Powell Karen P, Christianson Carol A, Cogswell Whitney A, Dave Gaurav, Verma Amit, Eubanks Sonja, Henrich Vincent C
Center for Biotechnology, Genomics & Health Research, The University of North Carolina at Greensboro, Greensboro, NC 27402-6170, USA.
J Genet Couns. 2012 Jun;21(3):469-78. doi: 10.1007/s10897-011-9471-9. Epub 2011 Dec 30.
To assess the educational needs of North Carolina primary care physicians (PCPs) about direct-to-consumer (DTC) genetic testing, surveys were mailed to 2,402 family and internal medicine providers in North Carolina. Out of 382 respondents, 323 (85%) felt unprepared to answer patient questions and 282 (74%) reported wanting to learn about DTC genetic testing. A total of 148 (39%) were aware of DTC genetic testing. Among these, 63 (43%) thought DTC genetic testing was clinically useful. PCPs who felt either unprepared to answer patient questions (OR = 0.354, p = 0.01) or that DTC genetic testing was clinically useful (OR = 5.783, p = 0.00) were more likely to want to learn about DTC genetic testing. PCPs are interested in learning about DTC genetic testing, but are mostly unaware of DTC testing and feel unprepared to help patients with DTC testing results. Familiar and trusted channels that provide the information and tools PCPs need to help answer patient's questions and manage their care should be used when creating educational programs.
为评估北卡罗来纳州初级保健医生（PCP）对直接面向消费者（DTC）基因检测的教育需求，研究人员向北卡罗来纳州的2402名家庭医学和内科医生发放了调查问卷。在382名受访者中，323人（85%）表示没有准备好回答患者的问题，282人（74%）报告称希望了解DTC基因检测。共有148人（39%）知晓DTC基因检测。其中，63人（43%）认为DTC基因检测具有临床实用性。那些觉得没有准备好回答患者问题的PCP（比值比[OR]=0.354，p=0.01）或认为DTC基因检测具有临床实用性的PCP（OR=5.783，p=0.00）更有可能希望了解DTC基因检测。PCP有兴趣了解DTC基因检测，但大多不了解DTC检测，且觉得没有准备好帮助患者解读DTC检测结果。在创建教育项目时，应采用熟悉且可靠的渠道，提供PCP所需的信息和工具，以帮助回答患者的问题并管理他们的护理。
