The roles of family members, health care workers, and others in decision-making processes about genetic testing among individuals at risk for Huntington disease.

The roles of family members, health care workers, and others in decision-making processes about genetic testing among individuals at risk for Huntington disease. Research Abstract Details 

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The roles of family members, health care workers, and others in decision-making processes about genetic testing among individuals at risk for Huntington disease. Abstract Text:

Robert Klitzman,Deborah Thorne,Jennifer Williamson,Karen Marder,

PURPOSE: To understand how individuals at risk for Huntington disease view the roles of others, e.g., family members and health care workers, in decision making about genetic testing. METHODS: Twenty-one individuals (eight mutation-positive, four mutation-negative, and nine not tested) were interviewed for approximately 2 hours each. RESULTS: Interviewees illuminated several key aspects of the roles of family members and health care workers (in genetics and other fields) in decision making about testing that have been underexplored. Family members often felt strongly about whether an individual should get tested. Health care workers provided information and assistance with decision making and mental health referrals that were often helpful. Yet health care workers varied in knowledge and sensitivity regarding testing issues, and the quality of counseling and testing experiences can range widely. At times, health care workers without specialized knowledge of Huntington disease offered opinions of whether to test. Input from families and health care workers could also conflict with each other and with an individual's own preferences. Larger institutional and geographic contexts shaped decisions as well. CONCLUSION: Decision-making theories applied to Huntington disease testing have frequently drawn on psychological models, yet the current data highlight the importance of social contexts and relationships in testing decisions. This report, the first to our knowledge to explore individuals' perceptions of social factors (particularly family and health care worker involvement) in Huntington disease testing decisions, has critical implications for practice, education, research, and policy.

The roles of family members, health care workers, and others in decision-making processes about genetic testing among individuals at risk for Huntington disease. Publishing Authors By Initials

R Klitzman,D Thorne,J Williamson,K Marder,

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The roles of family members, health care workers, and others in decision-making processes about genetic testing among individuals at risk for Huntington disease. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Genetics in medicine : official journal of the Ame

VOLUME: 9

Page Numbers: 358-71

Journal Abbreviation: Genet. Med.

ISSN: 1098-3600

DAY: 3

MONTH: Jun

YEAR: 2007

The roles of family members, health care workers, and others in decision-making processes about genetic testing among individuals at risk for Huntington disease. Information

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LANGUAGE: eng

NlmUniqueID: 9815831

The roles of family members, health care workers, and others in decision-making processes about genetic testing among individuals at risk for Huntington disease. Keywords Mesh Terms:

KEYWORDS: Male

MESH TERMS: genetics

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Grant and Affiliation Information for The roles of family members, health care workers, and others in decision-making processes about genetic testing among individuals at risk for Huntington disease.

AFFILIATION: College of Physicians and Surgeons and Mailman School of Public Health, New York, New York, USA. rlk2@columbia.edu

Country: United States

AGENCY: United States NHGRI

GRANT: 5-R01-HG002431-01

ACRONYM: HG

MEDLINETA: Genet Med

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