Objective: Using E.M. Rogers’s knowledge framework as presented in his seminal innovation-decision process, this paper aims to present an overview of the general public’s knowledge of genetics. It also makes a first attempt to examine the statistical validity of this framework. Methods: A sample of 2,500 members of the Dutch general population was presented with a questionnaire containing measures of 3 increasingly complex forms of knowledge: awareness knowledge, (practical) how-to knowledge and (theoretical) principles knowledge. Results: The general public seems to be moderately aware of genetic risk factors for multifactorial diseases. In general, how-to knowledge seems fair, whereas principles knowledge is limited and superficial. Additional analyses provided empirical evidence for the distinction between awareness knowledge, how-to knowledge and principles knowledge. Conclusion: The innovation-decision process, and specifically Rogers’s knowledge framework, provides a useful tool for public education in genetics. Future research may build upon and extend our findings by examining the persuasion, decision, implementation, and possibly the confirmation stages of the innovation-decision process concerning genetic education.

1.
Collins FS, Green ED, Guttmacher AE, Guyer MS: A vision for the future of genomics research. Nature 2003;422:835–847.
2.
National Institutes for Health: Human Genome Project – Fact sheet, 2009.
3.
Burke W, Atkins D, Gwinn M, Guttmacher A, Haddow J, Lau J, Palomaki G, Press N, Richards CS, Wideroff L, Wiesner GL: Genetic test evaluation: information needs of clinicians, policy makers, and the public. Am J Epidemiol 2002;156:311–318.
4.
Wang C, Bowen DJ, Kardia SL: Research and practice opportunities at the intersection of health education, health behavior, and genomics. Health Educ Behav 2005;32:686–701.
5.
Smerecnik CM, Mesters I, De Vries NK, De Vries H: Educating the general public about multifactorial genetic disease: applying a theory-based framework to understand current public knowledge. Genet Med 2008;10:251–258.
6.
Rogers EM: Diffusion of Innovations, ed 5 (rev). New York, Free Press, 2003.
7.
Geibert RC: Using diffusion of innovation concepts to enhance implementation of an electronic health record to support evidence-based practice. Nurs Adm Q 2006;30:203–210.
8.
Kautz K, Larsen EA: Diffusion theory and practice. Disseminating quality management and software process improvement innovations. Inf Technol People 2000;13:11–26.
9.
Porter CE, Donthu N: Using the technology acceptance model to explain how attitudes determine Internet usage: the role of perceived access barriers and demographics. J Bus Res 2006;59:999–1007.
10.
Weingardt KR, Villafranca SW: Translating research into practice: the role of web-based education. J Technol Hum Serv 2005;23:259–273.
11.
Jallinoja P, Aro AR: Does knowledge make a difference? The association between knowledge about genes and attitudes toward gene tests. J Health Commun 2000;5:29–39.
12.
Chapple A, May C, Campion P: Lay understanding of genetic disease: a British study of families attending a genetic counseling service. J Genet Couns 1995;4:281–300.
13.
Van de Nieuwenhoff HW, Mesters I, Gielen C, De Vries NK: Family communication regarding inherited high cholesterol: why and how do patients disclose genetic risk? Soc Sci Med 2007;65:1024–1037.
14.
Henneman L, Timmermans DR, Van der Wal G: Public experiences, knowledge and expectations about medical genetics and the use of genetic information. Community Genet 2004;7:33–43.
15.
Allum N, Sturgis P, Tabourazi D, Brunton-Smith I: Science knowledge and attitudes across cultures: a meta-analysis. Public Underst Sci 2008;17:35–54.
16.
Sturgis P, Allum N: Science in society: re-evaluating the deficit model of public attitudes. Public Underst Sci 2004;13:55–74.
17.
Condit CM: What is ‘public opinion’ about genetics? Nat Rev Genet 2001;2:811–815.
18.
Van Kenhove P, Wijnen K, De Wulf K: The influence of topic involvement on mail-survey response behavior. Psychol Mark 2002;19:293–301.
19.
Martin CL: The impact of topic interest on mail survey response behaviour. J Market Res Soc 1994;36:327–338.
20.
Petty RE, Cacioppo JT: Communication and Persuasion: Central and Peripheral Routes to Attitude Change. New York, Springer, 1986.
21.
Siegel S, Castellan NJ Jr: Nonparametric Statistics for the Behavioral Sciences, ed 2 (rev). New York, McGraw-Hill, 1988.
22.
Wardle J, Waller J, Brunswick N, Jarvis MJ: Awareness of risk factors for cancer among British adults. Public Health 2001;115:173–174.
23.
Waller J, McCaffery K, Wardle J: Beliefs about the risk factors for cervical cancer in a British population sample. Prev Med 2004;38:745–753.
24.
Van den Nieuwenhoff HW, Mesters I, De Vries NK: Public awareness of the existence of inherited high cholesterol. Eur J Cardiovasc Prev Rehabil 2006;13:990–992.
25.
Morris J, Gwinn M, Clyne M, Khoury MJ: Public knowledge regarding the role of genetic susceptibility to environmentally induced health conditions. Community Genet 2003;6:22–28.
26.
De Vries H, Mesters I, Van de Steeg H, Honing C: The general public’s information needs and perceptions regarding hereditary cancer: an application of the integrated change model. Patient Educ Couns 2005;56:154–165.
27.
Molster C, Charles T, Samanek A, O’Leary P: Australian study on public knowledge of human genetics and health. Public Health Genomics 2009;12:84–91.
28.
Etchegary H, Cappelli M, Potter B, Vloet M, Graham I, Walker M, Wilson B: Attitude and knowledge about genetics and genetic testing. Public Health Genomics 2010;13: 80–88.
29.
Hahn S, Letvak S, Powell K, Christianson C, Wallace D, Speer M, Lietz P, Blanton S, Vance J, Pericak-Vance M, Henrich VC: A community’s awareness and perceptions of genomic medicine. Public Health Genomics 2010; 13:63–71.
30.
Mesters I, Ausems A, De Vries H: General public’s knowledge, interest and information needs related to genetic cancer: an exploratory study. Eur J Cancer Prev 2005;14:69–75.
31.
Richards M, Ponder M: Lay understanding of genetics: a test of a hypothesis. J Med Genet 1996;33:1032–1036.
32.
Renner CH, Renner MJ: But I thought I knew that: using confidence estimation as a debiasing technique to improve classroom performance. Appl Cogn Psychol 2001;15:23–32.
33.
Lanie AD, Epstein Jayaratne T, Sheldon JP, Kardia SL, Anderson ES, Feldbaum M, Petty EM: Exploring the public understanding of basic genetic concepts. J Genet Couns 2004;13:305–320.
34.
Wiebe DJ, Black D: Illusional beliefs in the context of risky sexual behaviors. J Appl Soc Psychol 1997;27:1727–1749.
35.
Catz DS, Green NS, Tobin JN, Lloyd-Puryear MA, Kyler P, Umemoto A, Cernoch J, Brown R, Wolman F: Attitudes about genetics in underserved, culturally diverse populations. Community Genet 2005;8:161–172.
36.
Baars M, Henneman L, ten Kate LP: Deficiency of knowledge of genetics and genetic tests among general practitioners, gynecologists, and pediatricians: a global problem. Genet Med 2005;7:605–610.
37.
Vural BK, Tomatir AG, Kurban NK, Taspinar A: Nursing students’ self-reported knowledge of genetics and genetic education. Public Health Genomics 2009;12:225–232.
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