Influence of Anchoring on Miscarriage Risk Perception Associated with Amniocentesis

Verfasser / Beitragende:
[Regina Nuccio, S. Hashmi, Joan Mastrobattista, Sarah Noblin, Jerrie Refuerzo, Janice Smith, Claire Singletary]
Ort, Verlag, Jahr:
2015
Enthalten in:
Journal of Genetic Counseling, 24/2(2015-04-01), 278-284
Format:
Artikel (online)
ID: 605545138
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024 7 0 |a 10.1007/s10897-014-9761-0  |2 doi 
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245 0 0 |a Influence of Anchoring on Miscarriage Risk Perception Associated with Amniocentesis  |h [Elektronische Daten]  |c [Regina Nuccio, S. Hashmi, Joan Mastrobattista, Sarah Noblin, Jerrie Refuerzo, Janice Smith, Claire Singletary] 
520 3 |a One factor women consider when deciding whether to pursue amniocentesis is the risk of miscarriage. People use mechanisms like anchoring, or the prior belief regarding the magnitude of risk, as a frame of reference for new information. This study aimed to determine a woman's perception of miscarriage risk associated with amniocentesis before and after genetic counseling and to determine what factors anchor a woman's perception of miscarriage risk. One hundred thirteen women being seen for prenatal genetic counseling and possible amniocentesis at six Houston clinics participated in the two-part anonymous survey. While most women (56.7%) perceived the risk as low or average pre-counseling and indicated the numeric risk of amniocentesis as <1%, significantly more patients (73%) correctly identified the numeric risk as <1% post-counseling (p < 0.0001). However, the majority of patients' qualitative risk perception did not change after the genetic counseling session (60%). Those who changed their feeling about the risk after counseling showed a decreased perception of the risk (p < 0.0001). Participants who elected amniocentesis had a significantly lower perception of the risk (p = 0.017) whereas those who declined amniocentesis were more likely to view the risk as high (p = 0.004). The only two anchoring factors that had an effect were having a friend or relative with a personal or family history of a genetic disorder (p = 0.001) and having a child already (p = 0.038); both were associated with a lower risk perception. The lack of significant factors may reflect the uniqueness of each patient's risk assessment framework and reinforces the importance of genetic counseling to elucidate individual concerns, particularly as non-invasive prenatal testing becomes more widely available and further complicates the prenatal testing landscape. 
540 |a National Society of Genetic Counselors, Inc., 2014 
690 7 |a Risk perception  |2 nationallicence 
690 7 |a Anchoring  |2 nationallicence 
690 7 |a Amniocentesis  |2 nationallicence 
700 1 |a Nuccio  |D Regina  |u Baptist Memorial Health Care Corporation, 2927 Tishomingo Lane, 38111, Memphis, TN, USA  |4 aut 
700 1 |a Hashmi  |D S.  |u University of Texas Medical School at Houston, Houston, USA  |4 aut 
700 1 |a Mastrobattista  |D Joan  |u Baylor College of Medicine, Houston, USA  |4 aut 
700 1 |a Noblin  |D Sarah  |u University of Texas Medical School at Houston, Houston, USA  |4 aut 
700 1 |a Refuerzo  |D Jerrie  |u University of Texas Medical School at Houston, Houston, USA  |4 aut 
700 1 |a Smith  |D Janice  |u Dynagene/Labcorp, Houston, USA  |4 aut 
700 1 |a Singletary  |D Claire  |u University of Texas Medical School at Houston, Houston, USA  |4 aut 
773 0 |t Journal of Genetic Counseling  |d Springer US; http://www.springer-ny.com  |g 24/2(2015-04-01), 278-284  |x 1059-7700  |q 24:2<278  |1 2015  |2 24  |o 10897 
856 4 0 |u https://doi.org/10.1007/s10897-014-9761-0  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s10897-014-9761-0  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Nuccio  |D Regina  |u Baptist Memorial Health Care Corporation, 2927 Tishomingo Lane, 38111, Memphis, TN, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Hashmi  |D S.  |u University of Texas Medical School at Houston, Houston, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Mastrobattista  |D Joan  |u Baylor College of Medicine, Houston, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Noblin  |D Sarah  |u University of Texas Medical School at Houston, Houston, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Refuerzo  |D Jerrie  |u University of Texas Medical School at Houston, Houston, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Smith  |D Janice  |u Dynagene/Labcorp, Houston, USA  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Singletary  |D Claire  |u University of Texas Medical School at Houston, Houston, USA  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t Journal of Genetic Counseling  |d Springer US; http://www.springer-ny.com  |g 24/2(2015-04-01), 278-284  |x 1059-7700  |q 24:2<278  |1 2015  |2 24  |o 10897