Evidence map›Paper›PMID 30105426›Full record

ArticleJournal of genetic counseling2018

Precision Medicine: Familiarity, Perceived Health Drivers, and Genetic Testing Considerations Across Health Literacy Levels in a Diverse Sample.

Jessica R Williams, Vivian M Yeh, Marino A Bruce, Carolyn Szetela, Flora Ukoli, Consuelo H Wilkins, Sunil Kripalani

Open access · bronzeAbstract read
In one paragraph

Article in Journal of genetic counseling, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 4 pooled it
3.4field-weighted citation impact, top 7% 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

34 citing papers in PubMed, 4 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Trial
  6. Ethical Perspectives in Renal Genetic Testing and Counseling.Advances in kidney disease and health · 2026
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Assessing health literacy and diversity within the All of Us Research Program.Journal of the American Medical Informatics Association : JAMIA · 2025
    Article
  12. Review
  13. Article
  14. Article
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  16. Article
  17. Article
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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 4 institutions in 1 country.

Jessica R WilliamsSchool of Nursing, University of North Carolina at Chapel Hill, 5004 Carrington Hall, Campus Box 7460, Chapel Hill, NC, 27599-7460, USA. jrober65@email.unc.edu.ORCID http://orcid.org/0000-0001-6105-0296
Vivian M YehCenter for Clinical Quality and Implementation Research, Vanderbilt University Medical Center, Nashville, TN, USA.
Marino A BruceCenter for Medicine, Health, and Society, Vanderbilt University, Nashville, TN, USA.
Carolyn SzetelaDepartment of Professional and Medical Education, Meharry Medical College, Nashville, TN, USA.
Flora UkoliDepartment of Surgery, Meharry Medical College, Nashville, TN, USA.
Consuelo H WilkinsDivision of General Internal Medicine and Public Health, Department of Medicine, Vanderbilt University Medical Center, Nashville, TN, USA.
Sunil KripalaniCenter for Clinical Quality and Implementation Research, Vanderbilt University Medical Center, Nashville, TN, USA.
Meharry Medical College · USVanderbilt University Medical Center · USUniversity of North Carolina at Chapel Hill · USVanderbilt University · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
Training and Mentoring CoreU54MD010722 · NIMHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI COX, NANCY J · 2016 to 2020
$11.9M
National Institutes of Health RR024975National Institutes of Health U54MD010722NCRR NIH HHS UL1 RR024975NIMHD NIH HHS U54 MD010722
6 · The paper itself

Abstract

A clear awareness of a patient's knowledge, values, and perspectives is an important component of effective genetic counseling. Advances in precision medicine, however, have outpaced our understanding of patient perceptions of this new approach. Patient views may differ across the three domains of precision medicine (genetics, behavioral, and environmental determinants of health), ethnic/racial groups, and health literacy levels. This study describes and compares group differences in familiarity, perceptions, and preferences for precision medicine in a diverse sample. Between 2016 and 2017, 252 participants completed a 10-15-min survey in three primary care clinics in Florida and Tennessee. The final sample was 42.5% African American/Black, 25.8% Hispanic/Latino, 25.0% White, and 6.7% other ethnicity/race. Less than a quarter of participants reported being familiar with the term "precision medicine," but were more familiar with basic genetic terms. Participants with higher health literacy reported greater familiarity with terms (p ≤ .003). African Americans/Black participants were more likely to identify ethnicity/race and discrimination as influencing their health (p ≤ .004). When deciding to get a genetic test, individuals across ethnic/racial groups shared similar considerations. Those with higher health literacy, however, gave significantly greater importance to provider trust (p ≤ .008). Given the recent emergence of precision medicine, at present there may be limited differences in patient perceptions across ethnic/racial groups. Culturally sensitive efforts, tailored to health literacy level, may aid equitable precision medicine uptake.

Indexed as

Attitude to healthHealth disparitiesHealth literacyPrecision healthRace/ethnicity

Identifiers

PMID30105426
PMCPMC6374217
OpenAlexW2885067300

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.