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Consumer Perceptions of Interactions With Primary Care Providers After Direct-to-Consumer Personal Genomic Testing.
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- Author(s): van der Wouden, Cathelijne H.; Carere, Deanna Alexis; Maitland-van der Zee, Anke H.; Ruffin IV, Mack T.; Roberts, J. Scott; Green, Robert C.; Ruffin, Mack T 4th; Impact of Personal Genomics Study Group†; Impact of Personal Genomics Study Group
- Source:
Annals of Internal Medicine; 4/19/2016, Vol. 164 Issue 8, p513-522, 10p, 5 Charts- Subject Terms:
SENSORY perception; CONSUMER attitudes; PRIMARY care; GENOMICS; CUSTOMER satisfaction; COHORT analysis; INTERNET surveys; ATTITUDE (Psychology); LONGITUDINAL method; MEDICAL personnel; PHYSICIAN-patient relations; GENERAL practitioners; PSYCHOLOGICAL tests; SOCIAL networks; GENETIC testing; PSYCHOLOGY - Source:
- Additional Information
- Subject Terms:
- Abstract:
Background: Direct-to-consumer (DTC) personal genomic testing (PGT) allows individuals to learn about their genetic makeup without going through a physician, but some consumers share their results with their primary care provider (PCP).Objective: To describe the characteristics and perceptions of DTC PGT consumers who discuss their results with their PCP.Design: Longitudinal, prospective cohort study.Setting: Online survey before and 6 months after results.Participants: DTC PGT consumers.Measurements: Consumer satisfaction with the DTC PGT experience; whether and, if so, how many results could be used to improve health; how many results were not understood; and beliefs about the PCP's understanding of genetics. Participants were asked with whom they had discussed their results. Genetic reports were linked to survey responses.Results: Among 1026 respondents, 63% planned to share their results with a PCP. At 6-month follow-up, 27% reported having done so, and 8% reported sharing with another health care provider only. Common reasons for not sharing results with a health care provider were that the results were not important enough (40%) or that the participant did not have time to do so (37%). Among participants who discussed results with their PCP, 35% were very satisfied with the encounter, and 18% were not at all satisfied. Frequently identified themes in participant descriptions of these encounters were actionability of the results or use in care (32%), PCP engagement or interest (25%), and lack of PCP engagement or interest (22%).Limitation: Participants may not be representative of all DTC PGT consumers.Conclusion: A comprehensive picture of DTC PGT consumers who shared their results with a health care provider is presented. The proportion that shares results is expected to increase with time after testing as consumers find opportunities for discussion at later appointments or if results become relevant as medical needs evolve.Primary Funding Source: National Institutes of Health. [ABSTRACT FROM AUTHOR] - Abstract: Copyright of Annals of Internal Medicine is the property of American College of Physicians and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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