title: Possibilities and barriers in the implementation of a preconceptional screening programme for cystic fibrosis carriers: a focus group study.
abstract: OBJECTIVE
  This qualitative study aimed to explore possibilities and barriers in the implementation of a nationwide preconceptional cystic fibrosis (CF) carrier screening programme.
  
  
  METHODS
  Sessions were held with two focus groups of CF patients and CF relatives, one focus group of people from the target population (couples planning a pregnancy), and two focus groups of potential providers (general practitioners (GPs) and municipal health service workers).
  
  
  RESULTS
  Important barriers in the implementation of a preconceptional CF carrier screening programme included the problem of reaching the target population, the heavy workload of GPs, the limited public knowledge about CF in general, and the absence of a preconceptional consultation setting. In general, there was a positive attitude among the participants towards CF carrier screening.
  
  
  CONCLUSIONS
  This study revealed some important barriers in the implementation of CF carrier screening programmes. More research is needed to specify and quantify the importance of the various barriers. Eventually, different intervention strategies should be included in an implementation plan to overcome the most important barriers in the organization and execution of screening.
authors.affiliation: Department of Clinical Genetics and Human Genetics, VU University Medical Center, De Boelelaan 1117, PO Box 7057, NL-1007 MB, Amsterdam, The Netherlands. f.poppelaars@vumc.nl
authors.forename: F A M
authors.initials: FA
authors.lastname: Poppelaars
authors.forename: G
authors.initials: G
authors.lastname: van der Wal
authors.forename: J C C
authors.initials: JC
authors.lastname: Braspenning
authors.forename: M C
authors.initials: MC
authors.lastname: Cornel
authors.forename: L
authors.initials: L
authors.lastname: Henneman
authors.forename: M W
authors.initials: MW
authors.lastname: Langendam
authors.forename: L P
authors.initials: LP
authors.lastname: ten Kate
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003550:Cystic Fibrosis / Q000175:diagnosis* / Q000235:genetics; D005260:Female; D017144:Focus Groups; D006580:Genetic Carrier Screening / Q000379:methods*; D005820:Genetic Testing / Q000379:methods / Q000458:organization & administration*; D006284:Health Plan Implementation; D006302:Health Services Research; D006801:Humans; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D010821:Physicians, Family / Q000523:psychology; D016742:Preconception Care; D011635:Public Health Administration; D036301:Qualitative Research; D012747:Sexual Partners / Q000523:psychology