Parental perspectives regarding the return of genomic research results in neurodevelopmental disorders in South Africa: anticipated impact and preferences.

Journal: Journal of community genetics

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Affiliated Institutions:  Human Genetics, Department of Medicine, University of Cape Town, Groote Schuur Hospital, Observatory, Cape Town, South Africa. Department of Paediatrics & Child Health, Red Cross War Memorial Children's Hospital and University of Cape Town, Cape Town, South Africa. zandrebruwer@gmail.com. Department of Paediatrics & Child Health, Red Cross War Memorial Children's Hospital and University of Cape Town, Cape Town, South Africa. The Ethics Lab, Neuroscience Institute and Department of Medicine, University of Cape Town, Rondebosch, Cape Town, South Africa. Neuroscience Unit, Center for Geographic Medicine Research Coast, KEMRI-Wellcome Trust, Kilifi, Kenya. The Broad Institute of MIT and Harvard, Cambridge, MA, USA.

Abstract summary 

Few policies and little research exist regarding the disclosure of genomic results to research participants in Africa. As understanding participant preferences would be pivotal to the success of the feedback process, this study set out to address this issue by engaging with enrolled participants from an ongoing genomics research project on neurodevelopmental disorders with the aim to assess the anticipated impact of receiving pertinent results and explore the preferences for feedback in a South African context. Twelve semi-structured interviews were conducted with 17 parents of children participating in the research study. Transcribed interview data and observational notes were analysed using thematic analysis and framework matrices. Participants linked their own meaning to the impact of receiving a pertinent result and perceived the information as useful for reasons other than only clinical utility. These included closure, improved management of their child's condition and information regarding recurrence risks. In terms of preferences for feedback, an in-person result delivery session, conducted by a member of the study team or medical professional familiar with their child was preferred. In addition, participants felt a sense of ownership over their blood or their contribution to the research study, finding meaning even in non-pertinent results. These findings provide insight into the type of discussions that may be valuable in enabling the development of best practices and guidelines for the return of individual genetic research results, in a culturally appropriate manner, within South African communities.

Authors & Co-authors:  Diedericks Angelique A Bruwer Zandré Z Laing Nakita N Eastman Emma E De Vries Jantina J Newton Charles R CR Abubakar Amina A Robinson Elise B EB Donald Kirsten A KA

Study Outcome 

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Statistics
Citations :  African Academy of Sciences (2021) A framework for the implementation of genomic medicine for public health in Africa. AAS Open Res 2020:1–87
Authors :  10
Identifiers
Doi : 10.1007/s12687-024-00723-w
SSN : 1868-310X
Study Population
Male,Female
Mesh Terms
Other Terms
Feedback;Genomic results;Neurodevelopmental disorders;Parental perspective;Preferences;Research findings
Study Design
Study Approach
Country of Study
South Africa
Publication Country
Germany