203762 Perceptions of genetic testing today: Findings from focus groups with the public and interviews with physicians

Sunday, November 8, 2009

Nina R. Goodman, MHS , Office of Communications and Education, National Cancer Institute, Rockville, MD
Thomas Lehman, MA , Social Change Group/Center for Social Marketing and Behavior Change, Academy for Educational Development, Washington, DC
Melissa Otero, MA , Social Change Group/Center for Social Marketing and Behavior Change, Academy for Educational Development, Washington, DC
Lisa Tensuan, RN, BSN , Social Change Group/Center for Social Marketing and Behavior Change, Academy for Educational Development, Washington, DC, DC
Holly A. Massett, PhD , Office of Communications and Education, National Cancer Institute, Rockville, MD
As genetic tests have become more widely available to the public, particularly with the recent emergence of “direct-to-consumer” (DTC) genetic testing services, there has been considerable reaction to them. Questions have been raised regarding the potential benefits and risks of these tests, as well as the appropriate response by various sectors, including health professionals. For example, while DTC genetic tests may offer consumers personal health information and potentially improve their engagement in medical decision-making, there is concern that consumers may not know or have access to the information necessary to make informed decisions about undergoing genetic testing as well as to understand and act upon the information such tests provide. Because this is a newly emerging area, the National Institutes of Health (NIH) formed a Trans-NIH Communications Group on Genetics and Common Disease to address the anticipated information needs of the public related to genetics and genetic testing. In collaboration with the National Cancer Institute, the Trans-NIH Group conducted formative research with the public and primary care physicians to better understand their attitudes, opinions, and perceptions related to genetic testing. This presentation will discuss the findings from both the in-depth interviews with providers and focus groups with consumers. It is anticipated that the information collected in this effort will allow the government to better understand perceptions of this relatively new and rapidly growing area, and will inform future communication strategies, concepts, and messages of NIH in assisting consumers and healthcare providers in making informed decisions regarding genetic testing.

Learning Objectives:
Identify common perceptions of the risks and benefits of genetic testing based on focus groups with the public. Describe what “direct-to-consumer” genetic testing involves and how it has altered the landscape of genetic testing options available to the public. Discuss what kind of information physicians and the public would like the government to provide on genetic testing.

Keywords: Genetics, Communication

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be an abstract Author on the content I am responsible for because of my Masters in Health Sciences degree from the Johns Hopkins Bloomberg School of Public Health, as well as my extensive expertise as a public health advisor at the National Cancer Institute. Specific to this content, I am a lead research member of the Trans-NIH Genetics Communications Group (TGCG), which formed in early 2008 and is made up of over 50 staff from various Institutes and Centers within NIH. The group was created at the request of the NIH Director to address the anticipated information needs of the public related to the topic of genetics, given the recent increase in direct-to-consumer (DTC) services of genetic testing. The TGCG was charged with developing a communications program to create understandable and reliable health information on genetics of common diseases, genetic testing, and genome scans for the general public and healthcare professionals. Ultimately, the result of our collaboration will be the development of a website for the public. I was personally invited to join the TGCG because of my expertise in the area of market research and evaluation. The Team Leader identified the need to conduct formative research in order to best understand the intended audiences and wanted to be able to do so in an expedited manner. In my role as lead market researcher, I identified members of the TGCG who would be interested in working with me to establish key research questions. We developed a sub-committee to focus on the formative research specifically and through our collaborative efforts, established a research plan that involved four phases: 1) literature review including an environmental scan/portfolio review; 2) focus groups with the public; 3) in-depth interviews (IDIs) with physicians; and 4) user-testing on the website. Given my expertise in the area of market/user research, I agreed to head-up three of the four phases, all but the literature review. The content presented in this abstract submission is the result of my work and leadership on this initiative.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.