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Assessment of an Interactive Computer-Based Patient Prenatal Genetic Screening and Testing Education Tool

Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill

James R. Sorenson, PhD

Department of Health Behavior and Health Education, School of Public Health, University of North Carolina at Chapel Hill

J. Michael Bowling, PhD

Department of Health Behavior and Health Education, School of Public Health, University of North Carolina at Chapel Hill

Tracey Jennings-Grant, MS

Thurston Arthritis Research Center, School of Medicine, University of North Carolina at Chapel Hill

The Enhancing Patient Prenatal Education study tested the feasibility and educational impact of an interactive program for patient prenatal genetic screening and testing education. Patients at two private practices and one public health clinic participated (N = 207). The program collected knowledge and measures of anxiety before and after use of the tool. Time in various prenatal visit activities was collected prior to and after the introduction of the education tool. Providers completed an assessment of their experiences with patients who had used the program. Results indicate that patient knowledge significantly increased from pre to post (p = .0001) with no increase in anxiety (p = .31). Time in clinic activities, including overall visit time, increased. A majority of providers indicated that the program disrupted clinic flow. This assessment suggests that the program increases patient knowledge and does not increase patient anxiety. However, challenges remain to using this program in a clinic setting.

Key Words: patient education • interactive computer-assisted instruction • prenatal screening

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