title: Comparing genetic counselor's and patient's perceptions of needs in prenatal chromosomal microarray testing.
abstract: OBJECTIVE
  Chromosome microarray analysis is poised to take a significant place in the prenatal setting given its increased yield over standard karyotyping, but concerns regarding ethical and counseling challenges remain, especially associated with the risk of uncertain and incidental findings. Guidelines recommend patients receiving prenatal screening to undergo genetic counseling prior to testing, but little is known about women's specific pre-testing and post-testing informational needs, as well as their preference for return of various types of results.
  
  
  METHODS
  The present study surveys 199 prenatal genetic counselors who have counseled patients undergoing chromosome microarray analysis testing and 152 women who have undergone testing on the importance of understanding pre-test information, return of various types of results, and resources made available following an abnormal finding.
  
  
  RESULTS
  Counselors and patients agree on many aspects, although findings indicate patients consider all available information very important, while genetic counselors give more varying ratings.
  
  
  CONCLUSIONS
  Counseling sessions would benefit from information personalized to a patient's particular needs and a shared decision-making model, to reduce informational overload and avoid unnecessary anxiety. Additionally, policies regarding the return of various types of results are needed. © 2015 John Wiley & Sons, Ltd.
authors.affiliation: Division of Translational Medicine and Human Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: Sarah A
authors.initials: SA
authors.lastname: Walser
authors.affiliation: Division of Translational Medicine and Human Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: Katherine S
authors.initials: KS
authors.lastname: Kellom
authors.affiliation: Abramson Cancer Center, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: Steven C
authors.initials: SC
authors.lastname: Palmer
authors.affiliation: Division of Translational Medicine and Human Genetics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
authors.forename: Barbara A
authors.initials: BA
authors.lastname: Bernhardt
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002869:Chromosome Aberrations; D005260:Female; D005817:Genetic Counseling / Q000379:methods / Q000523:psychology*; D005820:Genetic Testing / Q000379:methods; D019538:Health Care Surveys; D006801:Humans; D007621:Karyotyping; D008297:Male; D046228:Microarray Analysis; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods; D010358:Patient Participation / Q000523:psychology; D057240:Patient Preference / Q000523:psychology*; D011247:Pregnancy / Q000523:psychology*; D011296:Prenatal Diagnosis / Q000379:methods; D014481:United States