David B Portnoy1, Debra Roter, Lori H Erby. 1. Cancer Prevention Fellowship Program, National Institutes of Health, Bethesda, MD 20892-7105, USA. portnoydb@mail.nih.gov
Abstract
OBJECTIVE: To assess the impact of numeracy and health literacy on client's ability to learn information orally communicated during a BRCA 1/2 genetic counseling session. METHODS: Fifty-nine videotaped simulated genetic counseling sessions were shown to 246 analogue clients (AC) recruited to imagine themselves as the client in the genetic counseling session. AC numeracy, genetic literacy, state and trait anxiety, and decisional conflict were assessed. The primary outcome was AC learning about BRCA 1/2. RESULTS: Health literacy and numeracy were moderately correlated, and each independently predicted learning. Higher numeracy was associated with higher knowledge scores only among ACs with adequate literacy. Decisional conflict was not related to literacy, numeracy, or knowledge acquisition. It was, however, inversely related to state anxiety so that the higher post-session state anxiety, the lower the AC's decisional conflict. CONCLUSION: Numeracy and health literacy are associated with learning of orally communicated information during genetic counseling. It appears that numeracy can facilitate learning for literate subjects; it does not, however, make any difference in learning ability of clients with significant literacy deficits. PRACTICE IMPLICATIONS: Numeracy plays an important role in client's ability to learn information communicated during medical sessions, especially among clients who are otherwise regarded as literate. (c) 2010 Elsevier Ireland Ltd. All rights reserved.
OBJECTIVE: To assess the impact of numeracy and health literacy on client's ability to learn information orally communicated during a BRCA 1/2 genetic counseling session. METHODS: Fifty-nine videotaped simulated genetic counseling sessions were shown to 246 analogue clients (AC) recruited to imagine themselves as the client in the genetic counseling session. AC numeracy, genetic literacy, state and trait anxiety, and decisional conflict were assessed. The primary outcome was AC learning about BRCA 1/2. RESULTS: Health literacy and numeracy were moderately correlated, and each independently predicted learning. Higher numeracy was associated with higher knowledge scores only among ACs with adequate literacy. Decisional conflict was not related to literacy, numeracy, or knowledge acquisition. It was, however, inversely related to state anxiety so that the higher post-session state anxiety, the lower the AC's decisional conflict. CONCLUSION: Numeracy and health literacy are associated with learning of orally communicated information during genetic counseling. It appears that numeracy can facilitate learning for literate subjects; it does not, however, make any difference in learning ability of clients with significant literacy deficits. PRACTICE IMPLICATIONS: Numeracy plays an important role in client's ability to learn information communicated during medical sessions, especially among clients who are otherwise regarded as literate. (c) 2010 Elsevier Ireland Ltd. All rights reserved.
Authors: Terry C Davis; Mark V Williams; Estela Marin; Ruth M Parker; Jonathan Glass Journal: CA Cancer J Clin Date: 2002 May-Jun Impact factor: 508.702
Authors: C Lerman; B Biesecker; J L Benkendorf; J Kerner; A Gomez-Caminero; C Hughes; M M Reed Journal: J Natl Cancer Inst Date: 1997-01-15 Impact factor: 13.506
Authors: E A Lobb; P N Butow; B Meiser; A Barratt; C Gaff; M A Young; J Kirk; M Gattas; M Gleeson; K Tucker Journal: J Med Genet Date: 2003-05 Impact factor: 6.318
Authors: David B Portnoy; Paul K J Han; Rebecca A Ferrer; William M P Klein; Steven B Clauser Journal: Health Expect Date: 2011-08-12 Impact factor: 3.377
Authors: Erika A Waters; Caroline Kincaid; Annette R Kaufman; Michelle L Stock; Laurel M Peterson; Nicole L Muscanell; Rosanna E Guadagno Journal: Br J Health Psychol Date: 2013-10-01
Authors: Kathleen M Mazor; Douglas W Roblin; Andrew E Williams; Sarah M Greene; Bridget Gaglio; Terry S Field; Mary E Costanza; Paul K J Han; Laura Saccoccio; Josephine Calvi; Erica Cove; Rebecca Cowan Journal: Patient Educ Couns Date: 2012-01-13
Authors: Joel E Pacyna; Carmen Radecki Breitkopf; Sarah M Jenkins; Erica J Sutton; Caroline Horrow; Iftikhar J Kullo; Richard R Sharp Journal: J Med Genet Date: 2018-12-22 Impact factor: 6.318
Authors: Christopher R Wolfe; Valerie F Reyna; Colin L Widmer; Elizabeth M Cedillos; Christopher R Fisher; Priscila G Brust-Renck; Audrey M Weil Journal: Med Decis Making Date: 2014-05-14 Impact factor: 2.583
Authors: Gillian W Hooker; Holly Peay; Lori Erby; Theodore Bayless; Barbara B Biesecker; Debra L Roter Journal: Inflamm Bowel Dis Date: 2014-05 Impact factor: 5.325