genetic testing;
health communication;
genetic competency;
translational research;
decision making;
health behavior;
NONPOLYPOSIS COLORECTAL-CANCER;
MANAGED CARE ORGANIZATION;
BREAST-OVARIAN CANCER;
UNITED-STATES;
SCREENING PRACTICES;
MARKETING CAMPAIGN;
RISK COMMUNICATION;
ALZHEIMER-DISEASE;
HEALTH BEHAVIOR;
SUSCEPTIBILITY;
D O I:
10.1146/annurev-genom-082509-141604
中图分类号:
Q3 [遗传学];
学科分类号:
071007 ;
090102 ;
摘要:
In this report, we describe the evolution and types of genetic information provided directly to consumers, discuss potential advantages and disadvantages of these products, and review research evaluating consumer responses to direct-to-consumer (DTC) genetic testing. The available evidence to date has focused on predictive tests and does not suggest that individuals, health care providers, or health care systems have been harmed by a DTC provision of genetic information. An understanding of consumer responses to susceptibility tests has lagged behind. The Multiplex Initiative is presented as a case study of research to understand consumers' responses to DTC susceptibility tests. Three priority areas are recommended for accelerated research activities to inform public policy regarding DTC genetic information: (a) exploring consumer's long-term responses to DTC genetic testing on a comprehensive set of outcomes, (b) evaluating optimal services to support decision making about genetic testing, and (c) evaluating best practices in promoting genetic competencies among health providers.
机构:
Univ Alabama, Dept Genet, Birmingham, AL 35243 USA
Univ Alabama, Dept Med, Birmingham, AL 35243 USAUniv Alabama, Dept Genet, Birmingham, AL 35243 USA
Henegan, John C., Jr.
Robin, Nathaniel H.
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机构:
Univ Alabama, Dept Genet, Birmingham, AL 35243 USA
Univ Alabama, Dept Pediat, Birmingham, AL 35243 USAUniv Alabama, Dept Genet, Birmingham, AL 35243 USA
机构:
Mayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USA
Mayo Clin, Biomed Eth Res Program, Rochester, MN USAMayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USA
Allyse, Megan A.
Robinson, David H.
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h-index: 0
机构:
Mayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USA
Mayo Clin, Biomed Eth Res Program, Rochester, MN USAMayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USA
Robinson, David H.
Ferber, Matthew J.
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机构:
Mayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USAMayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USA
Ferber, Matthew J.
Sharp, Richard R.
论文数: 0引用数: 0
h-index: 0
机构:
Mayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USA
Mayo Clin, Biomed Eth Res Program, Rochester, MN USAMayo Clin, Ctr Individualized Med, 200 First St SW, Rochester, MN 55905 USA
机构:
Univ Manchester, Fac Biol Med & Hlth, Manchester, England
Oxford Univ Hosp NHS Fdn Trust, Oxford, England
Univ Oxford, Radcliffe Dept Med, Div Cardiovasc Med, Oxford, EnglandUniv Manchester, Fac Biol Med & Hlth, Manchester, England