Aneuploidy, Birth Defect
Conditions
Keywords
patient education, genetic counseling
Brief summary
This is a randomized controlled trial of a low income and low health literacy population of pregnant women from a diverse racial and ethnic background to assess the effectiveness of a pre-visit educational video on prenatal genetic screening and testing options.
Detailed description
During pregnancy, women are routinely counseled about the risks of their offspring to have a chromosomal abnormality or birth defects. Both prenatal screening and diagnostic testing options to exclude aneuploidy should be offered to all pregnant women early in their pregnancy. A standardized educational video on prenatal screening may enhance a patient's understanding and knowledge of testing and support more informed decisions. The objective of this study is to evaluate and compare patient knowledge scores on prenatal genetic screening before and after a standard prenatal care visit compared to the addition of a pre-appointment educational video.
Interventions
Participants randomized to the intervention group, will wacth a pre-appointment video, followed by a routine prenatal care visit.
Sponsors
Study design
Intervention model description
Primary purpose: assess and compare patient knowledge on prenatal genetic screening before and after a standard prenatal care visit compared to the addition of a pre-appointment educational video. All participants will complete a 15-item questionnaire on prenatal genetic screening options at baseline and after routine prenatal care visit. Participants randomized to the control group, will have a routine prenatal care appoinment, while the intervention group will watch a pre-appointment 4.5 minute educational video entitled How to decide about prenatal genetic testing.
Eligibility
Inclusion criteria
* pregnancy, english or spanish-speaking
Exclusion criteria
* minors \<18 years old, * \> 21 completed weeks of gestational age, * prior genetic counseling during current pregnancy * fetus with known ultrasound abnormality
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Knowledge score | same day for both groups | Evaluate the participants' baseline and post-visit knowledge scores on prenatal genetic screening for both groups using the Maternal Serum Screening Knowledge Score Questionnaire (MSSKQ) |
| Knowledge score change | same day for both groups | Compare the knowledge score change for both groups using the Maternal Serum Screening Knowledge Score Questionnaire (MSSKQ) |
Countries
United States