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Erschienen in: Journal of Genetic Counseling 2/2009

01.04.2009 | Original Research

How Parents Search, Interpret, and Evaluate Genetic Information Obtained from the Internet

verfasst von: Myra I. Roche, Debra Skinner

Erschienen in: Journal of Genetic Counseling | Ausgabe 2/2009

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Abstract

This study describes how parents of a child referred for genetic services searched the Internet for information, summarizes how they interpreted and evaluated the information they obtained, and identifies barriers that they encountered. Audio-taped interviews were conducted with 100 ethnically diverse families referred to a pediatric genetics clinic. After transcription, coded text was entered into a software program (QSR N6) for searching and data retrieval. Matrices were created to systematically categorize and compare families’ Internet use. Eighty-three percent of families obtained Internet information about the diagnosis, the clinic visit, and/or treatment and services. Those not conducting searches lacked access, Internet experience, or a diagnostic term and had lower incomes and less education, regardless of ethnicity. Families sought information in preparation for the clinic visit but barriers to obtaining and interpreting relevant information were common. Parents’ Internet searching experiences illustrate common barriers to obtaining and understanding genetic information. Identifying them can help genetic counselors facilitate parents’ searches for relevant information.
Literatur
Zurück zum Zitat Aslam, N., Bowyer, D., Wainwright, A., Theologis, T., & Benson, M. (2005). Evaluation of Internet use by paediatric orthopaedic outpatients and the quality of information available. Journal of Pediatric Orthopaedics. Part B, 14(2), 129–133. Aslam, N., Bowyer, D., Wainwright, A., Theologis, T., & Benson, M. (2005). Evaluation of Internet use by paediatric orthopaedic outpatients and the quality of information available. Journal of Pediatric Orthopaedics. Part B, 14(2), 129–133.
Zurück zum Zitat Bailey, D., & Powell, T. (2005). Assessing the information needs of families in early intervention. In M. J. Guralnick (Ed.), A developmental systems approach to early intervention (pp. 151–183). Baltimore: Paul Brookes. Bailey, D., & Powell, T. (2005). Assessing the information needs of families in early intervention. In M. J. Guralnick (Ed.), A developmental systems approach to early intervention (pp. 151–183). Baltimore: Paul Brookes.
Zurück zum Zitat Bansil, P., Keenan, N., Zlot, A., & Gilliand, J. (2006). Health-related information on the Web: results from the HealthStyles Survey, 2002–3. Preventing Chronic Disease, 3(2), 1–10. Bansil, P., Keenan, N., Zlot, A., & Gilliand, J. (2006). Health-related information on the Web: results from the HealthStyles Survey, 2002–3. Preventing Chronic Disease, 3(2), 1–10.
Zurück zum Zitat Berland, G., Elliott, M., Morales, L., Algazy, J., Kravitz, R., Broder, M., et al. (2007). Health information on the Internet: Accessibility, quality, and readability in English and Spanish. Journal of the American Medical Association, 285(20), 2612–2621. doi:10.1001/jama.285.20.2612.CrossRef Berland, G., Elliott, M., Morales, L., Algazy, J., Kravitz, R., Broder, M., et al. (2007). Health information on the Internet: Accessibility, quality, and readability in English and Spanish. Journal of the American Medical Association, 285(20), 2612–2621. doi:10.​1001/​jama.​285.​20.​2612.CrossRef
Zurück zum Zitat Brunger, J. W., Murray, G. S., O’Riordan, M., Mathews, A. L., Smith, R. J. H., & Robin, N. H. (2000). Parental attitudes toward genetic testing for pediatric deafness. American Journal of Human Genetics, 67(6), 1621–1625. doi:10.1086/316901.PubMedCrossRef Brunger, J. W., Murray, G. S., O’Riordan, M., Mathews, A. L., Smith, R. J. H., & Robin, N. H. (2000). Parental attitudes toward genetic testing for pediatric deafness. American Journal of Human Genetics, 67(6), 1621–1625. doi:10.​1086/​316901.PubMedCrossRef
Zurück zum Zitat Chapple, A., May, C., & Campion, P. (1995). Lay understanding of genetic disease: A British study of families attending a genetic counseling service. Journal of Genetic Counseling, 4(4), 281–301. doi:10.1007/BF01408074.PubMedCrossRef Chapple, A., May, C., & Campion, P. (1995). Lay understanding of genetic disease: A British study of families attending a genetic counseling service. Journal of Genetic Counseling, 4(4), 281–301. doi:10.​1007/​BF01408074.PubMedCrossRef
Zurück zum Zitat Collins, V., Halliday, J., Kahler, S., & Williamson, R. (2001). Parents’ experiences with genetic counseling after the birth of a baby with a genetic disorder: An explanatory study. Journal of Genetic Counseling, 10(1), 53–72. doi:10.1023/A:1009455413944.CrossRef Collins, V., Halliday, J., Kahler, S., & Williamson, R. (2001). Parents’ experiences with genetic counseling after the birth of a baby with a genetic disorder: An explanatory study. Journal of Genetic Counseling, 10(1), 53–72. doi:10.​1023/​A:​1009455413944.CrossRef
Zurück zum Zitat Denzin, N. K. (1989). The research act: A theoretical introduction to sociological method (3rd ed.). Englewood Cliffs: N.J.L. Prentice Hall. Denzin, N. K. (1989). The research act: A theoretical introduction to sociological method (3rd ed.). Englewood Cliffs: N.J.L. Prentice Hall.
Zurück zum Zitat Dhillon, A., Albersheim, S., Alsaad, S., Pargass, N., & Zupancic, J. (2003). Internet use and perceptions of information reliability by parents in a neonatal intensive care unit. Journal of Perinatology, 23, 420–424. doi:10.1038/sj.jp.7210945.PubMedCrossRef Dhillon, A., Albersheim, S., Alsaad, S., Pargass, N., & Zupancic, J. (2003). Internet use and perceptions of information reliability by parents in a neonatal intensive care unit. Journal of Perinatology, 23, 420–424. doi:10.​1038/​sj.​jp.​7210945.PubMedCrossRef
Zurück zum Zitat Giardiello, F. M., Brensinger, J. D., Petersen, G. M., Luce, M. C., Hylind, L. M., Bacon, J. A., et al. (1997). The use and interpretation of commercial APC gene testing for familial adenomatous polyposis. The New England Journal of Medicine, 336(12), 823–827. doi:10.1056/NEJM199703203361202.PubMedCrossRef Giardiello, F. M., Brensinger, J. D., Petersen, G. M., Luce, M. C., Hylind, L. M., Bacon, J. A., et al. (1997). The use and interpretation of commercial APC gene testing for familial adenomatous polyposis. The New England Journal of Medicine, 336(12), 823–827. doi:10.​1056/​NEJM199703203361​202.PubMedCrossRef
Zurück zum Zitat Green, M. J., Biesecker, B. B., McInerney, A. M., Mauger, D., & Fost, N. (2001). An interactive computer program can effectively educate patients about genetic testing for breast cancer susceptibility. American Journal of Medical Genetics, 103(1), 16–23. doi:10.1002/ajmg.1500.PubMedCrossRef Green, M. J., Biesecker, B. B., McInerney, A. M., Mauger, D., & Fost, N. (2001). An interactive computer program can effectively educate patients about genetic testing for breast cancer susceptibility. American Journal of Medical Genetics, 103(1), 16–23. doi:10.​1002/​ajmg.​1500.PubMedCrossRef
Zurück zum Zitat Hallowell, N., Murton, F., Statham, H., Green, J. M., & Richards, M. P. M. (1997). Women’s need for information before attending genetic counseling for familial breast or ovarian cancer: A questionnaire, interview, and observational study. British Medical Journal, 314(7076), 281–283.PubMed Hallowell, N., Murton, F., Statham, H., Green, J. M., & Richards, M. P. M. (1997). Women’s need for information before attending genetic counseling for familial breast or ovarian cancer: A questionnaire, interview, and observational study. British Medical Journal, 314(7076), 281–283.PubMed
Zurück zum Zitat Hart, A., Henwood, F., & Wyatt, S. (2004). The role of the Internet in patient-practitioner relationships: Findings from a qualitative research study. Journal of Medical Internet Research, 6(3), e36. doi:10.2196/jmir.6.3.e36.PubMedCrossRef Hart, A., Henwood, F., & Wyatt, S. (2004). The role of the Internet in patient-practitioner relationships: Findings from a qualitative research study. Journal of Medical Internet Research, 6(3), e36. doi:10.​2196/​jmir.​6.​3.​e36.PubMedCrossRef
Zurück zum Zitat Ikemba, C., Kozinetz, C., Feltes, T., Fraser, C., McKenzie, E. D., Shah, N., et al. (2002). Internet use in families with children requiring cardiac surgery for congenital heart disease. Pediatrics, 109(3), 419–422. doi:10.1542/peds.109.3.419.PubMedCrossRef Ikemba, C., Kozinetz, C., Feltes, T., Fraser, C., McKenzie, E. D., Shah, N., et al. (2002). Internet use in families with children requiring cardiac surgery for congenital heart disease. Pediatrics, 109(3), 419–422. doi:10.​1542/​peds.​109.​3.​419.PubMedCrossRef
Zurück zum Zitat Lewis, C. C., Pantell, R. H., & Sharp, L. (1991). Increasing patient knowledge, satisfaction, and involvement: Randomized trial of a communication intervention. Pediatrics, 88(2), 351–358.PubMed Lewis, C. C., Pantell, R. H., & Sharp, L. (1991). Increasing patient knowledge, satisfaction, and involvement: Randomized trial of a communication intervention. Pediatrics, 88(2), 351–358.PubMed
Zurück zum Zitat Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis (2nd ed.). Thousand Oaks: Sage. Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis (2nd ed.). Thousand Oaks: Sage.
Zurück zum Zitat Patton, M. (2002). Qualitative evaluation and research methods (3rd ed.). Thousand Oaks: Sage. Patton, M. (2002). Qualitative evaluation and research methods (3rd ed.). Thousand Oaks: Sage.
Zurück zum Zitat Perrin, E., Lewkowicz, C., & Young, M. H. (2000). Shared vision: Concordance among fathers, mothers, and pediatricians about unmet needs of children with chronic health conditions. Pediatrics, 105(1), 277–285.PubMed Perrin, E., Lewkowicz, C., & Young, M. H. (2000). Shared vision: Concordance among fathers, mothers, and pediatricians about unmet needs of children with chronic health conditions. Pediatrics, 105(1), 277–285.PubMed
Zurück zum Zitat Rahi, J. S., Manaras, I., & Barr, K. (2003). Information sources and their use by parents of children with ophthalmic disorders. Investigative Ophthalmology & Visual Science, 44(6), 2457–2460. doi:10.1167/iovs.02-1184.CrossRef Rahi, J. S., Manaras, I., & Barr, K. (2003). Information sources and their use by parents of children with ophthalmic disorders. Investigative Ophthalmology & Visual Science, 44(6), 2457–2460. doi:10.​1167/​iovs.​02-1184.CrossRef
Zurück zum Zitat Roche, M. (2006). Genetic counseling considerations in molecular diagnosis. In W. B. Coleman & G. Tsongalis (Eds.), Molecular diagnostics for the clinical laboratorian (pp. 525–544). Totowa: Humana Press. Roche, M. (2006). Genetic counseling considerations in molecular diagnosis. In W. B. Coleman & G. Tsongalis (Eds.), Molecular diagnostics for the clinical laboratorian (pp. 525–544). Totowa: Humana Press.
Zurück zum Zitat Schaffer, R., Kuczynski, K., & Skinner, D. (2008). Producing genetic knowledge and citizenship through the Internet: Mothers, pediatric genetics, and cybermedicine. Sociology of Health & Illness, 30, 145–159.CrossRef Schaffer, R., Kuczynski, K., & Skinner, D. (2008). Producing genetic knowledge and citizenship through the Internet: Mothers, pediatric genetics, and cybermedicine. Sociology of Health & Illness, 30, 145–159.CrossRef
Zurück zum Zitat Schwartz, K., Roe, T., Northrup, J., Meza, J., Seifeldin, R., & Neale, A. J. (2006). Family Medicine patients’ use of the Internet for health information: A MetroNet Study. Journal of the American Board of Family Medicine, 19(1), 39–45.PubMedCrossRef Schwartz, K., Roe, T., Northrup, J., Meza, J., Seifeldin, R., & Neale, A. J. (2006). Family Medicine patients’ use of the Internet for health information: A MetroNet Study. Journal of the American Board of Family Medicine, 19(1), 39–45.PubMedCrossRef
Zurück zum Zitat Sikkens, E., de Walle, H., Reefhuis, J., Tintelen, J., & van Essen, A. (2002). Referral for genetic counseling after the birth of a child with a congenital anomaly in the northern Netherlands. American Journal of Medical Genetics, 112(2), 133–137. doi:10.1002/ajmg.10680.PubMedCrossRef Sikkens, E., de Walle, H., Reefhuis, J., Tintelen, J., & van Essen, A. (2002). Referral for genetic counseling after the birth of a child with a congenital anomaly in the northern Netherlands. American Journal of Medical Genetics, 112(2), 133–137. doi:10.​1002/​ajmg.​10680.PubMedCrossRef
Zurück zum Zitat Skinner, D., & Schaffer, R. (2006). Families and genetic diagnoses in the genomic and Internet age. Infants and Young Children, 19(1), 16–24.CrossRef Skinner, D., & Schaffer, R. (2006). Families and genetic diagnoses in the genomic and Internet age. Infants and Young Children, 19(1), 16–24.CrossRef
Zurück zum Zitat Stark, M., & Moller, A. (2002). Parents’ needs for knowledge concerning the medical diagnosis of their children. Journal of Child Health Care, 6(4), 245–257.CrossRef Stark, M., & Moller, A. (2002). Parents’ needs for knowledge concerning the medical diagnosis of their children. Journal of Child Health Care, 6(4), 245–257.CrossRef
Zurück zum Zitat Strauss, R., Sharp, M., Lorch, C., & Kachalia, B. (1995). Physicians and the communication of “bad news”: Parent experiences of being informed of their child’s cleft lip and/or palate. Pediatrics, 96(1 Pt 1), 82–89.PubMed Strauss, R., Sharp, M., Lorch, C., & Kachalia, B. (1995). Physicians and the communication of “bad news”: Parent experiences of being informed of their child’s cleft lip and/or palate. Pediatrics, 96(1 Pt 1), 82–89.PubMed
Zurück zum Zitat Taylor, M., Alman, A., & Manchester, D. (2001). Use of the Internet by patients and their families to obtain genetics-related information. Mayo Clinic Proceedings, 76, 772–776.PubMedCrossRef Taylor, M., Alman, A., & Manchester, D. (2001). Use of the Internet by patients and their families to obtain genetics-related information. Mayo Clinic Proceedings, 76, 772–776.PubMedCrossRef
Zurück zum Zitat Westman, J., Hampel, H., & Bradley, T. (2000). Efficacy of a touchscreen computer based family cancer history questionnaire and subsequent cancer risk assessment. American Journal of Medical Genetics, 37(5), 354–360. doi:10.1136/jmg.37.5.354.CrossRef Westman, J., Hampel, H., & Bradley, T. (2000). Efficacy of a touchscreen computer based family cancer history questionnaire and subsequent cancer risk assessment. American Journal of Medical Genetics, 37(5), 354–360. doi:10.​1136/​jmg.​37.​5.​354.CrossRef
Metadaten
Titel
How Parents Search, Interpret, and Evaluate Genetic Information Obtained from the Internet
verfasst von
Myra I. Roche
Debra Skinner
Publikationsdatum
01.04.2009
Verlag
Springer US
Erschienen in
Journal of Genetic Counseling / Ausgabe 2/2009
Print ISSN: 1059-7700
Elektronische ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-008-9198-4

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