Evidence map›Paper›PMID 31654527›Full record

ArticleClinical genetics2020

Decisional conflict among adolescents and parents making decisions about genomic sequencing results.

Preethi Raghuram Pillai, Cynthia A Prows, Lisa J Martin, Melanie F Myers

Abstract read
In one paragraph

Article in Clinical genetics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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.

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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Decisional Conflict Among Adolescents and Young Adults Before and After Facilitated Decision-Making About Learning Personal Genomic Information.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2026
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  8. Improving the patient decision-making experience for cataract surgery during the COVID-19 era.Canadian journal of ophthalmology. Journal canadien d'ophtalmologie · 2023
    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

4 authors.

Preethi Raghuram PillaiDivision of Human Genetics, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio.ORCID 0000-0001-8756-8798
Cynthia A ProwsDivision of Human Genetics, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio.
Lisa J MartinDivision of Human Genetics, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio.
Melanie F MyersDivision of Human Genetics, Cincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio.

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
Better Outcomes for Children: Promoting Excellence in Healthcare Genomics to Inform PolicyU01HG008666 · NHGRI · CINCINNATI CHILDRENS HOSP MED CTR · PI HARLEY, JOHN BARKER · 2015 to 2019
$4.2M
NCATS NIH HHS UL1 TR001425NHGRI NIH HHS U01 HG008666
6 · The paper itself

Abstract

Genomic testing of adolescents is increasing yet engaging them in decision-making is not routine. We assessed decisional conflict in adolescents and a parent making independent decisions about actual genomic testing results and factors that influenced their choices. We enrolled 163 dyads consisting of an adolescent (13-17 years) not selected based on a specific clinical indication and one parent. After independently choosing categories of conditions to learn for the adolescent, participants completed the validated Decisional Conflict Scale and a survey assessing factors influencing their respective choices. Adolescents had higher decisional conflict scores than parents (15.6 [IQR:4.7-25.6] vs 9.4 [IQR:1.6-21.9]; P = .0007). Adolescents with clinically significant decisional conflict were less likely to choose to learn all results than adolescents with lower decisional conflict (19.6% vs 80.4%; P < .0001) and less likely to report their choices were influenced by actionability of results (33.3% vs 18.9%; P = .044) and feeling confident they can deal with the results (71.2% vs 91.9%; P = .0005). Our findings suggest higher decisional conflict in adolescents may influence the type and amount of genomic results they wish to learn. Additional research assessing decisional conflict and factors influencing testing choices among adolescents in clinical settings are required.

Indexed as

Decision MakingGenetic TestingGenomicsAdolescentAdultFamily ConflictFemaleHumansMaleParentsSurveys and Questionnairesadolescentconflict (psychology)decision-makinggenomics

Identifiers

PMID31654527
PMCPMC8177079

What OpenQuestion holds

Textmetadata
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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.