title: "It wasn't a disaster or anything": Parents' experiences of their child's uncertain chromosomal microarray result.
abstract: Chromosomal microarray is an increasingly utilized diagnostic test, particularly in the pediatric setting. However, the clinical significance of copy number variants detected by this technology is not always understood, creating uncertainties in interpreting and communicating results. The aim of this study was to explore parents' experiences of an uncertain microarray result for their child. This research utilized a qualitative approach with a phenomenological methodology. Semi-structured interviews were conducted with nine parents of eight children who received an uncertain microarray result for their child, either a 16p11.2 microdeletion or 15q13.3 microdeletion. Interviews were transcribed verbatim and thematic analysis was used to identify themes within the data. Participants were unprepared for the abnormal test result. They had a complex perception of the extent of their child's condition and a mixed understanding of the clinical relevance of the result, but were accepting of the limitations of medical knowledge, and appeared to have adapted to the result. The test result was empowering for parents in terms of access to medical and educational services; however, they articulated significant unmet support needs. Participants expressed hope for the future, in particular that more information would become available over time. This research has demonstrated that parents of children who have an uncertain microarray result appeared to adapt to uncertainty and limited availability of information and valued honesty and empathic ongoing support from health professionals. Genetic health professionals are well positioned to provide such support and aid patients' and families' adaptation to their situation as well as promote empowerment. © 2016 Wiley Periodicals, Inc.
authors.affiliation: Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.|Victorian Clinical Genetics Services, Melbourne, Victoria, Australia.|Murdoch Childrens Research Institute, Melbourne, Victoria, Australia.
authors.forename: Ella J
authors.initials: EJ
authors.lastname: Wilkins
authors.affiliation: Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.|Victorian Clinical Genetics Services, Melbourne, Victoria, Australia.|Murdoch Childrens Research Institute, Melbourne, Victoria, Australia.
authors.forename: Alison D
authors.initials: AD
authors.lastname: Archibald
authors.affiliation: Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia.|Victorian Clinical Genetics Services, Melbourne, Victoria, Australia.|Murdoch Childrens Research Institute, Melbourne, Victoria, Australia.
authors.forename: Margaret A
authors.initials: MA
authors.lastname: Sahhar
authors.affiliation: Department of Paediatrics, University of Melbourne, Melbourne, Victoria, Australia. sue.white@vcgs.org.au.|Victorian Clinical Genetics Services, Melbourne, Victoria, Australia. sue.white@vcgs.org.au.
authors.forename: Susan M
authors.initials: SM
authors.lastname: White
mesh_terms: D000328:Adult; D000368:Aged; D002648:Child; D002869:Chromosome Aberrations; D005260:Female; D005820:Genetic Testing; D006801:Humans; D008297:Male; D008875:Middle Aged; D020411:Oligonucleotide Array Sequence Analysis / Q000379:methods; D010290:Parents / Q000523:psychology*; D011795:Surveys and Questionnaires; D035501:Uncertainty
keywords: 16p11.2 deletion syndrome; chromosome 15q13.3 microdeletion syndrome; genetic counseling; genetic testing; microarray analysis; parents; pediatrics; physician-patient relations; qualitative research; uncertainty