Implementation considerations for offering personal genomic risk information to the public: a qualitative study

Genomic risk information, such as risk for cancer, can be incorporated into personalised prevention and screening strategies. To explore program development and implementation of incorporating genomic risk information, this study conducted interviews with 30 participants who received personalised melanoma genomic risk information. Two major themes were identified: (1) preferences for accepting an offer of genomic risk information were based on family history, disease incidence and the possibility of prevention, (2) participants felt the processes for offering risk information should be based on individual preferences, triaged according to risk and be supported by a health professional trained in genomics. Many participants felt that a general practitioner (GP) could provide straightforward genomic risk information. Some felt that GPs would be more accessible than genetic counsellors, in terms of physical access and costs to the individual. However, participants did express concerns about the limited time that is typically available in GP consultations and whether GPs had adequate knowledge and training in genetics. In summary, participants thought it was acceptable to provide personal genomic risk information to the general population, and that GPs could be one port for delivering such information.

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