Evidence map›Paper›PMID 36670247›Full record

ArticleEuropean journal of human genetics : EJHG2023

"I am not a number!" Opinions and preferences of people with intellectual disability about genetic healthcare.

Iva Strnadová, Julie Loblinzk, Jackie Leach Scully, Joanne Danker, Michelle Tso, Karen-Maia Jackaman, Manjekah Dunn, Sierra Angelina Willow, Skie Sarfaraz, Vanessa Fitzgerald and 2 more

Abstract read
In one paragraph

Article in European journal of human genetics : EJHG, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
–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

19 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Genetic testing in cerebral palsy with clinical and neuroimaging variables.Developmental medicine and child neurology · 2025
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. 2023 in the European Journal of Human Genetics.European journal of human genetics : EJHG · 2024
    Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Why don't we all use genomic testing?European journal of human genetics : EJHG · 2023
    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

12 authors.

Iva StrnadováSchool of Education, UNSW Sydney, Sydney, NSW, Australia.
Julie LoblinzkSchool of Education, UNSW Sydney, Sydney, NSW, Australia.
Jackie Leach ScullyDisability Innovation Institute, UNSW Sydney, Sydney, NSW, Australia.
Joanne DankerSchool of Education, UNSW Sydney, Sydney, NSW, Australia.
Michelle TsoSchool of Education, UNSW Sydney, Sydney, NSW, Australia.
Karen-Maia JackamanSchool of Education, UNSW Sydney, Sydney, NSW, Australia.
Manjekah DunnDiscipline of Paediatrics and Child Health, School of Clinical Medicine, Faculty of Medicine and Health, Sydney, NSW, Australia.ORCID 0000-0002-8498-7329
Sierra Angelina WillowSchool of Education, UNSW Sydney, Sydney, NSW, Australia.
Skie SarfarazSelf-Advocacy Sydney, Sydney, NSW, Australia.
Vanessa FitzgeraldNSW Ministry of Health, St Leonards, NSW, Australia.ORCID 0000-0001-8664-7136
Jackie BoyleNSW Genetics of Learning Disability Service, NSW Health, Waratah, NSW, Australia.
Elizabeth Emma PalmerDiscipline of Paediatrics and Child Health, School of Clinical Medicine, Faculty of Medicine and Health, Sydney, NSW, Australia. Elizabeth.palmer@unsw.edu.au.ORCID 0000-0003-1844-215X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

There is limited research exploring the knowledge and experiences of genetic healthcare from the perspective of people with intellectual disability. This study, conducted in New South Wales (Australia), addresses this gap. Eighteen adults with intellectual disability and eight support people were interviewed in this inclusive research study. The transcribed interviews were analysed using inductive content analysis. The findings were discussed in a focus group with ten adults with intellectual disability and in three multi-stakeholder advisory workshops, contributing to the validity and trustworthiness of the findings. Five main themes emerged: (i) access to genetic healthcare services is inequitable, with several barriers to the informed consent process; (ii) the experiences and opinions of people with intellectual disability are variable, including frustration, exclusion and fear; (iii) genetic counselling and diagnoses can be profoundly impactful, but translating a genetic diagnosis into tailored healthcare, appropriate support, peer connections and reproductive planning faces barriers; (iv) people with intellectual disability have a high incidence of exposure to trauma and some reported that their genetic healthcare experiences were associated with further trauma; (v) recommendations for a more respectful and inclusive model of genetic healthcare. Co-designed point-of-care educational and consent resources, accompanied by tailored professional education for healthcare providers, are required to improve the equity and appropriateness of genetic healthcare for people with intellectual disability.

Indexed as

Intellectual DisabilityAdultAustraliaDelivery of Health CareFocus GroupsHumansNew South Wales

Identifiers

PMID36670247
PMCPMC10474088

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.