The role of numeracy on client knowledge in BRCA genetic counseling.

The role of numeracy on client knowledge in BRCA genetic counseling.
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BRCA 遗传咨询中计算能力对客户知识的作用。

DOI:
10.1016/j.pec.2009.09.036
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发表时间:
2010
影响因子:
3.5
通讯作者:
Erby,LoriH
Erby,LoriH
中科院分区:
医学2区
文献类型:
--
作者:
Portnoy,DavidB;Roter,Debra;Erby,LoriH

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ACTIVETo评估客户端的能力,学习信息口头传达BRCA 1/2 genetic counseling session. METHODS五十九录像模拟遗传咨询会议期间的算术和健康素养的影响,246模拟客户端(AC)招募想象自己作为客户端在遗传咨询会议。AC算术,遗传素养,状态和特质焦虑,决策冲突进行了评估。主要结果是关于BRCA 1/2的AC学习。健康素养和算术能力中度相关,并且各自独立地预测学习。只有在具有足够读写能力的AC中,较高的算术能力与较高的知识分数相关。决策冲突与识字、算术或知识获取无关。然而,它是呈负相关的状态焦虑,使更高的会后状态焦虑,较低的AC的决策confliction.CONCLUSIONNumeracy和健康素养与学习的口头交流的信息在遗传咨询。看来,算术可以促进学习识字科目,它没有,但是,使任何差异,在学习能力的客户显着的识字deficits.PRACTICE IMPLICATIONSNumeracy发挥了重要的作用,在客户端的能力,学习信息在医疗会议期间沟通,特别是在客户端谁是否则被视为识字。
OBJECTIVETo assess the impact of numeracy and health literacy on client's ability to learn information orally communicated during a BRCA 1/2 genetic counseling session.METHODSFifty-nine videotaped simulated genetic counseling sessions were shown to 246 analogue clients (AC) recruited to imagine themselves as the client in the genetic counseling session. AC numeracy, genetic literacy, state and trait anxiety, and decisional conflict were assessed. The primary outcome was AC learning about BRCA 1/2.RESULTSHealth literacy and numeracy were moderately correlated, and each independently predicted learning. Higher numeracy was associated with higher knowledge scores only among ACs with adequate literacy. Decisional conflict was not related to literacy, numeracy, or knowledge acquisition. It was, however, inversely related to state anxiety so that the higher post-session state anxiety, the lower the AC's decisional conflict.CONCLUSIONNumeracy and health literacy are associated with learning of orally communicated information during genetic counseling. It appears that numeracy can facilitate learning for literate subjects; it does not, however, make any difference in learning ability of clients with significant literacy deficits.PRACTICE IMPLICATIONSNumeracy plays an important role in client's ability to learn information communicated during medical sessions, especially among clients who are otherwise regarded as literate.
DOI: 10.1083/jcb.103.3.995
发表时间: 1986-09
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