Jason L. Vassy|Kelsey O?Brien|Jessica L. Waxler|Elyse R. Park|Linda M. Delahanty|José C. Florez|James B. Meigs|Richard W. Grant
Impact of Literacy and Numeracy on Motivation for Behavior Change After Diabetes Genetic Risk Testing
Massachusetts General Hospital|Harvard University|Center for Human Genetics|Massachusetts General Hospital|Harvard University|Center for Human Genetics|Massachusetts General Hospital|Harvard University|Center for Human Genetics|Massachusetts General Hospital|Harvard University|Center for Human Genetics|Massachusetts General Hospital|Harvard University|Center for Human Genetics|Massachusetts General Hospital|Harvard University|Center for Human Genetics|Massachusetts General Hospital|Harvard University|Center for Human Genetics|Massachusetts General Hospital|Harvard University|Center for Human Genetics
background type 2 diabetes genetic risk testing might motivate atrisk patients adopt diabetes prevention behaviors however influence literacy numeracy patient response diabetes genetic risk unknown objective authors investigated association health literacy genetic literacy health numeracy patient responses diabetes genetic risk design measurements overweight patients high phenotypic risk type 2 diabetes recruited clinical trial diabetes genetic risk testing baseline participants predicted motivation lifestyle modification prevent diabetes might change response hypothetical scenarios receiving high low genetic risk results responses analyzed according participants health literacy genetic literacy health numeracy results twothirds 67 participants n 175 reported high motivation prevent diabetes despite high health literacy 92 high school level many participants limited health numeracy 30 genetic literacy 38 almost 98 reported highrisk genetic results would increase motivation lifestyle modification contrast response lowrisk genetic results varied higher levels health literacy p 004 genetic literacy p 002 health numeracy p 002 associated anticipated decrease motivation lifestyle modification response lowrisk results conclusions patients reported highrisk genetic results would motivate adopt healthy lifestyle changes response lowrisk results varied patient numeracy literacy however anticipated responses may correlate true behavior change future research justifies clinical use genetic testing motivate behavior change may important assess patient characteristics modify motivational effect