A Tailored Approach to Family-Centered Genetic Counseling for Cystic Fibrosis Newborn Screening: The Wisconsin Model

作者：Tluczek Audrey^*; Zaleski Christina; Stachiw Hietpas Dania; Modaff Peggy; Adamski Craig R; Nelson Megan R; Reiser Catherine A; Ghate Sumedha; Josephson Kevin D

来源：Journal of Genetic Counseling, 2011, 20(2): 115-128.

DOI：10.1007/s10897-010-9332-y

• Cystic fibrosis
• CF carrier
• Genetic counseling
• Newborn screening
• Micro skill
• Tailored intervention

This article describes the development of a tailored family-centered approach to genetic counseling following abnormal newborn screening (NBS) for cystic fibrosis (CF). A genetic counseling consortium reviewed research literature, selected theoretical frameworks, and incorporated counseling psychology micro skills. This innovative intervention integrated theories and empirically validated techniques. Pilot testing and parent feedback confirmed satisfaction with and feasibility of the approach designed to (a) minimize parents' distress, (b) facilitate parents' understanding, (c) increase parents' capacities to use genetic information, and (d) enhance parents' experiences with genetic counseling. Counselors engage in a highly interactive process of evaluating parents' needs and tailoring assessments and interventions that include a therapeutic environment, the family's emotional needs, parents' informational needs, and a follow-up plan. This promising new model is the first to establish a theorydriven, evidence-based standard for genetic counseling in the context of NBS for CF. Additional research will evaluate the model's efficacy in clinical practice.

• 出版日期2011-4