A Focus Group Study of Perceptions of Genetic Risk Disclosure in Members of the Public in Sweden: “I’ll Phone the Five Closest Ones, but What Happens to the Other Ten?”

This study explores perceptions and preferences on receiving genetic risk information about hereditary cancer risk in members of the Swedish public. We conducted qualitative content analysis of five focus group discussions with participants (<i>n</i> = 18) aged between 24 and 71 years, r...

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Autores principales:	Carolina Hawranek, Senada Hajdarevic, Anna Rosén
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	cascade testing family communication hereditary cancer risk cancer prevention genetic counselling personalized medicine Medicine R
Acceso en línea:	https://doaj.org/article/5cde8a7e2e474408b1476be1cda33963
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spelling	oai:doaj.org-article:5cde8a7e2e474408b1476be1cda339632021-11-25T18:07:54ZA Focus Group Study of Perceptions of Genetic Risk Disclosure in Members of the Public in Sweden: “I’ll Phone the Five Closest Ones, but What Happens to the Other Ten?”10.3390/jpm111111912075-4426https://doaj.org/article/5cde8a7e2e474408b1476be1cda339632021-11-01T00:00:00Zhttps://www.mdpi.com/2075-4426/11/11/1191https://doaj.org/toc/2075-4426This study explores perceptions and preferences on receiving genetic risk information about hereditary cancer risk in members of the Swedish public. We conducted qualitative content analysis of five focus group discussions with participants (<i>n</i> = 18) aged between 24 and 71 years, recruited from various social contexts. Two prominent phenomena surfaced around the interplay between the three stakeholders involved in risk disclosure: the individual, healthcare, and the relative at risk. First, there is a genuine will to share risk information that can benefit others, even if this is difficult and causes discomfort. Second, when the duty to inform becomes overwhelming, compromises are made, such as limiting one’s own responsibility of disclosure or projecting the main responsibility onto another party. In conclusion, our results reveal a discrepancy between public expectations and the actual services offered by clinical genetics. These expectations paired with desire for a more personalized process and shared decision-making highlight a missing link in today’s risk communication and suggest a need for developed clinical routines with stronger healthcare–patient collaboration. Future research needs to investigate the views of genetic professionals on how to address these expectations to co-create a transparent risk disclosure process which can realize the full potential of personalized prevention.Carolina HawranekSenada HajdarevicAnna RosénMDPI AGarticlecascade testingfamily communicationhereditary cancer riskcancer preventiongenetic counsellingpersonalized medicineMedicineRENJournal of Personalized Medicine, Vol 11, Iss 1191, p 1191 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	cascade testing family communication hereditary cancer risk cancer prevention genetic counselling personalized medicine Medicine R
spellingShingle	cascade testing family communication hereditary cancer risk cancer prevention genetic counselling personalized medicine Medicine R Carolina Hawranek Senada Hajdarevic Anna Rosén A Focus Group Study of Perceptions of Genetic Risk Disclosure in Members of the Public in Sweden: “I’ll Phone the Five Closest Ones, but What Happens to the Other Ten?”
description	This study explores perceptions and preferences on receiving genetic risk information about hereditary cancer risk in members of the Swedish public. We conducted qualitative content analysis of five focus group discussions with participants (<i>n</i> = 18) aged between 24 and 71 years, recruited from various social contexts. Two prominent phenomena surfaced around the interplay between the three stakeholders involved in risk disclosure: the individual, healthcare, and the relative at risk. First, there is a genuine will to share risk information that can benefit others, even if this is difficult and causes discomfort. Second, when the duty to inform becomes overwhelming, compromises are made, such as limiting one’s own responsibility of disclosure or projecting the main responsibility onto another party. In conclusion, our results reveal a discrepancy between public expectations and the actual services offered by clinical genetics. These expectations paired with desire for a more personalized process and shared decision-making highlight a missing link in today’s risk communication and suggest a need for developed clinical routines with stronger healthcare–patient collaboration. Future research needs to investigate the views of genetic professionals on how to address these expectations to co-create a transparent risk disclosure process which can realize the full potential of personalized prevention.
format	article
author	Carolina Hawranek Senada Hajdarevic Anna Rosén
author_facet	Carolina Hawranek Senada Hajdarevic Anna Rosén
author_sort	Carolina Hawranek
title	A Focus Group Study of Perceptions of Genetic Risk Disclosure in Members of the Public in Sweden: “I’ll Phone the Five Closest Ones, but What Happens to the Other Ten?”
title_short	A Focus Group Study of Perceptions of Genetic Risk Disclosure in Members of the Public in Sweden: “I’ll Phone the Five Closest Ones, but What Happens to the Other Ten?”
title_full	A Focus Group Study of Perceptions of Genetic Risk Disclosure in Members of the Public in Sweden: “I’ll Phone the Five Closest Ones, but What Happens to the Other Ten?”
title_fullStr	A Focus Group Study of Perceptions of Genetic Risk Disclosure in Members of the Public in Sweden: “I’ll Phone the Five Closest Ones, but What Happens to the Other Ten?”
title_full_unstemmed	A Focus Group Study of Perceptions of Genetic Risk Disclosure in Members of the Public in Sweden: “I’ll Phone the Five Closest Ones, but What Happens to the Other Ten?”
title_sort	focus group study of perceptions of genetic risk disclosure in members of the public in sweden: “i’ll phone the five closest ones, but what happens to the other ten?”
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/5cde8a7e2e474408b1476be1cda33963
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A Focus Group Study of Perceptions of Genetic Risk Disclosure in Members of the Public in Sweden: “I’ll Phone the Five Closest Ones, but What Happens to the Other Ten?”

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