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Operationalizing the Reciprocal Engagement Model of Genetic Counseling Practice: a Framework for the Scalable Delivery of Genomic Counseling and Testing
dc.contributor.authorSchmidlen, Tara
dc.contributor.authorSturm, Amy C.
dc.contributor.authorHovick, Shelly
dc.contributor.authorScheinfeldt, Laura
dc.contributor.authorScott Roberts, J.
dc.contributor.authorMorr, Lindsey
dc.contributor.authorMcElroy, Joseph
dc.contributor.authorToland, Amanda E.
dc.contributor.authorChristman, Michael
dc.contributor.authorO’Daniel, Julianne M.
dc.contributor.authorGordon, Erynn S.
dc.contributor.authorBernhardt, Barbara A.
dc.contributor.authorOrmond, Kelly E.
dc.contributor.authorSweet, Kevin
dc.date.accessioned2019-01-15T20:28:20Z
dc.date.available2019-12-02T14:55:08Zen
dc.date.issued2018-10
dc.identifier.citationSchmidlen, Tara; Sturm, Amy C.; Hovick, Shelly; Scheinfeldt, Laura; Scott Roberts, J.; Morr, Lindsey; McElroy, Joseph; Toland, Amanda E.; Christman, Michael; O’Daniel, Julianne M.; Gordon, Erynn S.; Bernhardt, Barbara A.; Ormond, Kelly E.; Sweet, Kevin (2018). "Operationalizing the Reciprocal Engagement Model of Genetic Counseling Practice: a Framework for the Scalable Delivery of Genomic Counseling and Testing." Journal of Genetic Counseling 27(5): 1111-1129.
dc.identifier.issn1059-7700
dc.identifier.issn1573-3599
dc.identifier.urihttps://hdl.handle.net/2027.42/147027
dc.description.abstractWith the advent of widespread genomic testing for diagnostic indications and disease risk assessment, there is increased need to optimize genetic counseling services to support the scalable delivery of precision medicine. Here, we describe how we operationalized the reciprocal engagement model of genetic counseling practice to develop a framework of counseling components and strategies for the delivery of genomic results. This framework was constructed based upon qualitative research with patients receiving genomic counseling following online receipt of potentially actionable complex disease and pharmacogenomics reports. Consultation with a transdisciplinary group of investigators, including practicing genetic counselors, was sought to ensure broad scope and applicability of these strategies for use with any large‐scale genomic testing effort. We preserve the provision of pre‐test education and informed consent as established in Mendelian/single‐gene disease genetic counseling practice. Following receipt of genomic results, patients are afforded the opportunity to tailor the counseling agenda by selecting the specific test results they wish to discuss, specifying questions for discussion, and indicating their preference for counseling modality. The genetic counselor uses these patient preferences to set the genomic counseling session and to personalize result communication and risk reduction recommendations. Tailored visual aids and result summary reports divide areas of risk (genetic variant, family history, lifestyle) for each disease to facilitate discussion of multiple disease risks. Post‐counseling, session summary reports are actively routed to both the patient and their physician team to encourage review and follow‐up. Given the breadth of genomic information potentially resulting from genomic testing, this framework is put forth as a starting point to meet the need for scalable genetic counseling services in the delivery of precision medicine.
dc.publisherWiley Periodicals, Inc.
dc.publisherSpringer US
dc.subject.otherModality
dc.subject.otherGenomic testing
dc.subject.otherPrecision medicine
dc.subject.otherGenomics
dc.subject.otherService delivery
dc.subject.otherGenomic counseling
dc.subject.otherGenetic counseling
dc.titleOperationalizing the Reciprocal Engagement Model of Genetic Counseling Practice: a Framework for the Scalable Delivery of Genomic Counseling and Testing
dc.typeArticleen_US
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelHuman Genetics
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/147027/1/jgc41111.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/147027/2/jgc41111-sup-0001.pdf
dc.identifier.doi10.1007/s10897-018-0230-z
dc.identifier.sourceJournal of Genetic Counseling
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