nach oben

Erschienen in:

01.06.2012 | Original Research

Educational Needs of Primary Care Physicians Regarding Direct-to-Consumer Genetic Testing

verfasst von: Karen P. Powell, Carol A. Christianson, Whitney A. Cogswell, Gaurav Dave, Amit Verma, Sonja Eubanks, Vincent C. Henrich

Erschienen in: Journal of Genetic Counseling | Ausgabe 3/2012

Einloggen, um Zugang zu erhalten

Abstract

To assess the educational needs of North Carolina primary care physicians (PCPs) about direct-to-consumer (DTC) genetic testing, surveys were mailed to 2,402 family and internal medicine providers in North Carolina. Out of 382 respondents, 323 (85%) felt unprepared to answer patient questions and 282 (74%) reported wanting to learn about DTC genetic testing. A total of 148 (39%) were aware of DTC genetic testing. Among these, 63 (43%) thought DTC genetic testing was clinically useful. PCPs who felt either unprepared to answer patient questions (OR = 0.354, p = 0.01) or that DTC genetic testing was clinically useful (OR = 5.783, p = 0.00) were more likely to want to learn about DTC genetic testing. PCPs are interested in learning about DTC genetic testing, but are mostly unaware of DTC testing and feel unprepared to help patients with DTC testing results. Familiar and trusted channels that provide the information and tools PCPs need to help answer patient’s questions and manage their care should be used when creating educational programs.

Nur mit Berechtigung zugänglich

2009 by the numbers (2009). Nature medicine, 15(12), 1351–1352.

23andMe (2011). 23andMe terms of service. Retrieved April 12, 2011, from www.23andme.com/legal/tos/

American Academy of Family Physicians Core Educational Guidelines: Medical Genetics. (2011). Retrieved September 22, 2010, from www.aafp.org/afp/990700ap/core.html

Baars, M. J. H., Scherpbier, A. J. J. A., & Schuwirth, L. W. (2005). Deficient knowledge of genetics relevant for daily practice among medical students nearing graduation. Genetics in Medicine, 7, 295–301.PubMedCrossRef

Bethea, J., Qureshi, N., Drury, N., & Guilbert, P. (2008). The impact of genetics outreach education and support to primary care on practitioners confidence and competence in dealing with familial cancers. Community Genetics, 11, 289–294.PubMedCrossRef

Burke, W. (2004). Genetic testing in primary care. Annual Review of Genomics and Human Genetics, 5, 1–14.PubMedCrossRef

Burke, W., & Emery, J. (2002). Genetics education for primary care providers. Nature Reviews, 3, 561–566.PubMedCrossRef

Burke, W., Acheson, L., Botkin, J., Bridges, K., Davis, A., Evans, J., et al. (2002). Genetics in primary care: A USA faculty development initiative. Community Genetics, 5, 138–146.PubMedCrossRef

de Bock, G. H., Vliet Vlieland, T. P., Hageman, G. C., Oosterwijk, J. C., Springer, M. P., & Kievit, J. (1999). The assessment of genetic risk of breast cancer: a set of GP guidelines. Family Practice, 16(1), 71–77.PubMedCrossRef

deCODEme (2011). deCODEme service agreement. Retrieved April 12, 2011, from www.decodeme.com/service-agreement

Dillman, D. A., Smyth, J. D., & Christian, L. M. (2009). Internet, mail and mixed-mode surveys: The tailored design method, 3rd edition. John Wiley & Sons, Inc.

Field, A., Krokosky, A., & Terry, S. F. (2010). Direct-to-consumer marketing of genetic tests: access does not reflect clinical utility. Genetic Testing and Molecular Biomarkers, 14(6), 731–732. doi:10.1089/gtmb.2010.1514.PubMedCrossRef

Feero, W. G. (2005). Peas, priorities, and primary care: cultural competency starts at home. Genetics in Medicine, 7, 588–589.PubMedCrossRef

Feero, W. G. (2008). Genetics of common disease: a primary care priority aligned with a teachable moment? Genetics in Medicine, 10, 81–82.PubMedCrossRef

Friedman, L. C., Plon, S. E., Cooper, H. P., & Weinberg, A. D. (1997). Cancer genetics–survey of primary care physicians’ attitudes and practices. Journal of Cancer Education, 12(4), 199–203. doi:10.1080/08858199709528489.PubMed

Greb, A. E., Brennan, S., McParlane, L., Page, R., & Bridge, P. D. (2009). Retention of medical genetics knowledge and skills by medical students. Genetics in Medicine, 11, 365–370.PubMedCrossRef

Greendale, K., & Pyeritz, R. E. (2001). Empowering primary care health care professionals in medical genetics: how soon? How fast? American Journal of Medical Genetics, 106, 223–232.PubMedCrossRef

Guttmacher, A. E., Jenkins, J. F., & Uhlmann, W. R. (2001). Genomic medicine: who will practice it? A call to open arms. American Journal of Medical Genetics, 106, 216–222.PubMedCrossRef

Guttmacher, A. E., Porteous, M. E., & McInerney, J. D. (2007). Educating health-care professionals about genetics and genomics. Nature Reviews, 8, 151–157.PubMedCrossRef

Hayflick, S. J., Eiff, M. P., Carpenter, L., & Steinberger, J. (1998). Primary care physicians’ utilization and perceptions of genetics services. Genetics in Medicine, 1(1), 13–21.PubMedCrossRef

Hofman, K. J., Tambor, E. S., Chase, G. A., Geller, G., Faden, R. R., & Holtzman, N. A. (1993). Physicians’ knowledge of genetics and genetic tests. Academic Medicine, 68, 625–632.PubMedCrossRef

Holtzman, N. A., & Watson, M. S. (1997). Improving providers understanding of genetic testing, Promoting safe and effective genetic testing in the United States: Final Report of the Task Force on Genetic Testing.

Kolor, K., Liu, T., St Pierre, J., & Khoury, M. J. (2009). Health care provider and consumer awareness, perceptions and use of direct-to-consumer personal genomic tests, United States, 2008. Genetics in Medicine, 11, 595.PubMedCrossRef

Laberge, A. M., Fryer-Edwards, K., Kyler, P., Lloyd-Puryear, M. A., & Burke, W. (2009). Long-Term outcomes of the “genetics in primary care” faculty development initiative. Family Medicine, 41, 266–270.PubMed

Ling, Y., Swanson, D. B., Holtzman, K., & Bucak, S. D. (2008). Retention of basic sciences information by senior medical students. Academic Medicine, 83, S82–S85.PubMedCrossRef

Lydeard, S. (1996). Avoid surveys masquerading as research [commentary]. British Medical Journal, 313, 733–734.CrossRef

McAvoy, B. R., Kaner, E. F. S. (1996). General practice postal surveys: a questionnaire too far? British Medical Journal, 313, 732–733.PubMedCrossRef

McGuire, A. L., Diaz, C. M., Wang, T., & Hilsenbeck, S. G. (2009). Social networkers’ attitudes toward direct-to-consumer personal genome testing. The American Journal of Bioethics, 9(6-7), 3-10. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/19998099

Miller, F. A., Carroll, J. C., Wilson, B. J., Bytautas, J. P., Allanson, J., Cappelli, M., et al. (2010). The primary care physician role in cancer genetics; a qualitative study of patient experience. Family Practice, 27, 563–569.PubMedCrossRef

Morren, M., Rijken, M., Baanders, A. N., & Bensing, J. (2007). Perceived genetic knowledge, attitudes towards genetic testing, and the relationship between these among patients with a chronic disease. Patient Education and Counseling, 65(2), 197–204.PubMedCrossRef

Mountcastle-Shah, E., & Holtzman, N. A. (2000). Primary care physicians’ perceptions of barriers to genetic testing and their willingness to participate in research. American Journal of Medical Genetics, 94(5), 409–416. doi:10.1002/1096-8628(20001023)94:5<409::AID-AJMG13>3.0.CO;2-U [pii].PubMedCrossRef

National Society of Genetic Counselors (2010). 2010 professional status survey: Work environment retrieved August 8, 2011, from http://www.nsgc.org/MemberCenter/ProfessionalStatusSurveyPSSReports/tabid/253/Default.aspx

North Carolina Medical Society (2011). Retrieved April 12, 2011, from http://www.ncmedsoc.org/

Offit, K. (2008). Genomic profiles for disease risk: predictive or premature? Journal of the American Medical Association, 299(11), 1353–1355.PubMedCrossRef

Ohata, T., Tsuchiya, A., Watanabe, M., Sumida, T., & Takada, F. (2009). Physicians’ opinion for “new” genetic testing in Japan. Journal of Human Genetics, 54, 203–208.PubMedCrossRef

Pathway Genomics (2011). Pathway genomics terms of service. Retrieved April 1, 2011, from https://www.pathway.com/about-us/terms-of-service

Pollack, A. (March 19, 2010). Consumers slow to embrace the age of genomics. The New York Times. Retrieved from http://www.nytimes.com/2010/03/20/business/20consumergene.html?ref=decode-genetics-inc

Powell, K. P., Cogswell, W. A., Christianson, C. A., Dave, G., Verma, A., & Henrich, V. C. (2011). Primary care physicians awareness. Experience and Opinions about Direct-to-Consumer Genetic Testing. Journal of Genetic Counseling. doi:DOI 10.1007/s10897-011-9390-9.

Reigert-Johnson, D. L., Korf, B. R., Alford, R. L., Broder, M. I., Keats, B. J. B., Ormond, K. E., et al. (2004). Outline of a medical genetics curriculum for internal medicine residency training programs. Genetics in Medicine, 6, 543–547.CrossRef

Report, V. I. (2005). Contemporary issues in medicine: Genetics education. Washington DC: Association of American Medical Colleges.

Scheuner, M. T., Sieverding, P., & Shekell, P. G. (2008). Delivery of genomic medicine for common chronic adult diseases. Journal of the American Medical Association, 299, 1320–1334.PubMedCrossRef

Suther, S., & Goodson, P. (2003). Barriers to the provision of genetic services by primary care physicians: a systematic review of the literature. Genetics in Medicine, 5, 70–76.PubMedCrossRef

Swanson, D., Case, S., Leucht, R., & Dillon, G. (1996). Retention of basic science information by fourth-year medical students. Academic Medicine, 71, S80–S82.PubMedCrossRef

Thurston, V., Wales, P., Bell, M., Torbeck, L., & Brokaw, J. (2007). The current status of medical genetics instruction in U.S. and Canadian medical schools. Academic Medicine, 82, 441–445.PubMedCrossRef

US Census Bureau (2009). State median income. Income of households by state: Ranked from highest to lowest using 3-year average (2007–2009). Retrieved from http://www.census.gov/hhes/www/income/statemedfaminc.html

US Government Accountability Office (July 22, 2010). Direct-To-Consumer genetic tests: Misleading test results are further complicated by deceptive marketing and other questionable practices. Statement of Gregory Kutz, Managing Director Forensic Audits and Special Investigations Retrieved August 5, 2011, from http://www.gao.gov/products/GAO-10-847T

Vence, T. (2010). Docs brace for DTC genomics. Genome Web Retrieved September 14, 2010, from www.genomeweb.com/print/948602

Watson, E. K., Shickle, D., Qureshi, N., Emery, J., & Austoker, J. (1999). The ‘new genetics’ and primary care: GPs’ views on their role and their educational needs. Family Practice, 16(4), 420–425.PubMedCrossRef

Wright, C. F., & Gregory-Jones, S. (2010). Size of the direct-toconsumer genomic testing market. Genetics in Medicine, 12(9), 594. doi:10.1097/GIM.0b013e3181ead743.PubMedCrossRef

Titel: Educational Needs of Primary Care Physicians Regarding Direct-to-Consumer Genetic Testing
verfasst von: Karen P. Powell
Carol A. Christianson
Whitney A. Cogswell
Gaurav Dave
Amit Verma
Sonja Eubanks
Vincent C. Henrich
Publikationsdatum: 01.06.2012
Verlag: Springer US
Erschienen in: Journal of Genetic Counseling / Ausgabe 3/2012
Print ISSN: 1059-7700
Elektronische ISSN: 1573-3599
DOI: https://doi.org/10.1007/s10897-011-9471-9

Neu im Fachgebiet Gynäkologie und Geburtshilfe

23.04.2024 | Medikamente in Schwangerschaft und Stillzeit | Nachrichten

Update Gynäkologie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert – ganz bequem per eMail.

Newsletter bestellen

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Educational Needs of Primary Care Physicians Regarding Direct-to-Consumer Genetic Testing

Abstract

Neu im Fachgebiet Gynäkologie und Geburtshilfe

ICI-Therapie in der Schwangerschaft wird gut toleriert

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

Update Gynäkologie

Live-Webinar: Aktuelle Leitlinien bei Herz-Kreislauf-Erkrankungen

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 3/2012

You Want to Do What? My Mother’s Choice to Have Direct-to-Consumer Genetic Testing

Genetic Counseling for Personal Genomic Testing: Optimizing Client Uptake of Post-Test Telephonic Counseling Services

Direct-to-Consumer Personal Genomic Testing: A Case Study and Practical Recommendations for “Genomic Counseling”

Direct-to-Consumer Genetic Testing: What Are We Talking About?

A Family Experience of Personal Genomics

Risky Business: Risk Perception and the Use of Medical Services among Customers of DTC Personal Genetic Testing

Neu im Fachgebiet Gynäkologie und Geburtshilfe

ICI-Therapie in der Schwangerschaft wird gut toleriert

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

Bei RSV-Impfung vor 60. Lebensjahr über Off-Label-Gebrauch aufklären!

Harnwegsinfektprophylaxe: Es geht auch ohne Antibiotika

Update Gynäkologie