An eMERGEing definition of patient engagement in genetic counseling.
The concept of patient engagement has been widely studied for decades in the fields of medicine, nursing, psychology, social science, public health, and policy, and increased levels of patient engagement have been shown to improve health outcomes and strengthen reported experiences of care. Despite...
| Published in: | Journal of Genetic Counseling Vol. 34; no. 3; pp. 1 - 14 |
|---|---|
| Main Authors: | , , , , , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Jun2025
|
| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=186226412&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 186226412 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10597700 41A jtl: Journal of Genetic Counseling issn: 10597700 maglogo: N pubinfo: dt: Jun2025 vid: 34 iid: 3 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 186226412 181429618 186226412 186226412 10.1002/jgc4.2001 186226412 ppf: 1 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: An eMERGEing definition of patient engagement in genetic counseling. aug: au: Fung, Jacqueline Rashkin, Misha Barton, Claire Grajales, Lizette Jan, Cheng‐Wei Lara‐Otero, Karlena Narain, Anjali Rios‐Ventura, Sonia Rowe‐Teeter, Courtney Torres Zapata, Astrid Tucker, Brianna Ford, James M. affil: Department of Genetics, Stanford University School of Medicine, Palo Alto California,, USA sug: subj: Patient Participation Genetic Counseling Neoplastic Syndromes, Hereditary Risk Factors Risk Assessment Adolescence Adult Middle Age Aged English Language Spanish Language Audiorecording Thematic Analysis Decision Making, Shared Emotions Therapeutic Alliance Human Female Male Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Female Male ab: The concept of patient engagement has been widely studied for decades in the fields of medicine, nursing, psychology, social science, public health, and policy, and increased levels of patient engagement have been shown to improve health outcomes and strengthen reported experiences of care. Despite this, little research has been done to evaluate what patient engagement looks like within the context of a genetic counseling session. Additionally, there is limited literature from researchers based in the United States that aims to better understand patient engagement in non‐English‐speaking populations. This study is part of a larger protocol entitled "Multilingual Education Research in Genetic counseling Engagement (MERGE)," and it explores the elements that make up patient engagement in the context of pre‐test genetic counseling for hereditary cancer risk among English‐ and Spanish‐speaking patients. Eligible patients were 18 years or older at the time of their genetic counseling visit, had a personal or family history of breast cancer (if English‐speaking) or a personal or family history of any cancer (if Spanish‐speaking), and had not previously been seen for hereditary cancer genetic counseling. Out of 40 enrolled participants, 60% of patients (24/40) were English‐speaking, while 40% of patients (16/40) were Spanish‐speaking. In this study, English transcripts were generated from audio‐recordings of clinical, standard‐of‐care genetic counseling sessions. The transcripts were qualitatively coded by two raters using an inductive approach, allowing for big Q thematic analysis. Six major themes were identified, describing ways in which patients show engagement and participate in decision‐making during a pre‐test genetic counseling session. All data were analyzed collectively, as assessment of differences between the language groups was not a primary analysis question. From the six themes, a definition of patient engagement in genetic counseling is proposed such that it consists of four "components" that together promote shared decision‐making: Application of Education; Expression of Emotions; Feelings of Ownership; and Therapeutic Alliance. This working definition of patient engagement in genetic counseling has overlap with previous research on patient engagement in healthcare and with the Reciprocal‐Engagement Model of genetic counseling. Future research on this topic can investigate methods for measuring and improving patient engagement across different settings and service delivery models. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|