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A new interesting article has been published in J Genet Couns. 2019 Dec 3. doi: 10.1002/jgc4.1191. and titled:

Alternative option labeling impacts decision-making in noninvasive prenatal screening.

Authors of this article are:

Fisher CF, Birkeland LE, Reiser CA, Zhao Q, Palmer CGS, Zikmund-Fisher BJ, Petty EM.

A summary of the article is shown below:

Prenatal genetic screening should be an informed, autonomous patient choice. Extrinsic factors which influence patient decision-making threaten the ethical basis of prenatal genetic screening. Prior research in the area of medical decision-making has identified that labeling may have unanticipated effects on patient perceptions and decision-making processes. This Internet-administered study explored the impact of option labeling on the noninvasive prenatal screening (NIPS) selections of US adults. A total of 1,062 participants were recruited through Amazon Mechanical Turk (MTurk) and randomly assigned to one of three possible label sets reflecting provider-derived and industry-derived option labels used in prenatal screening. Multinomial logistic regression analysis showed option labeling had a statistically significant impact on the NIPS selections of study participants (p = .0288). Outcomes of the Satisfaction with Decision Scale (SWD) indicated option labels did not play a role in participant satisfaction with screening selection. The results of this study indicate a need for further evaluation of the impact NIPS option labeling has on patient screening decisions in real-world clinical interactions. Clinical providers and testing laboratories offering NIPS should give careful consideration to the option labels used with prenatal screening so as to minimize influence on patient screening selection and decision-making processes.© 2019 National Society of Genetic Counselors.

Check out the article’s website on Pubmed for more information:

This article is a good source of information and a good way to become familiar with topics such as: decision-making; genetic counseling; labeling; noninvasive prenatal screening; options; prenatal diagnosis; prenatal whole genome sequencing.

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