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An introduction to Delphi studies and consensus methods for genetic counselors
Ian M MacFarlane1, Heather Zierhut1
1Department of Genetics, Cell Biology, and Development, University of Minnesota - Twin Cities, Minneapolis, Minnesota, USA.
Journal of Genetic Counseling
|November 18, 2025
Summary
Delphi studies, a consensus method, are valuable in genetic counseling research for guideline development and curriculum design when evidence is limited. This article explains their benefits and practical implementation for researchers.
Area of Science:
- Healthcare Research
- Genetic Counseling
- Consensus Methods
Background:
- Delphi studies, a consensus method developed in the 1950s, utilize anonymity, iteration, controlled feedback, and statistical group response.
- This methodology is widely applied in various fields, including genetic counseling, for areas lacking conclusive evidence.
Purpose of the Study:
- To explain the benefits of employing the Delphi method in genetic counseling research.
- To differentiate the Delphi method from other consensus-building approaches.
- To provide practical guidance for designing and implementing Delphi studies in this field.
Main Methods:
- The article reviews the application of Delphi studies in genetic counseling.
- It outlines key considerations for constructing a Delphi protocol.
- Practical implementation tips are provided, covering expert identification, round determination, questionnaire design, and results reporting.
Main Results:
- Delphi studies have been successfully used in genetic counseling for guideline development, curriculum design, competency selection, and quality metric establishment.
- Applications extend to creating Master's program curricula, defining clinical supervision competencies, developing core outcome sets, and standardizing outcome reporting.
- Quality assessment in genetic services has also been a focus of Delphi studies.
Conclusions:
- The Delphi method offers significant potential for advancing genetic counseling research and practice.
- Researchers must carefully consider protocol design choices to ensure study validity and impact.
- This methodology provides a structured approach to achieving expert consensus in areas with limited empirical data.
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