Northern Clinical School, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Genetics of Learning Disability, Waratah, Hunter New England, Sydney, NSW, Australia.
J Genet Couns. 2020 Aug;29(4):668-677. doi: 10.1002/jgc4.1259. Epub 2020 Apr 4.
People with intellectual disability (PWID) consistently identify the importance of health service information that is accessible and relevant. Resources tailored to the information and support needs of PWID can facilitate inclusivity in their health care (including access to genomic medicine) and improve healthcare outcomes. Despite the fact that PWID are commonly referred to genetics services, there is a lack of appropriate resources to help them prepare for their appointments. We therefore aimed to evaluate the feasibility and acceptability of a booklet for PWID to read with their carers prior to their genetics appointment, to help them prepare for what they may experience. With input from Easy to Read experts and PWID who were members of the New South Wales (NSW) Council for Intellectual Disability, the information booklet 'Getting ready for your visit to the genetics clinic' was produced. Australian healthcare professionals (HCP) familiar with clinical genetics services were invited to complete an anonymous online survey designed to assess perceived relevance, readability, and utility of the resource. Recruitment of HCPs was pursued via affiliated clinical services and email distribution through clinical genetics organizations. Sixty-six HCPs completed and submitted the survey. The results demonstrated that HCPs believed the booklet represented a typical clinical genetics service appointment and that the majority would provide a copy of the resource to clients and their carers. They reported that the booklet was easy to understand and entailed appropriate content and images which were presented clearly and simply. Some minor modifications were recommended and incorporated into the resource. A model of customizable booklets such as this could be transferrable across clinical genetics services and guide development of other resources for PWID. This may help to reduce healthcare disparities, improve client satisfaction, and facilitate involvement of PWID in their own healthcare decisions.
智障人士(PWID)一直强调需要获得可及且相关的医疗服务信息。为 PWID 量身定制的资源可以满足他们的信息和支持需求,从而促进他们在医疗保健(包括获得基因组医学服务)中的包容性,并改善医疗保健效果。尽管 PWID 通常被称为遗传服务,但缺乏适当的资源来帮助他们为预约做好准备。因此,我们旨在评估在 PWID 及其照顾者在进行遗传预约之前阅读一本小册子的可行性和可接受性,以帮助他们为可能的体验做好准备。在易读专家和新南威尔士州(NSW)智障理事会成员 PWID 的参与下,制作了名为“为前往遗传诊所就诊做好准备”的信息小册子。邀请熟悉临床遗传学服务的澳大利亚医疗保健专业人员(HCP)完成一项匿名在线调查,旨在评估该资源的相关性、可读性和实用性。通过附属临床服务和通过临床遗传学组织发送电子邮件来招募 HCP。共有 66 名 HCP 完成并提交了调查。结果表明,HCP 认为该小册子代表了典型的临床遗传学服务预约,大多数人会向客户及其照顾者提供该资源的副本。他们报告说,该小册子易懂,包含适当的内容和图像,且呈现清晰简洁。还提出了一些小的修改建议,并将其纳入了资源中。这种可定制小册子的模式可以在临床遗传学服务之间转移,并指导为 PWID 开发其他资源。这有助于减少医疗保健差距,提高客户满意度,并促进 PWID 参与自己的医疗保健决策。