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Australasian Genetic Counselors’ Perceptions of Their Role in Supporting Clients’ Behavior Change
Genetic testing does not always change health behavior. Effective behavior change requires a theory-driven coordinated set of activities (behavior change techniques). Genetic counselors are ideally positioned to facilitate behavior change. We aimed to explore genetic counselors’ perceptions of their...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9863991/ https://www.ncbi.nlm.nih.gov/pubmed/36675691 http://dx.doi.org/10.3390/jpm13010030 |
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author | Jacobs, Chris Turbitt, Erin McEwen, Alison Atkins, Lou |
author_facet | Jacobs, Chris Turbitt, Erin McEwen, Alison Atkins, Lou |
author_sort | Jacobs, Chris |
collection | PubMed |
description | Genetic testing does not always change health behavior. Effective behavior change requires a theory-driven coordinated set of activities (behavior change techniques). Genetic counselors are ideally positioned to facilitate behavior change. We aimed to explore genetic counselors’ perceptions of their role in supporting clients’ behavior change to inform the design of an intervention. Recruitment was via a professional organization and genetics services. Data were collected from 26 genetic counselors via qualitative focus groups/interview. Transcripts were analyzed using thematic analysis and mapped to the COM-B model. We identified three behaviors genetic counselors wanted clients to change: attend appointments, access information, and share information with family members. Strategies for changing clients’ behavior included: assessing needs and capabilities, providing information and support, enabling and monitoring behavior change. Barriers included lack of behavior change skills and knowledge, lack of time, and beliefs about ownership of healthcare, directiveness of behavior change, and scope of practice. Equipping genetic counselors to deliver behavior change requires (i) education in behavior change theory and behavior change techniques, (ii) integration of capability, opportunity and motivation assessment into existing practice, and (iii) development of evidence-based strategies using behavior change tools to focus discussions and promote clients’ agency to change their behavior. |
format | Online Article Text |
id | pubmed-9863991 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-98639912023-01-22 Australasian Genetic Counselors’ Perceptions of Their Role in Supporting Clients’ Behavior Change Jacobs, Chris Turbitt, Erin McEwen, Alison Atkins, Lou J Pers Med Article Genetic testing does not always change health behavior. Effective behavior change requires a theory-driven coordinated set of activities (behavior change techniques). Genetic counselors are ideally positioned to facilitate behavior change. We aimed to explore genetic counselors’ perceptions of their role in supporting clients’ behavior change to inform the design of an intervention. Recruitment was via a professional organization and genetics services. Data were collected from 26 genetic counselors via qualitative focus groups/interview. Transcripts were analyzed using thematic analysis and mapped to the COM-B model. We identified three behaviors genetic counselors wanted clients to change: attend appointments, access information, and share information with family members. Strategies for changing clients’ behavior included: assessing needs and capabilities, providing information and support, enabling and monitoring behavior change. Barriers included lack of behavior change skills and knowledge, lack of time, and beliefs about ownership of healthcare, directiveness of behavior change, and scope of practice. Equipping genetic counselors to deliver behavior change requires (i) education in behavior change theory and behavior change techniques, (ii) integration of capability, opportunity and motivation assessment into existing practice, and (iii) development of evidence-based strategies using behavior change tools to focus discussions and promote clients’ agency to change their behavior. MDPI 2022-12-23 /pmc/articles/PMC9863991/ /pubmed/36675691 http://dx.doi.org/10.3390/jpm13010030 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Jacobs, Chris Turbitt, Erin McEwen, Alison Atkins, Lou Australasian Genetic Counselors’ Perceptions of Their Role in Supporting Clients’ Behavior Change |
title | Australasian Genetic Counselors’ Perceptions of Their Role in Supporting Clients’ Behavior Change |
title_full | Australasian Genetic Counselors’ Perceptions of Their Role in Supporting Clients’ Behavior Change |
title_fullStr | Australasian Genetic Counselors’ Perceptions of Their Role in Supporting Clients’ Behavior Change |
title_full_unstemmed | Australasian Genetic Counselors’ Perceptions of Their Role in Supporting Clients’ Behavior Change |
title_short | Australasian Genetic Counselors’ Perceptions of Their Role in Supporting Clients’ Behavior Change |
title_sort | australasian genetic counselors’ perceptions of their role in supporting clients’ behavior change |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9863991/ https://www.ncbi.nlm.nih.gov/pubmed/36675691 http://dx.doi.org/10.3390/jpm13010030 |
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