3.8 Article

It gives them more options: preferences for preconception genetic carrier screening for fragile X syndrome in primary healthcare

期刊

JOURNAL OF COMMUNITY GENETICS
卷 7, 期 2, 页码 159-171

出版社

SPRINGER HEIDELBERG
DOI: 10.1007/s12687-016-0262-8

关键词

Population carrier screening; Fragile X syndrome; Genetic counseling; Qualitative research; Primary healthcare

资金

  1. Fragile X Alliance Inc.
  2. Murdoch Childrens Research Institute
  3. University of Melbourne
  4. Victorian Government's Operational Infrastructure Support Program
  5. Australian Postgraduate Award scholarship

向作者/读者索取更多资源

This study aims to explore stakeholder views about offering population-based genetic carrier screening for fragile X syndrome. A qualitative study using interviews and focus groups with stakeholders was undertaken to allow for an in-depth exploration of views and perceptions about practicalities of, and strategies for, offering carrier screening for fragile X syndrome to the general population in healthcare settings. A total of 188 stakeholders took part including healthcare providers (n = 81), relatives of people with fragile X syndrome (n = 29), and members of the general community (n= 78). The importance of raising community awareness about screening and providing appropriate support for carriers was emphasized. There was a preference for preconception carrier screening and for providing people with the opportunity to make an informed decision about screening. Primary care was highlighted as a setting which would ensure screening is accessible; however, challenges of offering screening in primary care were identified including time to discuss screening, knowledge about the test and possible outcomes, and the health professionals' approach to offering screening. With the increasing availability of genetic carrier tests, it is essential that research now focuses on evaluating approaches for the delivery of carrier screening programs. Primary healthcare is perceived as an appropriate setting through which to access the target population, and raising awareness is essential to making genetic screening more accessible to the general community.

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