Exploring genetic counselors' interest and role in transitional care discussions for pediatric patients with
Molly Lombard1,2, Leah Wetherill1, Jennifer Ivanovich1,2
1Department of Medical and Molecular Genetics, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Insights
Genetic counselors (GCs) are interested in aiding pediatric patients with neurodevelopmental conditions (NDCs) during their transition to adult care. Integrating GC expertise can enhance this crucial process and align with pediatric care standards.
Area of Science:
- Medical Genetics
- Pediatric Healthcare
- Transition of Care
Background:
- Previous research focused on healthcare providers' roles in transitioning pediatric patients with neurodevelopmental conditions (NDCs).
- The specific perspective and involvement of genetic counselors (GCs) in this transition process remained under-explored.
Purpose of the Study:
- To investigate the current practices, attitudes, and perceived barriers of genetic counselors (GCs) concerning the medical transition of pediatric patients with NDCs.
- To assess GCs' interest and confidence in managing the transition of care for individuals with NDCs.
Main Methods:
- A cross-sectional online survey was administered to 51 genetic counselors (GCs) actively seeing patients with NDCs.
- Survey questions covered demographics, current practices with pediatric vs. young adult patients, self-confidence, attitudes, and barriers related to the transition process.
Main Results:
- A significant majority of GCs (76.7%) expressed interest in participating in the transition process.
- All surveyed GCs considered transition planning for pediatric genetic patients with NDCs to be important.
- Most GCs (70.0%) reported discussing transition topics with patients aged 16-22 years.
Conclusions:
- Genetic counselors show a strong interest in supporting patients and families through the transition from pediatric to adult care.
- Incorporating genetic counseling expertise into transition planning for patients with NDCs can potentially improve care outcomes.
- This integration may help meet the evolving standards of care recommended by organizations like the American Academy of Pediatrics.
Abstract:
Previous studies have examined the perspectives of healthcare providers regarding their role in the transition process of pediatric patients with neurodevelopmental conditions (NDCs), but the perspective of a genetic counselor has yet to be considered. This study explored genetic counselors' current practices and attitudes regarding care for pediatric patients with NDCs as they transition into adult care. Genetic counselors (GCs) currently seeing patients with NDCs were recruited through a cross-sectional online survey. Questions included demographics, current practices with patients aged 0-15 years vs. patients 16-22 years, self-confidence, attitudes, and barriers regarding a genetic counselor's role in medical transition. A total of 51 surveys were included in the analysis. The majority (76.7%) of GCs were interested in playing a role in the transition process. Furthermore, all participants perceived transition planning for pediatric genetic patients with NDCs as somewhat important or important. Most GCs (70.0%) discussed topics of transition with patients over 18 years of age. These results demonstrate GCs' interest in assisting patients and families with the transition of individuals. Incorporating a genetic counselor skill set into transition discussions with patients with NDCs could improve the transition process and help to meet the standards of care called for by the American Academy of Pediatrics.
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