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- Title
Psychosocial Impact of a True-Positive, False-Positive, or Inconclusive Newborn Bloodspot Screening Result: A Questionnaire Study among Parents.
- Authors
van den Heuvel, Lieke M.; van der Pal, Sylvia M.; Verschoof-Puite, Rendelien K.; Klapwijk, Jasmijn E.; Elsinghorst, Ellen; Dekkers, Eugènie; van der Ploeg, Catharina P. B.; Henneman, Lidewij
- Abstract
Expansion of newborn bloodspot screening (NBS) can increase health gain for more children but also increases the number of false-positive and uncertain results. The impact of abnormal and inconclusive NBS results on parental well-being and healthcare utilization was investigated. A questionnaire was sent to Dutch parents receiving an abnormal or inconclusive NBS result five weeks (T1) and four months (T2) post-NBS and compared to parents with a normal result (controls). In total, 35 true-positive (TP), 20 false-positive (FP), and 57 inconclusive (IC) participants and 268 controls filled out T1; 19 TP, 14 FP, 27 IC, and 116 controls filled out T2. Participants showed positive attitudes towards NBS. FP participants more often considered NBS less reliable. TP and FP participants experienced more negative emotions regarding the test result compared to controls at both T1 and T2, and IC only at T1. Parent-reported child vulnerability and perceptions of the newborn's health status and of parenthood showed no differences. TP and FP participants reported more healthcare utilization at T1, and mainly TP at T2. TP and IC participants showed more emergency department visits at T1. The findings can be used to improve NBS programs and optimize support for families with various NBS results.
- Subjects
NETHERLANDS; NEWBORN screening; SELF-evaluation; MEDICAL care use; HEALTH literacy; CROSS-sectional method; HEALTH status indicators; DATA analysis; RESEARCH funding; BLOOD collection; QUESTIONNAIRES; KRUSKAL-Wallis Test; DIAGNOSTIC errors; PARENT attitudes; UNCERTAINTY; EMOTIONS; PARENTHOOD; ANXIETY; DESCRIPTIVE statistics; CONFIDENCE; ANALYSIS of variance; STATISTICS; MEDICAL screening; DATA analysis software; SOCIAL support; PSYCHOLOGY of the sick; WELL-being; PSYCHOLOGICAL vulnerability; MENTAL depression
- Publication
International Journal of Neonatal Screening (IJNS), 2024, Vol 10, Issue 1, p18
- ISSN
2409-515X
- Publication type
Article
- DOI
10.3390/ijns10010018