Cragun Deborah, Victoria Lindsey, Bradbury Angela R, Dean Marleah, Hamilton Jada G, Katz Mira L, Rahm Alanna Kulchak, Mack Jennifer W, Resnicow Ken, Kaphingst Kimberly A
College of Public Health, University of South Florida, Tampa, Florida, USA.
Labcorp Women's Health and Genetics, Charlotte, North Carolina, USA.
J Genet Couns. 2025 Apr;34(2):e1988. doi: 10.1002/jgc4.1988. Epub 2024 Oct 27.
Some genetic counselors (GCs) may find theories, models, and frameworks (TMFs) useful in clinical skills selection and when reflecting on or evaluating genetic counseling practice. This paper aims to demonstrate how TMFs can be used to postulate how different skills may impact patients'/clients' decisions, behaviors, and outcomes and consider how multiple TMFs can inform the use of various skills or strategies to achieve different goals. Additionally, we provide examples of TMFs that may help GCs in nonclinical aspects of their work, such as implementing and evaluating new interventions or service delivery models. To guide the selection of appropriate TMFs, we provide a set of questions to consider and include examples of skills and approaches that align with different TMFs. While TMFs provide a structured approach and valuable guidance that may help advance genetic counseling practice, they have certain limitations. Additional research is necessary to determine the effectiveness of using TMFs to guide clinical practice and improve patient/client outcomes.
一些遗传咨询师(GCs)可能会发现理论、模型和框架(TMFs)在临床技能选择以及反思或评估遗传咨询实践时很有用。本文旨在展示TMFs如何用于假设不同技能可能如何影响患者/客户的决策、行为和结果,并考虑多个TMFs如何为使用各种技能或策略以实现不同目标提供信息。此外,我们提供了TMFs的示例,这些示例可能有助于GCs在其工作的非临床方面,例如实施和评估新的干预措施或服务提供模式。为了指导选择合适的TMFs,我们提供了一系列问题以供考虑,并包括与不同TMFs相一致的技能和方法的示例。虽然TMFs提供了一种结构化方法和有价值的指导,可能有助于推进遗传咨询实践,但它们也有一定的局限性。需要进行更多研究以确定使用TMFs指导临床实践和改善患者/客户结果的有效性。