E-genetics: exploring the acceptability and feasibility of using technology in cancer genetics services

Area of Science:

• Medical Informatics
• Genetics
• Public Health

Background:

• Increasing demand for specialist cancer genetics services necessitates innovative delivery models.
• Information and communication technologies (ICTs) offer potential solutions for improving access, particularly in rural areas.
• The Cancer Genetics Service for Wales (CGSW) explored the integration of ICTs into its services, termed e-genetics.

Purpose of the Study:

• To explore the acceptability and feasibility of utilizing ICTs within cancer genetics services.
• To gather patient and staff perspectives on proposed e-genetics initiatives.
• To identify key factors for successful implementation of e-genetics.

Main Methods:

• An online patient survey was conducted with 225 participants.
• Focus groups were held with patients and staff from the CGSW.
• Data collected explored patient preferences for various e-genetics tools and service delivery models.

Main Results:

• Many proposed e-genetics aspects, including electronic questionnaires and decision aids, were highly acceptable to patients.
• Telemedicine for genetic counseling was viewed as a beneficial option for specific patient groups, not a replacement for face-to-face appointments.
• Patient choice and individual needs were emphasized as crucial for service development.

Conclusions:

• E-genetics initiatives have the potential to enhance efficiency and cost-effectiveness in cancer genetics services.
• While not universally suitable for all users, user-friendly e-genetics developments can improve service quality and accessibility.
• Balancing technological integration with patient preferences is key to successful e-genetics implementation.