Framing the Family
A Qualitative Exploration of Factors That Shape Family-Level Experience of Pediatric Genomic Sequencing
Bibliographic Data
| ID | 15716199 |
|---|---|
| Authors | Hadley Stevens Smith (0000-0003-1247-6535, Harvard Pilgrim Health Care, corresponding author), Emily Bonkowski (0000-0001-9886-4082, University of Washington), Madison R Hickingbotham (0000-0002-4536-4313, Harvard University), Raymond Belanger Deloge (0000-0003-3401-2168, Baylor College of Medicine), Stacey Pereira (0000-0001-6541-3904, Baylor College of Medicine) |
| Year | 2023 |
| Volume | 10 |
| Issue | 5 |
| Pages | 774-774 |
| Publication date | 2023-04-25 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Children (JOURNAL) |
| Journal identifiers | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children10050774 |
| PMID | 37238322 |
| OpenAlex | W4366991665 |
| Language | EN |
| References cited | 37 |
Families of children with rare and undiagnosed conditions face many psychosocial and logistical challenges that may affect their approach to decisions about their child's care and their family's well-being. As genomic sequencing (GS) is increasingly incorporated into pediatric diagnostic workups, assessing the family-level characteristics that shape the experience of pediatric GS is crucial to understanding how families approach decision-making about the test and how they incorporate the results into their family life. We conducted semi-structured interviews with parents and other primary caregivers of pediatric patients who were evaluated for a suspected genetic condition and who were recommended to have GS ( n = 20) or who had recently completed GS ( n = 21). We analyzed qualitative data using multiple rounds of thematic analysis. We organized our thematic findings into three domains of factors that influence the family-level experience of GS: (1) family structure and dynamics; (2) parental identity, relationships, and philosophies; and (3) social and cultural differences. Participants conceptualized their child's family in various ways, ranging from nuclear biological family to support networks made up of friends and communities. Our findings can inform the design and interpretation of preference research to advance family-level value assessment of GS as well as genetic counseling for families
Biology · Developmental psychology · Framing (construction · Genetic counseling · Psychosocial · Psychotherapist · Qualitative research · Sociology · Thematic analysis · Autism Spectrum Disorder Research · BRCA gene mutations in cancer · Clinical Psychology · Genomics and Rare Diseases · Medicine · Psychology · Genetics
| Highly cited | No |
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