Study Reveals How Patients Experience Direct-to-Consumer Tests

Posted: July 16, 2013 at 4:44 am

Newswise MAYWOOD, Il. Several companies sell genetic testing directly to consumers, but little research has been done on how consumers experience such tests. The tests have raised questions about the validity and accuracy of the information provided to consumers especially without the involvement of a qualified health care professional.

Now, a study lead by a Loyola University Chicago Stritch School of Medicine researcher is providing insight into how a diverse sample of primary care patients experience genetic testing.

Lead researcher Katherine Wasson, PhD, MPH, and colleagues conducted in-depth interviews with 20 patients recruited from primary care clinics. Among the findings, published online ahead of print in the Journal of Community Genetics:

- Most participants thought results were fairly easy to understand with the help of a genetic counselor (provided by the study, not the testing company). But fewer than half said they might be able to understand results on their own.

- Most participants expressed no concern or hesitation about testing. But a few worried about confidentiality especially whether results could affect their health insurance coverage. A few also expressed fears about getting bad results. As one participant explained, I mean, you want to know, but then you dont want to know.

- Participants gave several reasons why they decided to undergo testing. Most simply said they were curious. I dont have a scientific background, so a lot of it is just fascinating to see how all of that can spin out, one participant said. Many also said test results would provide knowledge they could act on, and help them prepare for the future. Said one: If you know that theres something going on you can go ahead and fix it now and not have to try to fix it later when its already unfixable. A few participants wanted to help their families or the next generation, or more broadly, contribute to research and medical science.

- Most participants were pleased with results of the tests, mainly because they had not received bad news, despite the uncertainty of the results. This makes me feel great, said one such participant. I know Ill be around at least another year or two.

- About half the participants said they had made no changes in response to results, mainly because there was nothing on which to act. But among a few participants, receiving low-risk results was a motivating factor to improve their health behavior, mainly through more exercise and a better diet.

- One year after testing, most participants said they would take the test again, and recommend it to others. Its as if you stepped into a time capsule and you went ahead in time and you can see something, one participant said.

Patients were interviewed individually four times: during an initial session in which a saliva sample was given; 4 to 6 weeks later, when they received results; 3 months after receiving results; and 12 months after receiving results. All interviews were recorded and transcribed verbatim.

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Study Reveals How Patients Experience Direct-to-Consumer Tests

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