 · NHGRI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI HENDERSON, GAIL E · 2007 to 2017
$12.6M
NCRR NIH HHS UL1 RR025747NCRR NIH HHS UL1RR025747NHGRI NIH HHS 5P50HG004488NHGRI NIH HHS P50 HG004488NICHD NIH HHS P30 HD003110NICHD NIH HHS P30 HD003110-S1PHS HHS U32-MC00148
6 · The paper itself

Abstract

objectiveThe goal of this study was to document rates of parental consent in a pilot study of newborn screening for FMR1 gene expansions, examine demographic characteristics of mothers who consented or declined, describe the reasons for their decision, and discuss ethical and social aspects of the consent process.

methodsA brief survey was used to record basic demographic data from mothers and an open-ended question was used to elicit parents' reasons for accepting or declining screening. A descriptive analysis was conducted on the number of mothers who consented to or declined screening, and a logistic regression model predicted mothers' likelihood to agree to screening based on demographic characteristics. Reasons for decisions were analyzed using content analysis. The study was conducted at University of North Carolina Hospitals. A total of 2137 mothers were approached.

resultsThe uptake rate for couples was 63%. Acceptance rates varied by race/ethnicity, with black respondents being less likely to accept screening. Primary reasons for accepting were "to know," "belief in research," and "the test was minimal/no risk." Reasons for declining included not wanting to know or worry, not being a good time, and issues with testing children or with genetic tests.

conclusionsFindings demonstrate that a majority of parents accepted newborn screening for FMR1 gene expansions, but decision rates and reasons for accepting or declining varied in part as a function of race/ethnicity and in part as a function of what parents most valued or feared in their assessment of risks and benefits.

Indexed as

Decision MakingAdultFemaleFragile X Messenger Ribonucleoprotein 1Fragile X SyndromeGenetic TestingHumansInfant, NewbornMaleParental ConsentParentsPilot ProjectsRetrospective StudiesFMR1 protein, humanFragile X Messenger Ribonucleoprotein 1

Identifiers

PMID21624881
PMCPMC3103273

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.