Evidence map›Paper›PMID 26000501›Full record

Trial reportObstetrics and gynecology2015

Variation in Women's Understanding of Prenatal Testing.

Allison S Bryant, Mary E Norton, Sanae Nakagawa, Judith T Bishop, Sherri Pena, Steven E Gregorich, Miriam Kuppermann

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Obstetrics and gynecology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07077707 (A Randomized Trial of Chatbot for Prenatal Genetic Counseling), which is not on this map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.7field-weighted citation impact, top 5% 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.

NCT07077707 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Randomized Trial of Chatbot for Prenatal Genetic Counseling

TypeinterventionalSponsorWomen and Infants Hospital of Rhode IslandRan2026 to 2029Enrolled1,470ConditionsGenetic CounselingArmsPrenatal GENEie Chatbot, In-person genetic counseling
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  5. Use of a novel computerized decision aid for aneuploidy screening: a randomized controlled trial.Genetics in medicine : official journal of the American College of Medical Genetics · 2019
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  10. Disparities in access to reproductive genetic services associated with geographic location of residence and maternal race and ethnicity.Genetics in medicine : official journal of the American College of Medical Genetics · 2024
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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

7 authors at 1 institution in 1 country.

Allison S BryantVincent Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts; and the Departments of Obstetrics, Gynecology and Reproductive Sciences, Medicine, and Epidemiology and Biostatistics, and the Medical Effectiveness Center for Diverse Populations, University of California, San Francisco, San Francisco, California.
Mary E Norton
Sanae Nakagawa
Judith T Bishop
Sherri Pena
Steven E Gregorich
Miriam Kuppermann
Massachusetts General Hospital · US

Funding

Expanded Prenatal Testing Options and Informed ChoiceR01HD049686 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KUPPERMANN, MIRIAM · 2006 to 2010
$1.8M
NICHD NIH HHS R01 HD049686NICHD NIH HHS R01HD49686
6 · The paper itself

Abstract

objectiveTo investigate women's understanding of prenatal testing options and of their own experience with screening, diagnostic genetic testing, or both.

methodsThis was a secondary analysis of data from a randomized controlled trial of enhanced information and values clarification regarding prenatal genetic testing in the absence of financial barriers to testing. Women in the third trimester of pregnancy were asked whether they had discussed prenatal genetic testing with their health care providers, whether they understood this testing was optional, and whether they had undergone testing during their pregnancy. Multivariable logistic regression models were fit to determine independent predictors of these outcomes.

resultsData were available from 710 study participants. Discussions about screening tests were reported by 654 participants (92%); only 412 (58%) reported discussing diagnostic testing. That screening and diagnostic testing were optional was evident to approximately two thirds of women (n=470 and 455, respectively). Recall of actual tests undergone was correct for 626 (88%) for screening and for 700 (99%) for diagnostic testing. Racial, ethnic and socioeconomic variation existed in the understanding of whether screening and diagnostic tests were optional and in the correct recall of whether screening had been undertaken in the current pregnancy. In the usual care group, women receiving care in low-income settings were less likely to recall being offered diagnostic testing (adjusted odds ratio 0.23 [0.14-0.39]).

conclusionDisparities exist in women's recall of prenatal genetic testing discussions and their understanding of their own experience. Interventions that explain testing options to women and help clarify their preferences may help to eliminate these differences.

Indexed as

Decision MakingHealth Knowledge, Attitudes, PracticeAdultBlack or African AmericanCommunicationFemaleGenetic TestingHealthcare DisparitiesHumansMental RecallPatient ParticipationPoverty AreasPractice Patterns, Physicians'PregnancyPrenatal CarePrenatal Diagnosis

Identifiers

PMID26000501
PMCPMC4509625
OpenAlexW2318031046

What OpenQuestion holds

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Registered trials

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.