Your browser doesn't support javascript.
loading
An accessible, relational, inclusive, and actionable (ARIA) model of genetic counseling compared with usual care: Results of a randomized controlled trial.
Joseph, Galen; Leo, Michael C; Riddle, Leslie; Guerra, Claudia; Amendola, Laura M; Gilmore, Marian J; Rolf, Bradley A; Dorschner, Michael O; Zepp, Jamilyn; Biesecker, Barbara B; Caruncho, Mikaella; Hunter, Jessica Ezzell; Keast, Erin; Lewis, Hannah S; Duenas, Devan; Kauffman, Tia; Bulkley, Joanna E; Anderson, Katherine P; Jarvik, Gail P; Goddard, Katrina A B; Wilfond, Benjamin S.
Afiliación
  • Joseph G; Department of Humanities & Social Sciences, University of California San Francisco, San Francisco, CA; Helen Diller Family Comprehensive Cancer Center, University of California, San Francisco, CA. Electronic address: galen.joseph@ucsf.edu.
  • Leo MC; Kaiser Permanente Center for Health Research, Portland, OR.
  • Riddle L; Department of Humanities & Social Sciences, University of California San Francisco, San Francisco, CA.
  • Guerra C; Department of Humanities & Social Sciences, University of California San Francisco, San Francisco, CA.
  • Amendola LM; Division of Medical Genetics, Department of Medicine, University of Washington Medical Center, Seattle, WA.
  • Gilmore MJ; Department of Translational and Applied Genomics (TAG), Kaiser Permanente Center for Health Research, Portland, OR.
  • Rolf BA; Division of Medical Genetics, Department of Medicine, University of Washington Medical Center, Seattle, WA.
  • Dorschner MO; Department of Pathology, University of Washington Medical Center, University of Washington, Seattle, WA.
  • Zepp J; Department of Translational and Applied Genomics (TAG), Kaiser Permanente Center for Health Research, Portland, OR.
  • Biesecker BB; Genomics, Ethics, and Translational Research Program, RTI International, Research Triangle Park, NC.
  • Caruncho M; Department of Humanities & Social Sciences, University of California San Francisco, San Francisco, CA.
  • Hunter JE; Genomics, Ethics, and Translational Research Program, RTI International, Research Triangle Park, NC.
  • Keast E; Kaiser Permanente Center for Health Research, Portland, OR.
  • Lewis HS; Treuman Katz Center for Pediatric Bioethics, Seattle Children's Hospital, Seattle, WA.
  • Duenas D; Treuman Katz Center for Pediatric Bioethics, Seattle Children's Hospital, Seattle, WA.
  • Kauffman T; Kaiser Permanente Center for Health Research, Portland, OR.
  • Bulkley JE; Department of Translational and Applied Genomics (TAG), Kaiser Permanente Center for Health Research, Portland, OR.
  • Anderson KP; Department of Family Medicine, Ambulatory Care Services, Denver Health, Denver, CO.
  • Jarvik GP; Division of Medical Genetics, Department of Medicine, University of Washington Medical Center, Seattle, WA; Department Genome Sciences, University of Washington Medical Center, University of Washington, Seattle, WA.
  • Goddard KAB; Department of Translational and Applied Genomics (TAG), Kaiser Permanente Center for Health Research, Portland, OR.
  • Wilfond BS; Genomics, Ethics, and Translational Research Program, RTI International, Research Triangle Park, NC; Department of Pediatrics, University of Washington School of Medicine, University of Washington, Seattle, WA.
Genet Med ; 24(11): 2228-2239, 2022 11.
Article en En | MEDLINE | ID: mdl-36053287
PURPOSE: Effective approaches to communicate genomic information are needed to ensure equitable care. In a randomized controlled superiority trial, we tested a novel practice model that aims to make genetic counseling inclusive, by making the communication accessible, relational, and actionable (ARIA). METHODS: In total, 696 English- and Spanish-speaking patients aged 18 to 49 years, enriched for individuals from historically underserved backgrounds, were randomized in 1:1 ratio to ARIA or usual care. Primary outcomes were accuracy of recall, communication satisfaction, and perceived understanding. In total, 33 participants completed qualitative interviews. RESULTS: Recall and understanding were high for all participants. ARIA participants scored higher on the relationship scale of communication satisfaction (mean difference = 0.09, 95% CI = <0.01 to 0.17). Moderator analyses of communication satisfaction showed that those with lower health literacy reported less communication difficulty in ARIA and those using medical interpreters reported greater communication ease in ARIA. No significant difference was found on other primary and secondary outcomes. Qualitative data enhanced understanding of how and why ARIA can be effective. CONCLUSION: This study provides evidence that a genetic counseling intervention that focuses on specific communication skills to enhance relationship-building, patient engagement, and comprehension can be effective with all patients and may be especially valuable for patients of lower health literacy and Spanish-speakers who use a medical interpreter.
Asunto(s)
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Comunicación / Alfabetización en Salud / Asesoramiento Genético Tipo de estudio: Clinical_trials / Prognostic_studies / Qualitative_research Límite: Humans Idioma: En Revista: Genet Med Asunto de la revista: GENETICA MEDICA Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Comunicación / Alfabetización en Salud / Asesoramiento Genético Tipo de estudio: Clinical_trials / Prognostic_studies / Qualitative_research Límite: Humans Idioma: En Revista: Genet Med Asunto de la revista: GENETICA MEDICA Año: 2022 Tipo del documento: Article Pais de publicación: Estados Unidos