학술논문

Clinical application of a scale to assess genomic healthcare empowerment (GEmS): Process and illustrative case examples
Document Type
article
Author
McConkie‐Rosell, AllynSchoch, KellySullivan, JenniferSpillmann, Rebecca CCope, HeidiTan, Queenie K‐GPalmer, Christina GSHooper, Stephen RShashi, VandanaAcosta, Maria TAdam, MargaretAdams, David RAgrawal, Pankaj BAlejandro, Mercedes EAlvey, JustinAmendola, LauraAndrews, AshleyAshley, Euan AAzamian, Mahshid SBacino, Carlos ABademci, GuneyBaker, EvaBalasubramanyam, AshokBaldridge, DustinBale, JimBamshad, MichaelBarbouth, DeborahBayrak‐Toydemir, PinarBeck, AnitaBeggs, Alan HBehrens, EdwardBejerano, GillBennet, JimmyBerg‐Rood, BeverlyBernstein, Jonathan ABerry, Gerard TBican, AnnaBivona, StephanieBlue, ElizabethBohnsack, JohnBonnenmann, CarstenBonner, DevonBotto, LorenzoBoyd, BrennaBriere, Lauren CBrokamp, EllyBrown, GabrielleBurke, Elizabeth ABurrage, Lindsay CButte, Manish JByers, PeterByrd, William ECarey, JohnCarrasquillo, OlveenChang, Ta Chen PeterChanprasert, SirisakChao, Hsiao‐TuanClark, Gary DCoakley, Terra RCobban, Laurel ACogan, Joy DCoggins, MatthewSessions Cole, FColley, Heather ACooper, Cynthia MCraigen, William JCrouse, Andrew BCunningham, MichaelD'Souza, PrecillaDai, HongzhengDasari, SurendraDavids, MariskaDayal, Jyoti GDeardorff, MatthewDell'Angelica, Esteban CDhar, Shweta UDipple, KatrinaDoherty, DanielDorrani, NaghmehDouine, Emilie DDraper, David DDuncan, LauraEarl, DawnEckstein, David JEmrick, Lisa TEng, Christine MEsteves, CeciliaEstwick, TyraFalk, MarniFernandez, LilianaFerreira, CarlosFieg, Elizabeth LFindley, Laurie CFisher, Paul GFogel, Brent LForghani, IrmanFresard, LaureGahl, William AGlass, IanGodfrey, Rena A
Source
Journal of Genetic Counseling. 31(1)
Subject
Pediatric
Biotechnology
Human Genome
Clinical Research
Genetics
Good Health and Well Being
Child
Delivery of Health Care
Family
Genomics
Humans
Parents
Exome Sequencing
exome and genomic sequencing
undiagnosed disorders
healthcare empowerment
genetic counseling
parental perspectives
rare disorders
Undiagnosed Disease Network
Clinical Sciences
Genetics & Heredity
Language
Abstract
The Genome Empowerment Scale (GEmS), developed as a research tool, assesses perspectives of parents of children with undiagnosed disorders about to undergo exome or genome sequencing related to the process of empowerment. We defined genomic healthcare empowerment as follows: perceived ability to understand and seek new information related to the genomic sequencing, manage emotions related to the diagnostic process and outcomes, and utilize genomic sequencing information to the betterment of the individual/child and family. The GEmS consists of four scales, two are primarily emotion-focused (Meaning of a Diagnosis, and Emotional Management of the Process) and two are action-oriented (Seeking Information and Support, and Implications and Planning). The purpose of this research was to provide a strategy for interpreting results from the GEmS and present illustrative cases. These illustrations should serve to facilitate use of the GEmS in the clinical and research arena, particularly with respect to guiding genetic counseling processes for parents of children with undiagnosed conditions.