Evidence map›Paper›PMID 29846879›Full record

ArticleFamilial cancer2019

The development of an online decision aid to support persons having a genetic predisposition to cancer and their partners during reproductive decision-making: a usability and pilot study.

Kelly Reumkens, Marly H E Tummers, Joyce J G Gietel-Habets, Sander M J van Kuijk, Cora M Aalfs, Christi J van Asperen, Margreet G E M Ausems, Margriet Collée, Charlotte J Dommering, C Marleen Kets and 6 more

Abstract readEvaluation Study
In one paragraph

Article in Familial cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–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

14 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Systematic Development of Patient Decision Aids: An Update from the IPDAS Collaboration.Medical decision making : an international journal of the Society for Medical Decision Making · 2021
    Article
  7. Article
  8. Article
  9. Article
  10. Informed Consent in the Genomics Era.Cold Spring Harbor perspectives in medicine · 2020
    Review
  11. Article
  12. Article
  13. Review
  14. 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

16 authors.

Kelly ReumkensDepartment of Clinical Genetics, Maastricht University Medical Centre+, Postbox 5800, 6202 AZ, Maastricht, The Netherlands. Kelly.reumkens@mumc.nl.ORCID http://orcid.org/0000-0003-3723-3281
Marly H E TummersDepartment of Clinical Genetics, Maastricht University Medical Centre+, Postbox 5800, 6202 AZ, Maastricht, The Netherlands.
Joyce J G Gietel-HabetsDepartment of Clinical Genetics, Maastricht University Medical Centre+, Postbox 5800, 6202 AZ, Maastricht, The Netherlands.
Sander M J van KuijkDepartment of Clinical Epidemiology and Medical Technology Assessment, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Cora M AalfsDepartment of Clinical Genetics, Academic Medical Centre, Amsterdam, The Netherlands.
Christi J van AsperenDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Margreet G E M AusemsDivision of Biomedical Genetics, Department of Genetics, University Medical Center Utrecht, Utrecht, the Netherlands.
Margriet ColléeDepartment of Clinical Genetics, Erasmus University Medical Center, Rotterdam, The Netherlands.
Charlotte J DommeringDepartment of Clinical Genetics, VU University Hospital, Amsterdam, The Netherlands.
C Marleen KetsDepartment of Human Genetics, Radboud University Medical Center Nijmegen, Nijmegen, the Netherlands.
Lizet E van der KolkFamily Cancer Clinic, Netherlands Cancer Institute, Amsterdam, The Netherlands.
Jan C OosterwijkDepartment of Genetics, Groningen University Medical Center, University of Groningen, Groningen, the Netherlands.
Vivianne C G Tjan-HeijnenGROW School for Oncology and Developmental Biology, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Trudy van der WeijdenSchool CAPHRI Care and Public Health Research Institute, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Christine E M de Die-SmuldersDepartment of Clinical Genetics, Maastricht University Medical Centre+, Postbox 5800, 6202 AZ, Maastricht, The Netherlands.
Liesbeth A D M van OschDepartment of Clinical Genetics, Maastricht University Medical Centre+, Postbox 5800, 6202 AZ, Maastricht, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An online decision aid to support persons having a genetic predisposition to cancer and their partners during reproductive decision-making was developed. A two-phase usability test was conducted among 12 couples (N = 22; 2 persons participated without their partner) at risk for hereditary cancer and 15 health care providers. Couples and health care providers expressed similar suggestions for improvements, and evaluated the modified decision aid as acceptable, easy to use, and comprehensible. The final decision aid was pilot tested (N = 16) with paired sample t tests comparing main outcomes (decisional conflict, knowledge, realistic expectations regarding the reproductive options and decision self-efficacy) before (T0), immediately (T1) and 2 weeks after (T2) use of the decision aid. Pilot testing indicated decreased decisional conflict scores, increased knowledge, and improved realistic expectations regarding the reproductive options, at T1 and T2. No effect was found for couples' decision self-efficacy. The positive findings during usability testing were thus reflected in the pilot study. The decision aid will be further evaluated in a nationwide pretest-posttest study to facilitate implementation in the onco-genetic counselling setting. Ultimately, it is expected that the decision aid will enable end-users to make an informed decision.

Indexed as

Decision MakingDecision Support TechniquesGenetic Predisposition to DiseaseAdultFemaleGenetic CounselingHealth Knowledge, Attitudes, PracticeHumansInternetMaleNeoplastic Syndromes, HereditaryPilot ProjectsReproductionCounsellingDecision aidHereditary cancerInformed decision-makingOncologyPatient educationReproductive decision-making

Identifiers

PMID29846879
PMCPMC6323089

What OpenQuestion holds

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LicenceCC BY
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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.