Computerized Prenatal Genetic Testing Decision-Assisting Tool A Randomized Controlled Trial
Computerized Prenatal Genetic Testing Decision-Assisting Tool A Randomized Controlled Trial
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DOI：
10.1097/aog.0b013e31818e7ec4
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发表时间：
2009-01-01
影响因子：
7.2
通讯作者：
Nease, Robert F., Jr.
中科院分区：
文献类型：
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作者：
Kuppermann, Miriam;Norton, Mary E.;Nease, Robert F., Jr.
目的：胎儿非整倍体检测指南建议对所有年龄段的孕妇进行筛查和诊断测试，并建议提供者解释这些测试之间的差异，以帮助患者做出明智的检测决定。我们试图估计计算机化的交互式产前检测决策工具对产前检测决策的影响。方法：496名妊娠20周或更少的英语或西班牙语妇女被随机分配观看互动式产前检测决策工具或加州卫生服务部门的教育小册子。主要结果为知识、风险意识、干预满意度、决策冲突，以及年龄在35岁以上的女性中侵入性诊断检测的使用。结果：使用互动式产前检测决策工具的妇女知识得分较高(79.5%比64.9%，P
OBJECTIVE: Guidelines for fetal aneuploidy testing recommend that screening and diagnostic testing be made available to pregnant women of all ages and that providers explain the differences between these tests to help their patients make informed testing decisions. We sought to estimate the effect of a computerized, interactive prenatal testing decision tool on prenatal testing decision making.METHODS: Four hundred ninety-six English- or Spanish-speaking women at 20 or fewer weeks of gestation were randomly assigned to view the interactive prenatal testing decision tool or the California Department of Health Services' educational booklet. Primary outcomes were knowledge, risk awareness, intervention satisfaction, decisional conflict, and among women aged at least 35 years, use of invasive diagnostic testing.RESULTS: Women assigned to the interactive prenatal testing decision tool had higher knowledge scores (79.5% compared with 64.9%, P