Interventions in Genetic Counseling

在SBRB遗传服务研究股的领导下，对遗传咨询干预措施进行了研究，这些干预措施可能会改善实践或实现理想的结果。这项研究的一个途径是致力于产前遗传咨询的问题。一项研究旨在估计接受产前遗传咨询的女性对接受诊断检测的矛盾心理的普遍性，以及这种矛盾心理的预测因素和决策后果。在六个不同的美国产前诊所接受遗传咨询的妇女，在三个场合要求她们完成一份调查问卷：咨询前;咨询后立即，后来通过电话。这些数据将被用来描述在何种程度上的美国妇女的样本转介产前咨询的基础上产妇年龄或筛选测试的结果是矛盾的产前检测，并可能受益于旨在提高决策质量的干预措施。 虽然本研究的总体目标是确定参加产前遗传学诊所预约遗传咨询的妇女对接受产前诊断检测（子宫颈穿刺术或绒毛膜绒毛取样）的矛盾程度，但具体研究目的是： 1.去描述女人？父母对产前检查的态度，包括他们对接受检查的矛盾思想或感情的程度。 2.以检验矛盾心理的预测因素。 3.为了确定矛盾心理，态度， 接受产前检查的意愿、检查的选择和质量的决定。 第二项研究是由一名遗传咨询研究生进行的，该研究同样着眼于对产前诊断测试及其起源的矛盾心理的构建。正在与转诊接受产前诊断、教育和咨询的孕妇进行深入访谈。

Under the Genetics Services Research Unit of the SBRB, research is conducted into genetic counseling interventions that may improve practice or the achievement of desirable outcomes. One avenue of this research is devoted to questions in prenatal genetic counseling. One study seeks to estimate the prevalence of ambivalence about undergoing diagnostic testing among women referred for prenatal genetic counseling, and the predictors and decisional consequences of such ambivalence. Women seen at six different U.S. prenatal clinics for genetic counseling at increased risk for carrying a fetus with trisomy 21 [N=240] are being asked to complete a questionnaire on three occasions: prior to counseling; immediately after counseling, and later by telephone. These data will be used to describe the extent to which a sample of U.S. women referred for prenatal counseling based upon maternal age or results of a screening test are ambivalent about prenatal testing and might benefit from interventions aimed at improving the quality of decision-making. While the overall goal of this study is to determine the extent to which women attending a prenatal genetics clinic appointment for genetic counseling are ambivalent toward undergoing prenatal diagnostic testing (amniocentesis or chorionic villus sampling), the specific study aims are: 1. To describe women?s attitudes toward prenatal testing, including the extent to which they hold ambivalent thoughts or feelings toward undergoing testing. 2. To examine predictors of ambivalence. 3. To determine the relationship between ambivalence, attitudes, intentions to undergo prenatal testing, test choice, and quality of the decision. A second study being conducted by a genetic counseling graduate student is similarly looking at the construct of ambivalence towards prenatal diagnostic testing and its origins. In-depth interviews are being conducte with pregnant women referred for prenatal diagnosis education and counseling.