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Published on: October 24, 2019
Designing inclusive newborn sequencing research: insights from parents in underrepresented communities
Maya C Del Rosario1,2, Sheyenne A Walmsley3,4, Barbara W Harrison5
1Division of Genetics & Genomics, Department of Pediatrics, Boston Children's Hospital, Boston, MA, USA.
Insights
Parents from under-represented racial and ethnic groups are interested in infant genomic sequencing (GS) research. Addressing concerns about enrollment procedures and results can reduce barriers and improve participation in genomic studies.
Area of Science:
- Genomics
- Pediatric Research
- Health Equity
Background:
- Genomic sequencing (GS) in newborns and children requires diverse participation from under-represented racial and ethnic groups (URG) for equitable application.
- Understanding URG perspectives on GS research is crucial for developing effective recruitment strategies.
- Parental engagement in pediatric genomic studies is vital for advancing precision medicine.
Purpose of the Study:
- To explore the perspectives of parents from URG regarding genomic sequencing research in children.
- To identify barriers and facilitators to URG participation in infant genomic sequencing studies.
- To inform the design of inclusive and responsive genomic research protocols.
Main Methods:
- Conducted semi-structured interviews with 50 parents from under-represented racial and ethnic groups.
- Gathered insights on parental interest, motivations, and concerns related to infant genomic sequencing research.
- Analyzed qualitative data to understand participant viewpoints and identify enrollment challenges.
Main Results:
- High parental interest in participating in infant genomic sequencing research was reported.
- Key motivations for participation included clinical utility, personal utility, and family health benefits.
- Identified enrollment deterrents such as procedural discomfort, limited emotional capacity, study perceptions, and concerns about genetic results.
Conclusions:
- Parents from URG express significant interest in contributing to genomic sequencing research.
- Recommendations are provided for designing genomic studies that address parental concerns and promote equitable participation.
- Future genomic research should prioritize inclusivity and responsiveness to diverse community needs.
Background:
It is essential that studies of genomic sequencing (GS) in newborns and children include individuals from under-represented racial and ethnic groups (URG) to ensure future applications are equitably implemented. We conducted interviews with parents from URG to better understand their perspectives on GS research, develop strategies to reduce barriers to enrollment, and facilitate research participation.
Methods:
Semi-structured interviews with 50 parents from URG.
Results:
Nearly all parents said they would be interested in participating in an infant GS study. Parents were interested in participating in GS research for reasons including clinical utility, personal utility, and/or family health benefits. Deterrents to enrollment cited by parents were discomfort with enrollment procedures (e.g., not wanting a heel stick), limited emotional bandwidth, unfavorable perceptions of the study, and concerns about potential results. Most parents said they would want to receive all types of genetic results, including actionable and non-actionable, as well as childhood- and adult-onset.
Conclusion:
Our findings demonstrate that parents from URG are interested in participating in GS research. Based upon these findings, we provide recommendations for designing GS studies that are responsive to their concerns.
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