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Open AccessArticle

Early Outcome Data Assessing Utility of a Post-Test Genomic Counseling Framework for the Scalable Delivery of Precision Health

1
Division of Human Genetics, Ohio State University Wexner Medical Center, Columbus, OH 43221, USA
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Genomic Medicine Institute, Geisinger, Danville, PA 17821, USA
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Coriell Institute for Medical Research, 403 Haddon Avenue, Camden, NJ 08103, USA
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School of Communication, Ohio State University, Columbus, OH 43214, USA
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Department of Biomedical Informatics, Center for Biostatistics, The Ohio State University, Columbus, OH 43221, USA
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Department of Health Behavior & Health Education, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA
*
Author to whom correspondence should be addressed.
J. Pers. Med. 2018, 8(3), 25; https://doi.org/10.3390/jpm8030025
Received: 7 May 2018 / Revised: 2 July 2018 / Accepted: 13 July 2018 / Published: 25 July 2018
Information on patients’ preferences is essential to guide the development of more efficient genomic counseling service delivery models. We examined patient preferences in the context of use of a post-test genomic counseling framework on patients (n = 44) with chronic disease receiving online test reports for eight different diseases and one drug-response result. We also explored patients’ disease risk awareness, recall of test report information, and confidence in knowing what to do with their test results. Prior to the post-test genomic counseling session, all participants viewed at least one test report; 81.6% of available test reports were reviewed in total. Participants requested more phone (36) than in-person counseling sessions (8), and phone sessions were shorter (mean 29.1 min; range 12–75 min) than in-person sessions (mean 52.8 min; range 23–85 min). A total of 182 test reports were discussed over the course of 44 counseling sessions (mean 4.13, range 1–9). Thirty-six (81.8%) participants requested assessment for additional medical/family history concerns. In exploring patient experiences of disease risk awareness and recall, no significant differences were identified in comparison to those of participants (n = 199) that had received in-person post-test genomic counseling in a parent study randomized controlled trial (RCT). In summary, a novel post-test genomic counseling framework allowed for a tailored approach to counseling based on the participants’ predetermined choices. View Full-Text
Keywords: genetic; genomic; counseling; service delivery; risk awareness; recall; telegenetic; telephone; in-person genetic; genomic; counseling; service delivery; risk awareness; recall; telegenetic; telephone; in-person
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Sturm, A.C.; Schmidlen, T.; Scheinfeldt, L.; Hovick, S.; McElroy, J.P.; Toland, A.E.; Roberts, J.S.; Sweet, K. Early Outcome Data Assessing Utility of a Post-Test Genomic Counseling Framework for the Scalable Delivery of Precision Health. J. Pers. Med. 2018, 8, 25.

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