caa a22 4500 605545138 CHVBK 20210128100934.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s10897-014-9761-0 doi (NATIONALLICENCE)springer-10.1007/s10897-014-9761-0 Influence of Anchoring on Miscarriage Risk Perception Associated with Amniocentesis [Elektronische Daten] [Regina Nuccio, S. Hashmi, Joan Mastrobattista, Sarah Noblin, Jerrie Refuerzo, Janice Smith, Claire Singletary] 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. National Society of Genetic Counselors, Inc., 2014 Risk perception nationallicence Anchoring nationallicence Amniocentesis nationallicence Nuccio Regina Baptist Memorial Health Care Corporation, 2927 Tishomingo Lane, 38111, Memphis, TN, USA aut Hashmi S. University of Texas Medical School at Houston, Houston, USA aut Mastrobattista Joan Baylor College of Medicine, Houston, USA aut Noblin Sarah University of Texas Medical School at Houston, Houston, USA aut Refuerzo Jerrie University of Texas Medical School at Houston, Houston, USA aut Smith Janice Dynagene/Labcorp, Houston, USA aut Singletary Claire University of Texas Medical School at Houston, Houston, USA aut Journal of Genetic Counseling Springer US; http://www.springer-ny.com 24/2(2015-04-01), 278-284 1059-7700 24:2<278 2015 24 10897 https://doi.org/10.1007/s10897-014-9761-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10897-014-9761-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nuccio Regina Baptist Memorial Health Care Corporation, 2927 Tishomingo Lane, 38111, Memphis, TN, USA aut NATIONALLICENCE 700 1- Hashmi S. University of Texas Medical School at Houston, Houston, USA aut NATIONALLICENCE 700 1- Mastrobattista Joan Baylor College of Medicine, Houston, USA aut NATIONALLICENCE 700 1- Noblin Sarah University of Texas Medical School at Houston, Houston, USA aut NATIONALLICENCE 700 1- Refuerzo Jerrie University of Texas Medical School at Houston, Houston, USA aut NATIONALLICENCE 700 1- Smith Janice Dynagene/Labcorp, Houston, USA aut NATIONALLICENCE 700 1- Singletary Claire University of Texas Medical School at Houston, Houston, USA aut NATIONALLICENCE 773 0- Journal of Genetic Counseling Springer US; http://www.springer-ny.com 24/2(2015-04-01), 278-284 1059-7700 24:2<278 2015 24 10897