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Decisional conflict among adolescents and parents making decisions about genomic sequencing results
Author(s) -
Raghuram Pillai Preethi,
Prows Cynthia A.,
Martin Lisa J.,
Myers Melanie F.
Publication year - 2020
Publication title -
clinical genetics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.543
H-Index - 102
eISSN - 1399-0004
pISSN - 0009-9163
DOI - 10.1111/cge.13658
Subject(s) - feeling , psychology , scale (ratio) , family conflict , genomic sequencing , clinical psychology , developmental psychology , medicine , social psychology , biology , genetics , physics , quantum mechanics , genome , gene
Genomic testing of adolescents is increasing yet engaging them in decision‐making is not routine. We assessed decisional conflict in adolescents and a parent making independent decisions about actual genomic testing results and factors that influenced their choices. We enrolled 163 dyads consisting of an adolescent (13‐17 years) not selected based on a specific clinical indication and one parent. After independently choosing categories of conditions to learn for the adolescent, participants completed the validated Decisional Conflict Scale and a survey assessing factors influencing their respective choices. Adolescents had higher decisional conflict scores than parents (15.6 [IQR:4.7‐25.6] vs 9.4 [IQR:1.6‐21.9]; P = .0007). Adolescents with clinically significant decisional conflict were less likely to choose to learn all results than adolescents with lower decisional conflict (19.6% vs 80.4%; P < .0001) and less likely to report their choices were influenced by actionability of results (33.3% vs 18.9%; P = .044) and feeling confident they can deal with the results (71.2% vs 91.9%; P = .0005). Our findings suggest higher decisional conflict in adolescents may influence the type and amount of genomic results they wish to learn. Additional research assessing decisional conflict and factors influencing testing choices among adolescents in clinical settings are required.