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Record identifier : 569197
Personal Name - Primary Intelectual Responsibility : Hsieh, Yichuan Grace
Title and statement of responsibility : The effects of an individualized versus a non-individualized prenatal genetic education program on uncertainty in pregnant women [Thesis]
Publication, Distribution,Etc. : The University of Wisconsin - Madison, 2009
Language of the Item : eng
Dissertation of thesis details and type of degree : Ph.D
Body granting the degree : , The University of Wisconsin - Madison
Summary or Abstract : Uncertainty has been described as a major component of the illness-related experiences that is encountered across all phases of illness (Mishel, 1988). Pregnant women at increased risk of having a child with a chromosomal abnormality are faced with an unfamiliar situation when they must decide whether to undergo prenatal screening and/or diagnostic testing and which tests to choose. In such situations, pregnant women experience uncertainty that is in part due to insufficient information to interpret the event. The Uncertainty in Illness theory (Mishel, 1988) suggests that information targeting event familiarity can subsequently modify one's uncertainty, and the Elaboration Likelihood Model (Petty & Cacioppo, 1981) suggests that individualized information may have different effects on event familiarity and uncertainty than non-individualized information. An innovative pre-clinic web-based resource applying principles of infromatics was developed to examine the effects of an individualized versus a non-individualized information intervention on event familiarity and uncertainty.The purposes of this study were to assess and compare the effects of an individualized versus a non-individualized Prenatal Genetic Education Program (PreGEP) on uncertainty and to examine the effects of these programs on uncertainty through event familiarity in pregnant women prior to their prenatal genetic counseling and/or testing appointments. A double-blind randomized controlled field experiment with pretest design was used to assess these effects. One hundred and fourteen eligible pregnant women who consented to participate were randomly assigned to either the individualized PreGEP group (IPreGEP, n = 39), the non-individualized PreGEP group (NIPreGEP, n = 39), or the control group (n = 36).Results of this study showed that the IPreGEP significantly improved pregnant women's event familiarity but not uncertainty. The NIPreGEP did not improve pregnant women's event familiarity or uncertainty. Findings in part support the conceptual framework that providing individualized information to a given individual will increase that person's event familiarity. The potential effects of the IPreGEP in reducing individuals' uncertainty states through event familiarity were revealed. Additionally, the value of implementing the IPreGEP in a clinical setting was confirmed through study participants' high levels of satisfaction with no increases in their anxiety..
Topical Name Used as Subject : Nursing
: Health education
Information of biblio record : TL
 
 
 
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