1
|
Abad PJB, Shah LL, Daack-Hirsch S. Family Information Management in the Context of Inherited Conditions: An Integrative Review. JOURNAL OF FAMILY NURSING 2024:10748407241272196. [PMID: 39194163 DOI: 10.1177/10748407241272196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 08/29/2024]
Abstract
This review aimed to develop a framework to understand the process of information management in families with inherited conditions. Electronic databases were searched for relevant peer-reviewed articles. Articles were included if they were original research on families affected by any confirmed inherited condition, described how a family accesses, interprets, conveys, and/or uses information about the disease, included the recruitment of more than one family member, and used family as the unit of analysis. Data were analyzed through directed content analysis. Thirty-four articles from 27 studies were analyzed. We propose a framework for family information management consisting of the following domains: contextual influences, family information management behaviors, and family information management outcomes. This proposed framework expands the understanding of how families manage their genetic information in making health care decisions for their affected and at-risk relatives.
Collapse
Affiliation(s)
- Peter James B Abad
- The University of Iowa, USA
- University of the Philippines Manila, Philippines
| | - Lisa L Shah
- Virginia Commonwealth University, Richmond, USA
| | | |
Collapse
|
2
|
Fiallos K, Owczarzak J, Bodurtha J, Margarit S, Erby LH. Latina immigrants' breast and colon cancer causal attributions: genetics is key. J Community Genet 2024; 15:59-73. [PMID: 38032519 PMCID: PMC10857993 DOI: 10.1007/s12687-023-00681-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2023] [Accepted: 10/04/2023] [Indexed: 12/01/2023] Open
Abstract
Latinos in the US suffer health disparities including stage of disease at time of breast or colon cancer diagnosis. Understanding Latinas' causal attributions of breast and colon cancer may provide insight into some of the individual level determinants of cancer disparities in this population. Cultural consensus analysis (CCA) is one way to study causal beliefs. The objective of this study was to describe Latina immigrants' causal attributions of breast and colon cancer. We conducted Spanish-language interviews with 22 Latina immigrants using a qualitative exploratory design comprised of freelisting, ranking, and open-ended questions. Participants freelisted causes and risk factors for breast and colon cancer then ranked risk factors according to their perceived role in the development of each cancer. CCA was conducted on rank orders to identify whether a cultural consensus model was present. Participants answered semi-structured, open-ended questions regarding the risk factors and rankings. Interviews were transcribed and subjected to thematic analysis. CCA showed no consensus around rank of causes for either cancer, and residual agreement analysis suggested the presence of two subcultural groups. "Genetics" and "hereditary factors" ranked first and second on average across participants for both cancers. Based on interview data, participants were less aware of colon cancer than breast cancer. Participants' endorsement of heredity as a cause of breast and colon cancer was similar to beliefs reported in studies of primarily non-Latina populations.
Collapse
Affiliation(s)
- Katie Fiallos
- National Human Genome Research Institute, Bethesda, MD, USA.
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
- Johns Hopkins University School of Medicine, Baltimore, MD, USA.
| | - Jill Owczarzak
- Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | - Joann Bodurtha
- Johns Hopkins McKusick-Nathans Department of Genetic Medicine, Baltimore, MD, USA
| | - Sonia Margarit
- Clínica Alemana, Santiago, Chile
- Universidad del Desarrollo, Santiago, Chile
| | - Lori H Erby
- National Human Genome Research Institute, Bethesda, MD, USA
| |
Collapse
|
3
|
Airikkala E, Laaksonen M, Halkoaho A, Kaunonen M. Perception of inherited risk in type 2 diabetes: a systematic review. Front Public Health 2023; 11:1293874. [PMID: 38155883 PMCID: PMC10752975 DOI: 10.3389/fpubh.2023.1293874] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Accepted: 11/30/2023] [Indexed: 12/30/2023] Open
Abstract
Introduction A family history is impacting the individual's risk perception. The objective of this systematic review was to describe inherited risk perceptions of type 2 diabetes from the citizen's viewpoint. The aim was to summarize and increase understanding so that the increased knowledge could be used effectively in type 2 diabetes risk communication in health care. Methods We conducted a systematic review using CINAHL, Medline, and Scopus databases for hereditary, risk, perception, and diabetes related concepts, within the date range of 1.1.2017 to 2.8.2022. Eligible articles were English, peer-reviewed, and addressed the research question: how is hereditary risk of type 2 diabetes perceived? Returns were viewed independently by two authors, and evaluated using the appraisal criteria of the Joanna Briggs Institute. A thematic analysis was used for the synthesis of the data, yielding three themes describing perceptions of inherited risk in type 2 diabetes. Results A total of 32 articles were included, of which 23 were quantitative, 5 qualitative, and 4 were mixed-methods studies. The extracted themes were (1) Identifying heredity as a risk factor, (2) Diversity of hereditary risk, and (3) Perception of the magnitude of personal risk. Discussion The perception towards hereditary risk can vary from a desire to actively make a lifestyle change, to the view that diabetes is inevitable regardless of lifestyle. A positive family history increases the risk perception of type 2 diabetes, but the perceived magnitude of the risk may vary from person to person. The findings have the potential to be applied in healthcare's risk communication.
Collapse
Affiliation(s)
- Elisa Airikkala
- Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland
- School of Social Services and Health Care, Tampere University of Applied Sciences, Tampere, Finland
| | - Mari Laaksonen
- Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland
- School of Social Services and Health Care, Tampere University of Applied Sciences, Tampere, Finland
| | - Arja Halkoaho
- Applied Research Center, Tampere University of Applied Sciences, Tampere, Finland
| | - Marja Kaunonen
- Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland
- Wellbeing Services County of Pirkanmaa, Tampere, Finland
| |
Collapse
|
4
|
Sandberg JC, Trejo G, Howard TD, Moore D, Arcury TA, Quandt SA, Kortenaar P, Ip EH. Mental models about heredity among immigrant Latinx adults with limited education from Mexico and Central America. J Genet Couns 2022; 31:1090-1101. [PMID: 35468233 PMCID: PMC9790731 DOI: 10.1002/jgc4.1580] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2021] [Revised: 03/31/2022] [Accepted: 04/10/2022] [Indexed: 12/30/2022]
Abstract
An understanding of genetics is becoming increasingly relevant to receiving medical care. It is important for health care providers and educators, including genetic counselors, to understand patients' perceptions about trait transmission and their interpretation of terms used in biomedicine. Knowledge about the patient perspective about trait transmission is important when health care providers are not fluent in the patient's language. Sixty Latinx immigrant adults (30 men and 30 women) who were born in Mexico or Central America (MCA) and living in North Carolina were interviewed about their heredity beliefs. By design, most participants had limited education. Eight percent had a least a high school education; 45% had less than a seventh grade education. Semi-structured, in-depth interviews were conducted to examine how participants think and discuss trait transmission. The translated transcripts were systematically analyzed using a case-based approach, supplemented by theme-based coding. Five lay mental models of heredity were identified that varied in terms of involvement of genes. Four of the five heredity mental models encompass genes; four out of five mental models do not link DNA to heredity. The centrality of blood, whether used metaphorically or literally, varies widely across the models. One model references God and depicts that heredity involves blood and/or genes, but not DNA. The mental models of heredity for most adult immigrants with limited education do not include DNA. Trait transmission by blood appears to have a more prominent role in lay mental models held by Mexicans than Central Americans. Increased patient knowledge about genetics can facilitate shared decision-making as genetics becomes increasingly relevant to medical care. Efforts to educate people can be most effective when we first understand the layperson's conceptions or mental models. Health care providers and educators should be aware that MCA adults with limited formal education hold diverse mental models about heredity.
Collapse
Affiliation(s)
- Joanne C. Sandberg
- Department of Family & Community MedicineWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| | - Grisel Trejo
- Department of Family & Community MedicineWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| | - Timothy D. Howard
- Department of BiochemistryWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| | - DaKysha Moore
- Department of Visual, Performing & Communication ArtsJohnson C. Smith UniversityCharlotteNorth CarolinaUSA
- Present address:
John R. and Kathy R. Hairston College of Health and Human SciencesCollege of Health and Human SciencesSpeech ProgramNorth Carolina Agricultural & Technical State UniversityGreensboroNorth CarolinaUSA
| | - Thomas A. Arcury
- Department of Family & Community MedicineWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| | - Sara A. Quandt
- Division of Public Health SciencesDepartment of Epidemiology and PreventionWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| | - Paul Kortenaar
- KaleideumWinston‐SalemNorth CarolinaUSA
- Present address:
Ontario Science CentreTorontoOntarioCanada
| | - Edward H. Ip
- Division of Public Health SciencesDepartment Biostatistics and Data ScienceWake Forest School of MedicineWinston‐SalemNorth CarolinaUSA
| |
Collapse
|
5
|
Koehly LM, Persky S, Philip Shaw, Bonham VL, Marcum CS, Sudre GP, Lea DE, Davis SK. Social and behavioral science at the forefront of genomics: Discovery, translation, and health equity. Soc Sci Med 2021; 271:112450. [PMID: 31558303 PMCID: PMC9745643 DOI: 10.1016/j.socscimed.2019.112450] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2019] [Accepted: 07/25/2019] [Indexed: 12/15/2022]
Abstract
This special issue highlights the unique role that social and behavioral science has to play at the forefront of genomics. Through the introduction of papers comprising this special issue, we outline priority research areas at the nexus of genomics and the social and behavioral sciences. These include: Discovery science; clinical and community translation, and equity, including engagement and inclusion of diverse populations in genomic science. We advocate for genomic discovery that considers social context, neural, cognitive, and behavioral endophenotypes, and that is grounded in social and behavioral science research and theory. Further, the social and behavioral sciences should play a leadership role in identifying best practices for effective clinical and community translation of genomic discoveries. Finally, inclusive research that engages diverse populations is necessary for genomic discovery and translation to benefit all. We also highlight ways that genomics can be a fruitful testbed for the development and refinement of social and behavioral science theory. Indeed, an expanded ecological lens that runs from genomes to society will be required to fully understand human behavior.
Collapse
Affiliation(s)
- Laura M Koehly
- Social and Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA.
| | - Susan Persky
- Social and Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA
| | - Philip Shaw
- Social and Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA
| | - Vence L Bonham
- Social and Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA
| | - Christopher S Marcum
- Social and Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA
| | - Gustavo P Sudre
- Social and Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA
| | - Dawn E Lea
- Social and Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA
| | - Sharon K Davis
- Social and Behavioral Research Branch, National Human Genome Research Institute, National Institutes of Health, Bethesda, MD, USA
| |
Collapse
|
6
|
Reid AE, Ferrer RA, Kadirvel S, Biesecker BB, Lewis KL, Biesecker LG, Klein WMP. Roles of attitudes and injunctive norms in decisional conflict and disclosure following receipt of genome sequencing results. Soc Sci Med 2020; 262:113147. [PMID: 32624263 DOI: 10.1016/j.socscimed.2020.113147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 05/05/2020] [Accepted: 06/13/2020] [Indexed: 10/24/2022]
Abstract
RATIONALE Individuals who choose to obtain genetic information may learn that their genetic profile confers health risks to themselves or offspring. Individuals may react more negatively to this information when personal attitudes, perceived norms, and/or the decision to receive results conflict with one another. OBJECTIVE We predicted that holding more negative attitudes (personal evaluations) or injunctive norms (perceptions of others' approval) toward obtaining genetic test results would prospectively predict greater conflict about the decision to undergo sequencing and less disclosure of sequencing results to family members. We also expected attitudes and norms to interact, such that attitudes would be negatively associated with decisional conflict and positively associated with disclosure when injunctive norms were positive, but weakly associated with outcomes when injunctive norms were negative. METHOD Participants (N=312) were enrolled in a genomic sequencing trial focused on identifying carrier genetic variants, reflecting a variant that might affect their biological children's or grandchildren's health. Participants reported attitudes and injunctive norms, underwent sequencing, and later received results indicating carrier status for at least one variant. Decisional conflict was assessed at immediate post-test, and 1- and 6-month follow-ups. Disclosure of results to children and siblings were assessed at 1 and 6 months. RESULTS In structural equation models with covariates, attitudes were negatively associated with post-test and 1-month decisional conflict. Injunctive norms were negatively associated with decisional conflict at 1 and 6 months and positively associated with disclosure to children and siblings at 1 month. The significant attitudes by injunctive norms interaction predicting post-test decisional conflict supported lower decisional conflict when attitudes, norms, and the decision to receive results were all aligned. Exploratory analyses supported indirect effects of attitudes and norms on 6-month sibling disclosure via 1- month decisional conflict. CONCLUSION Results support roles of psychosocial factors in decisional conflict and disclosure after receiving sequencing results.
Collapse
Affiliation(s)
- Allecia E Reid
- Department of Psychological and Brain Sciences, University of Massachusetts, Amherst, USA.
| | | | - Sanjana Kadirvel
- Department of Psychological and Brain Sciences, University of Massachusetts, Amherst, USA
| | | | - Katie L Lewis
- National Human Genome Research Institute, National Institutes of Health, USA
| | - Leslie G Biesecker
- National Human Genome Research Institute, National Institutes of Health, USA
| | | |
Collapse
|