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探索罕见肥胖症疾病的基因检测:儿童体重管理提供者的经验和观点
Karyn J Roberts1,2, Eileen Chaves3, Adolfo J Ariza2,4
1School of Nursing, College of Health Sciences, University of Wisconsin-Milwaukee, Milwaukee, WI, USA.
大多数儿科体重管理 (PWM) 提供者使用遗传测试来发现罕见的肥胖原因. 他们寻求更多关于解释结果和咨询家庭的培训,将健康信息视为好处,不确定的测试视为缺点.
科学领域:
- 遗传学 遗传学 是一个
- 儿科 儿科 儿科
- 肥胖问题研究研究
背景情况:
- 儿科体重管理 (PWM) 提供者对罕见肥胖原因的基因测试的经验没有得到充分记录.
- 了解提供者的观点对于在临床实践中有效实施基因测试至关重要.
研究的目的:
- 探索儿科体重管理提供者在实施遗传测试以发现肥胖的罕见原因方面的经验和观点.
- 确定与儿童肥胖症遗传检测相关的感知好处,缺点和伦理问题.
主要方法:
- 通过有目的和雪球采样招募的PWM提供者进行了23个问题调查.
- 数据分析包括描述性统计,费舍尔的精确测试,ANOVA和定性分析.
- 55个PWM提供商完成了调查.
主要成果:
- 80%的提供者报告说,他们订购了基因测试,主要是针对患有早期肥胖,过,异形特征和发育迟缓的患者.
- 主要的感知好处是健康信息;主要的缺点是不确定的测试结果的高率.
- 伦理问题包括体重耻辱,歧视和保险问题,42%的人希望在遗传解释和咨询方面获得更多的培训.
结论:
- 基因测试在儿科体重管理中越来越多地被使用,但提供者需要加强培训和支持.
- 对提供者和家庭对肥胖遗传学的态度以及基因测试的实用性进行进一步的研究是有必要的.
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