Evidence map›Paper›PMID 34906471›Full record

ArticleGenetics in medicine : official journal of the American College of Medical Genetics2022

Motivations and concerns of patients considering participation in an implementation study of a hereditary cancer risk assessment program in diverse primary care settings.

Devan M Duenas, Kelly J Shipman, Kathryn M Porter, Elizabeth Shuster, Claudia Guerra, Ana Reyes, Tia L Kauffman, Jessica Ezzell Hunter, Katrina A B Goddard, Benjamin S Wilfond and 1 more

Abstract read
In one paragraph

Article in Genetics in medicine : official journal of the American College of Medical Genetics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. An Ethical Approach to Genomic Privacy Preserving Technology Development.Proceedings. IEEE International Conference on Healthcare Informatics · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Devan M DuenasTreuman Katz Center for Pediatric Bioethics, Seattle Children's Hospital and Research Institute, Seattle, WA. Electronic address: devan.duenas@seattlechildrens.org.
Kelly J ShipmanPalliative Care and Resilience Research Program, Seattle Children's Hospital and Research Institute, Seattle, WA.
Kathryn M PorterTreuman Katz Center for Pediatric Bioethics, Seattle Children's Hospital and Research Institute, Seattle, WA.
Elizabeth ShusterCenter for Health Research, Kaiser Permanente Northwest, Portland, OR.
Claudia GuerraDepartment of Anthropology, History and Social Medicine, University of California San Francisco, San Francisco, CA.
Ana ReyesCenter for Health Research, Kaiser Permanente Northwest, Portland, OR.
Tia L KauffmanCenter for Health Research, Kaiser Permanente Northwest, Portland, OR.
Jessica Ezzell HunterCenter for Health Research, Kaiser Permanente Northwest, Portland, OR.
Katrina A B GoddardDivision of Cancer Control and Population Sciences, National Cancer Institute, Rockville, MD.
Benjamin S WilfondTreuman Katz Center for Pediatric Bioethics, Seattle Children's Hospital and Research Institute, Seattle, WA; Department of Pediatrics, School of Medicine, University of Washington, Seattle, WA.
Stephanie A KraftTreuman Katz Center for Pediatric Bioethics, Seattle Children's Hospital and Research Institute, Seattle, WA; Department of Pediatrics, School of Medicine, University of Washington, Seattle, WA.

Funding

Exome sequencing in Diverse Populations in Colorado & OregonU01HG007292 · NHGRI · KAISER FOUNDATION RESEARCH INSTITUTE · PI LEO, MICHAEL C, WILFOND, BENJAMIN SIMON · 2017 to 2021
$15.7M
Evolving Our Partnership: The CSER2 Centralized Support Coordinating CenterU24HG007307 · NHGRI · UNIVERSITY OF WASHINGTON · PI FULLERTON, STEPHANIE MALIA, JARVIK, GAIL PAIRITZ · 2017 to 2021
$5.8M
CSER RoRC Centralized Support Coordinating CenterU01HG007307 · NHGRI · UNIVERSITY OF WASHINGTON · PI BURKE, WYLIE G., JARVIK, GAIL PAIRITZ · 2013 to 2016
$3.6M
NHGRI NIH HHS U01 HG007292NHGRI NIH HHS U01 HG007307NHGRI NIH HHS U24 HG007307
6 · The paper itself

Abstract

purposeUnderstanding the motivations and concerns of patients from diverse populations regarding participation in implementation research provides the needed evidence about how to design and conduct studies for facilitating access to genetics services. Within a hereditary cancer screening study assessing a multifaceted intervention, we examined primary care patients' motivations and concerns about participation.

methodsWe surveyed and interviewed study participants after they enrolled, surveyed those who did not complete enrollment, and used descriptive qualitative and quantitative methods to identify motivations and concerns regarding participation.

resultsSurvey respondents' most common motivations included a desire to learn about their future risk (81%), receiving information that may help family (58%), and a desire to advance research (34%). Interviews revealed 3 additional important factors: affordability of testing, convenience of participation, and clinical relationships supporting research decision-making. Survey data of those who declined enrollment showed that the reasons for declining included concerns about privacy (38%), burdens of the research (19%), and their fear of not being able to cope with the genetic information (19%).

conclusionUnderstanding the facilitating factors and concerns that contribute to decisions about research may reveal ways to improve equity in access to care and research that could lead to greater uptake of genomic medicine across diverse primary care patient populations.

Indexed as

MotivationNeoplasmsGenetic Predisposition to DiseaseHumansPrimary Health CareRisk AssessmentSurveys and QuestionnairesCancerConcernsGeneticsMotivationsPrimary care

Identifiers

PMID34906471
PMCPMC8939763

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.