Enhancing Patient Prenatal Education-A Feasibility Study

描述（申请人提供）：越来越多的遗传携带者 筛查测试对充分的产前患者教育提出了挑战。诊所 基于计算机的患者教育计划可能是对此的有效回应。 挑战.在进行随机对照试验以评估其有效性之前， 研究在临床环境中操作此类程序的可行性。我们 进行可行性研究。我们的第一个具体目标是开发一个 交互式计算机辅助教学（ICAI）患者教育计划， 六种产前遗传携带者筛查试验（多标记，高级 母亲年龄、镰状细胞、地中海贫血、囊性纤维化和Tay Sachs/Canavan）。我们的第二个目标是收集关于会计师协会影响的数据 关于患者知识和焦虑的计划，以及患者和提供者 接受ICAI计划。我们的第三个目标是评估 关于诊所活动的ICAI计划。我们的第四个目标是估计 ICAI对患者知识和焦虑的影响大小，并开展研究 ICAI有效性RCT的方法。为了实现这一点，我们建议首先， 使用认知反应访谈和可用性开发ICAI程序 怀孕患者的测试方法，以及提供者访谈。 接下来，我们将测量患者的知识和焦虑之前和之后 完成ICAI。我们还将确定患者和提供者的评估， ICAI是一种基于临床的教育工具。第三，我们将利用病人的时间 流程分析，以评估ICAI对诊所活动的影响。基于 这些数据，我们将设计一个随机对照试验，以评估ICAI计划的有效性，在公共 产前保健诊所和私人产科诊所。

DESCRIPTION (provided by applicant): An increasing number of genetic carrier screening tests pose a challenge to adequate prenatal patient education. Clinic based computer patient education programs may be an effective response to this challenge. Before mounting a RCT to assess their effectiveness it is essential to study the feasibility of operating such programs in clinic settings. We propose a feasibility study. Our first specific aim is to develop an interactive computer assisted instruction (ICAI) patient education program for six prenatal genetic carrier screening tests (Multiple-Marker, Advanced Maternal Age, Sickle Cell, Thalassemia, Cystic Fibrosis, and Tay Sachs/Canavan). Our second aim is to collect data on the impact of the ICAI program on patient knowledge and anxiety, as well as patient and provider acceptance of the ICAI program. Our third aim is to assess the impact of the ICAI program on clinic activities. Our fourth aim is to estimate the likely effect size of the ICAI on patient knowledge and anxiety and to develop study methods for a RCT of ICAI effectiveness. To accomplish this we propose first, to develop the ICAI program using Cognitive Response Interviewing and Usability Testing methodologies with pregnant patients, as well as provider interviews. Next we will measure patient knowledge and anxiety prior to and after completing the ICAI. We will also ascertain patient and provider assessment of the ICAI as a clinic based educational tool. Third, we will employ Patient Time Flow Analysis to assess the impact of the ICAI on clinic activities. Based on these data, we will design a RCT to assess ICAI program effectiveness in public health prenatal clinics and private obstetrical practices.