Burgess Kelly R, Carmany Erin P, Trepanier Angela M
Rush University Cancer Center, 1725 W. Harrison Ave, Suite 809, Chicago, IL, USA.
Center for Molecular Medicine and Genetics, Wayne State University School of Medicine, 540 E. Canfield, 2375 Scott Hall, Detroit, MI, USA.
J Genet Couns. 2016 Feb;25(1):112-26. doi: 10.1007/s10897-015-9848-2. Epub 2015 Jun 6.
Growing demand for and limited geographic access to genetic counseling services is increasing the need for alternative service delivery models (SDM) like telephone genetic counseling (TGC). Little research has been done on genetic counselors' perspectives of the practice of TGC. We created an anonymous online survey to assess whether telephone genetic counselors believed the tasks identified in the ABGC (American Board of Genetic Counseling) Practice Analysis were performed similarly or differently in TGC compared to in person genetic counseling (IPGC). If there were differences noted, we sought to determine the nature of the differences and if additional training might be needed to address them. Eighty eight genetic counselors with experience in TGC completed some or all of the survey. Respondents identified differences in 13 (14.8%) of the 88 tasks studied. The tasks identified as most different in TGC were: "establishing rapport through verbal and nonverbal interactions" (60.2%; 50/83 respondents identified the task as different), "recognizing factors affecting the counseling interaction" (47.8%; 32/67), "assessing client/family emotions, support, etc." (40.1%; 27/66) and "educating clients about basic genetic concepts" (35.6%; 26/73). A slight majority (53.8%; 35/65) felt additional training was needed to communicate information without visual aids and more effectively perform psychosocial assessments. In summary, although a majority of genetic counseling tasks are performed similarly between TGC and IPGC, TGC counselors recognize that specific training in the TGC model may be needed to address the key differences.
对遗传咨询服务的需求不断增长，而其地理可及性有限，这使得对电话遗传咨询（TGC）等替代服务提供模式（SDM）的需求日益增加。关于遗传咨询师对TGC实践的看法，相关研究甚少。我们创建了一项匿名在线调查，以评估电话遗传咨询师是否认为美国遗传咨询委员会（ABGC）实践分析中确定的任务，在TGC中与面对面遗传咨询（IPGC）中的执行方式相同或不同。如果发现存在差异，我们试图确定差异的性质，以及是否可能需要额外的培训来解决这些差异。88名有TGC经验的遗传咨询师完成了部分或全部调查。在研究的88项任务中，受访者指出了13项（14.8%）存在差异。在TGC中被认为差异最大的任务是：“通过言语和非言语互动建立融洽关系”（60.2%；83名受访者中有50人认为该任务存在差异）、“识别影响咨询互动的因素”（47.8%；67人中有32人）、“评估客户/家庭的情绪、支持等”（40.1%；66人中有27人）以及“向客户传授基本遗传概念”（35.6%；73人中有26人）。略多数（53.8%；65人中有35人）认为需要额外培训，以便在没有视觉辅助的情况下传达信息，并更有效地进行社会心理评估。总之，虽然TGC和IPGC在大多数遗传咨询任务的执行上相似，但TGC咨询师认识到可能需要针对TGC模式进行特定培训，以解决关键差异。
