Elizabeth Dormandy1, Theresa M Marteau. 1. Department of Psychology (at Guy's), Health Psychology Section, Institute of Psychiatry, King's College London, UK.
Abstract
OBJECTIVE: To investigate the association between healthcare professionals' attitudes towards prenatal Down syndrome screening and screening uptake in the women who consult them. METHODS: The attitudes of 71 midwives and 18 obstetricians towards Down syndrome screening and screening uptake in the women who consulted them were assessed at two UK hospitals where uptake rates of Down syndrome screening differed (26 vs 61%). RESULTS: Healthcare professionals based at the hospital with higher screening uptake had more positive attitudes towards Down syndrome screening than healthcare professionals based at the hospital with lower screening uptake (19 vs 17, p = 0.03). Pooling across hospitals, obstetricians had more positive attitudes than midwives (20 vs 17, p = 0.004). In a sub-group of women who discussed screening with one healthcare professional, there was no significant association between individual healthcare professionals' attitudes and screening uptake (Spearman correlation coefficient = 0.13, p = 0.51). CONCLUSION: In this study powered to detect a correlation of 0.5 and over (i.e. a large effect), healthcare professionals' attitudes towards screening were unrelated to uptake of screening in the women consulting them. It remains to be determined if a smaller effect exists. The observed association between healthcare professionals' attitudes and uptake rates by hospitals raises the question of whether healthcare professionals' attitudes might influence systems of care, not just communication with pregnant women. Copyright 2004 John Wiley & Sons, Ltd.
OBJECTIVE: To investigate the association between healthcare professionals' attitudes towards prenatal Down syndrome screening and screening uptake in the women who consult them. METHODS: The attitudes of 71 midwives and 18 obstetricians towards Down syndrome screening and screening uptake in the women who consulted them were assessed at two UK hospitals where uptake rates of Down syndrome screening differed (26 vs 61%). RESULTS: Healthcare professionals based at the hospital with higher screening uptake had more positive attitudes towards Down syndrome screening than healthcare professionals based at the hospital with lower screening uptake (19 vs 17, p = 0.03). Pooling across hospitals, obstetricians had more positive attitudes than midwives (20 vs 17, p = 0.004). In a sub-group of women who discussed screening with one healthcare professional, there was no significant association between individual healthcare professionals' attitudes and screening uptake (Spearman correlation coefficient = 0.13, p = 0.51). CONCLUSION: In this study powered to detect a correlation of 0.5 and over (i.e. a large effect), healthcare professionals' attitudes towards screening were unrelated to uptake of screening in the women consulting them. It remains to be determined if a smaller effect exists. The observed association between healthcare professionals' attitudes and uptake rates by hospitals raises the question of whether healthcare professionals' attitudes might influence systems of care, not just communication with pregnant women. Copyright 2004 John Wiley & Sons, Ltd.
Authors: Neeltje M T H Crombag; Ynke E Vellinga; Sandra A Kluijfhout; Louise D Bryant; Pat A Ward; Rita Iedema-Kuiper; Peter C J I Schielen; Jozien M Bensing; Gerard H A Visser; Ann Tabor; Janet Hirst Journal: BMC Health Serv Res Date: 2014-09-25 Impact factor: 2.655
Authors: Melissa Hill; Jo-Ann Johnson; Sylvie Langlois; Hyun Lee; Stephanie Winsor; Brigid Dineley; Marisa Horniachek; Faustina Lalatta; Luisa Ronzoni; Angela N Barrett; Henna V Advani; Mahesh Choolani; Ron Rabinowitz; Eva Pajkrt; Rachèl V van Schendel; Lidewij Henneman; Wieke Rommers; Caterina M Bilardo; Paula Rendeiro; Maria João Ribeiro; José Rocha; Ida Charlotte Bay Lund; Olav B Petersen; Naja Becher; Ida Vogel; Vigdis Stefánsdottir; Sigrun Ingvarsdottir; Helga Gottfredsdottir; Stephen Morris; Lyn S Chitty Journal: Eur J Hum Genet Date: 2015-11-18 Impact factor: 4.246