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Published on: August 1, 2019
Improving Patient Knowledge of Aneuploidy Testing Using an Educational Video: A Randomized Controlled Trial
Bethany M Mulla1, Olivia H Chang, Anna M Modest
1Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, and the Department of Obstetrics, Gynecology and Reproductive Biology, Harvard Medical School, Boston, Massachusetts.
An educational video significantly improved aneuploidy testing knowledge for women under 35. Older women receiving genetic counseling did not benefit further from the video, showing similar knowledge gains.
Area of Science:
- Prenatal diagnostics
- Medical education
- Genetics
Background:
- Aneuploidy testing is crucial for prenatal care.
- Effective patient education is vital for informed decision-making.
Purpose of the Study:
- To assess the efficacy of an educational video in explaining aneuploidy testing options.
- To evaluate the impact of the video on knowledge and understanding among pregnant women.
Main Methods:
- A randomized controlled trial was conducted with pregnant women undergoing aneuploidy testing.
- Participants were stratified by age (<35 and ≥35 years) and randomized to view or not view an educational video.
- Knowledge was assessed using a survey (0-15 score) at baseline and post-appointment.
Main Results:
- Women younger than 35 showed a significant knowledge improvement (+2.0 points) after viewing the video (P=.01).
- Older women (≥35) receiving genetic counseling demonstrated no significant difference in knowledge gain between video and control groups (P=.98).
- Improved understanding was reported by younger women (P<.001), but patient satisfaction remained unchanged across groups.
Conclusions:
- An educational video effectively enhanced knowledge and understanding of aneuploidy testing for women under 35.
- For women 35 and older, genetic counseling appears to provide sufficient information, negating additional benefit from the video.
- Patient-centered educational tools can be valuable in prenatal genetic testing education.
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