Evidence map›Paper›PMID 22240007›Full record

ArticlePatient education and counseling2013

Factors that influence parents' experiences with results disclosure after newborn screening identifies genetic carrier status for cystic fibrosis or sickle cell hemoglobinopathy.

Jenelle L Collins, Alison La Pean, Faith O'Tool, Kerry L Eskra, Sara J Roedl, Audrey Tluczek, Michael H Farrell

Abstract read
In one paragraph

Article in Patient education and counseling, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

20 citing papers in PubMed.

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  19. Informing parents about positive newborn screen results: parents' recommendations.Journal of child health care : for professionals working with children in the hospital and community · 2012
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  20. 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

7 authors.

Jenelle L CollinsCenter for Patient Care and Outcomes Research, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Alison La Pean
Faith O'Tool
Kerry L Eskra
Sara J Roedl
Audrey Tluczek
Michael H Farrell

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 HL086691NHLBI NIH HHS R01-HL086691
6 · The paper itself

Abstract

objectiveNewborn screening (NBS) identifies genetic carriers for sickle cell hemoglobinopathy and cystic fibrosis. We aimed to identify factors during initial NBS carrier results disclosure by primary care providers (PCPs) that influenced parents' experiences and reactions.

methodsOpen-ended responses from telephone interviews with 270 parents of carriers were analyzed using mixed-methods. Conventional content analysis identified influential factors; chi-square tests analyzed relationships between factors and parent-reported reactions.

resultsParents reported positive (35%) or negative (31%) reactions to results disclosure. Parents' experiences were influenced by specific factors: content messages (72%), PCP traits (47%), and aspects of the setting (30%). Including at least one of five specific content messages was associated (p<0.05) with positive parental reactions; omitting at least one of four specific content messages was associated (p<0.05) with negative parental reactions. Parents reported positive reactions when PCPs avoided jargon or were perceived as calm. Parents reported negative reactions to jargon usage and results disclosure by voicemail.

conclusionParents identified aspects of PCP communication which influenced their reactions and results disclosure experiences. PRACTICE IMPLICATIONS: Our findings suggest ways PCPs may improve communication of carrier results. PCPs should provide specific content messages and consider how their actions, characteristics, and setting can influence parental reactions.

Indexed as

AdultCarrier StateCystic FibrosisDisclosureFemaleGenetic CounselingGenetic TestingHealth Knowledge, Attitudes, PracticeHemoglobin SC DiseaseHumansInfant, NewbornInterviews as TopicMaleParentsQualitative Research

Identifiers

PMID22240007
PMCPMC3328613

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Registered trials

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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.