Evidence map›Paper›PMID 27401163›Full record

ArticleBMC research notes2016

Health literacy in pregnant women facing prenatal screening may explain their intention to use a patient decision aid: a short report.

Agathe Delanoë, Johanie Lépine, Maria Esther Leiva Portocarrero, Hubert Robitaille, Stéphane Turcotte, Isabelle Lévesque, Brenda J Wilson, Anik M C Giguère, France Légaré

Registry-linked trialAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC research notes, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04162288 (RCT Protocol for Evaluating an Online Training Program on Shared Decision-making About Screening for Down Syndrome), which is not on this map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing 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.

NCT04162288 nacompletednot on this mapstarted 2019, after this paper: background citation

RCT Protocol for Evaluating an Online Training Program on Shared Decision-making About Screening for Down Syndrome

TypeinterventionalSponsorCHU de Quebec-Universite LavalRan2019 to 2020Enrolled36ConditionsShared Decision MakingArmsOnline Training - Shared Decision Making in Prenatal Screening, Online Training - Online Training on Prenatal Screening
3 · Its place in the literature

Who cites it

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

  1. Health Literacy in Pregnant Women: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  2. Interventions to Improve Health among Reproductive-Age Women of Low Health Literacy: A Systematic Review.International journal of environmental research and public health · 2020
    Pooled it
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  18. Pregnant Women's Health Literacy in the South of Iran.Journal of family & reproductive health · 2017
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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

9 authors.

Agathe DelanoëCanada Research Chair in Shared Decision Making and Knowledge Translation, Public Health and Practice-Changing Research Group, Centre Hospitalier Universitaire de Québec Research Centre, Hôpital St-François d'Assise, 10 rue Espinay, D6-737, Quebec City, QC, G1L 3L5, Canada.
Johanie LépineCanada Research Chair in Shared Decision Making and Knowledge Translation, Public Health and Practice-Changing Research Group, Centre Hospitalier Universitaire de Québec Research Centre, Hôpital St-François d'Assise, 10 rue Espinay, D6-737, Quebec City, QC, G1L 3L5, Canada.
Maria Esther Leiva PortocarreroCanada Research Chair in Shared Decision Making and Knowledge Translation, Public Health and Practice-Changing Research Group, Centre Hospitalier Universitaire de Québec Research Centre, Hôpital St-François d'Assise, 10 rue Espinay, D6-737, Quebec City, QC, G1L 3L5, Canada.
Hubert RobitailleCanada Research Chair in Shared Decision Making and Knowledge Translation, Public Health and Practice-Changing Research Group, Centre Hospitalier Universitaire de Québec Research Centre, Hôpital St-François d'Assise, 10 rue Espinay, D6-737, Quebec City, QC, G1L 3L5, Canada.
Stéphane TurcotteCanada Research Chair in Shared Decision Making and Knowledge Translation, Public Health and Practice-Changing Research Group, Centre Hospitalier Universitaire de Québec Research Centre, Hôpital St-François d'Assise, 10 rue Espinay, D6-737, Quebec City, QC, G1L 3L5, Canada.
Isabelle LévesqueObstetrics and Gynecology Department, Faculty of Medicine, Université Laval, 1050, avenue de la Médecine, Quebec City, QC, Canada.
Brenda J WilsonDepartment of Epidemiology and Community Medicine, Faculty of Medicine, University of Ottawa, Roger Guindon Hall, 451 Smyth Road, Ottawa, ON, Canada.
Anik M C GiguèreQuebec Centre of Excellence on Aging, CHU de Québec Research Centre, 1050, chemin Sainte-Foy, Quebec City, QC, Canada.
France LégaréCanada Research Chair in Shared Decision Making and Knowledge Translation, Public Health and Practice-Changing Research Group, Centre Hospitalier Universitaire de Québec Research Centre, Hôpital St-François d'Assise, 10 rue Espinay, D6-737, Quebec City, QC, G1L 3L5, Canada. France.Legare@mfa.ulaval.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been suggested that health literacy may impact the use of decision aids (DAs) among patients facing difficult decisions. Embedded in the pilot test of a questionnaire, this study aimed to measure the association between health literacy and pregnant women's intention to use a DA to decide about prenatal screening. We recruited a convenience sample of 45 pregnant women in three clinical sites (family practice teaching unit, birthing center and obstetrical ambulatory care clinic). We asked participating women to complete a self-administered questionnaire assessing their intention to use a DA to decide about prenatal screening and assessed their health literacy levels using one subjective and two objective scales.

resultsTwo of the three scales discriminated between levels of health literacy (three numeracy questions and three health literacy questions). We found a positive correlation between pregnant women's intention to use a DA and subjective health literacy (Spearman coefficient, Rho 0.32, P = 0.04) but not objective health literacy (Spearman coefficient, Rho 0.07, P = 0.65). Hence subjective health literacy may affect the intention to use a DA among pregnant women facing a decision about prenatal screening.

conclusionSpecial attention should be given to pregnant women with lower health literacy levels to increase their intention to use a DA and ensure that every pregnant women can give informed and value-based consent to prenatal screening.

Indexed as

AdultAmbulatory Care FacilitiesDecision MakingDecision Support TechniquesDown SyndromeFamily PracticeFemaleHealth Knowledge, Attitudes, PracticeHealth LiteracyHumansInformed ConsentIntentionPregnancyPrenatal DiagnosisQuebecSurveys and QuestionnairesDown syndromeHealth literacyPatient decision aidPatient involvementScreening and diagnostic testsShared decision making

Identifiers

PMID27401163
PMCPMC4940686

What OpenQuestion holds

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LicenceCC BY
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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.