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Review

Utility of Genetic Testing from the Perspective of Parents/Caregivers: A Scoping Review

by 1,2,*, 1, 1, 1,3 and 1,2
1
Child Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON M5G 1X8, Canada
2
Institute of Health Policy Management and Evaluation, The University of Toronto, Toronto, ON M5T 3M6, Canada
3
Schulich School of Medicine and Dentistry, Western University, London, ON N6A 5C1, Canada
*
Author to whom correspondence should be addressed.
Academic Editor: David R. Repaske
Children 2021, 8(4), 259; https://doi.org/10.3390/children8040259
Received: 22 February 2021 / Revised: 23 March 2021 / Accepted: 25 March 2021 / Published: 27 March 2021
(This article belongs to the Special Issue Assessing Value in Child Health)
In genomics, perceived and personal utility have been proposed as constructs of value that include the subjective meanings and uses of genetic testing. Precisely what constitutes these constructs of utility and how they vary by stakeholder perspective remains unresolved. To advance methods for measuring the value of genetic testing in child health, we conducted a scoping review of the literature to characterize utility from the perspective of parents/caregivers. Peer reviewed literature that included empiric findings from parents/caregivers who received genetic test results for an index child and was written in English from 2016–2020 was included. Identified concepts of utility were coded according to Kohler’s construct of personal utility. Of 2142 abstracts screened, 33 met inclusion criteria. Studies reflected a range of genetic test types; the majority of testing was pursued for children with developmental or neurodevelopmental concerns. Coding resulted in 15 elements of utility that mapped to Kohler’s four domains of personal utility (affective, cognitive, behavioural and social) and one additional medical management domain. An adapted construct of utility for parents/caregivers may enable specific and standardized strategies for researchers to use to generate evidence of the post-test value of genetic testing. In turn, this will contribute to emerging methods for health technology assessment and policy decision making for genomics in child health. View Full-Text
Keywords: personal and perceived utility; genetic testing; pediatrics; parent/caregiver perspective; patient reported outcome measure personal and perceived utility; genetic testing; pediatrics; parent/caregiver perspective; patient reported outcome measure
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MDPI and ACS Style

Hayeems, R.Z.; Luca, S.; Assamad, D.; Bhatt, A.; Ungar, W.J. Utility of Genetic Testing from the Perspective of Parents/Caregivers: A Scoping Review. Children 2021, 8, 259. https://doi.org/10.3390/children8040259

AMA Style

Hayeems RZ, Luca S, Assamad D, Bhatt A, Ungar WJ. Utility of Genetic Testing from the Perspective of Parents/Caregivers: A Scoping Review. Children. 2021; 8(4):259. https://doi.org/10.3390/children8040259

Chicago/Turabian Style

Hayeems, Robin Z., Stephanie Luca, Daniel Assamad, Ayushi Bhatt, and Wendy J. Ungar 2021. "Utility of Genetic Testing from the Perspective of Parents/Caregivers: A Scoping Review" Children 8, no. 4: 259. https://doi.org/10.3390/children8040259

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