Evidence map›Paper›PMID 22164579›Full record

ArticleWMJ : official publication of the State Medical Society of Wisconsin2011

Improving communication between doctors and parents after newborn screening.

Michael H Farrell, Stephanie A Christopher, Audrey Tluczek, Karen Kennedy-Parker, Alison La Pean, Kerry Eskra, Jenelle Collins, Gary Hoffman, Julie Panepinto, Philip M Farrell

Open access · greenAbstract read
In one paragraph

Article in WMJ : official publication of the State Medical Society of Wisconsin, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
6.6field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

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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

10 authors at 1 institution in 1 country.

Michael H FarrellCenter for Patient Care and Outcomes Research, Medical College of Wisconsin, 8701 Watertown Plank Rd, Milwaukee, WI 53226, USA. mfarrell@mcw.edu
Stephanie A Christopher
Audrey Tluczek
Karen Kennedy-Parker
Alison La Pean
Kerry Eskra
Jenelle Collins
Gary Hoffman
Julie Panepinto
Philip M Farrell
Medical College of Wisconsin · US

Funding

Improvement of communication process and outcomes after newborn genetic screeningR01HL086691 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI FARRELL, MICHAEL HENRY · 2008 to 2011
$1.9M
Surveillance For Communication Outcomes After Newborn ScreeningK01HL072530 · NHLBI · YALE UNIVERSITY · PI FARRELL, MICHAEL HENRY · 2004 to 2007
$630k
NHLBI NIH HHS K01 HL072530NHLBI NIH HHS K01-HL072530NHLBI NIH HHS R01 HL086691
6 · The paper itself

Abstract

backgroundNewborn screening (NBS) enables early treatment, and some consider it a natural vehicle for genetic screening. Bioethicists argue for caution since families of infants with carrier status can develop psychosocial complications. This paper describes the methods and feasibility of Wisconsin's statewide project for quality improvement of communication and psychosocial outcomes after NBS.

methodsWhen NBS identifies carrier status for cystic fibrosis or sickle cell, we contact primary care providers (PCPs), answer questions, and invite them to rehearse informing the parents. Three months later, we telephone the parents, assess knowledge and psychosocial outcomes, provide counseling, and assist with self-referral to further resources. Afterward, evaluation surveys are provided to the parents, to be returned anonymously.

resultsBirthing facilities provided accurate PCP names for 73% of 817 infants meeting inclusion criteria; we identified PCPs for 21% more. We reached 47.3% of PCPs in time to invite a rehearsal; 60% of these accepted. We successfully called 50.2% of eligible parents; 61% recalled a PCP explanation, and 48.5% evaluated the explanation favorably. Evaluations by parents with limited health literacy were less favorable.

conclusionIt is feasible to follow parents for psychosocial outcomes after NBS. Preliminary data about communication is mixed, but further data will describe psychosocial outcomes and investigate outcomes' associations with communication.

Indexed as

CommunicationPhysiciansProfessional-Family RelationsAnemia, Sickle CellContinuity of Patient CareCystic FibrosisFemaleHumansInfant, NewbornMaleNeonatal ScreeningParentsPrimary Health CareSurveys and QuestionnairesWisconsin

Identifiers

PMID22164579
PMCPMC3594768
OpenAlexW1631515739

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.