Acceptability, Appropriateness, and Feasibility of Automated Screening Approaches and Family Communication Methods for Identification of Familial Hypercholesterolemia: Stakeholder Engagement Results from the IMPACT-FH Study

Journal of Personalized Medicine

Michael Gatusky¹  Alanna K. Rahm¹  Andrew Brangan¹  Laney K. Jones¹  Gemme Campbell-Salome¹  Nicole Walters¹  Ilene G. Ladd¹  Amy C. Sturm¹  Samuel S. Gidding¹  Catherine D. Ahmed²  Mary P. McGowan²  Amanda Sheldon² 

[1] Genomic Medicine Institute, Geisinger, Danville, PA 17822, USA;The FH Foundation, Pasadena, CA 91101, USA;

关键词: familial hypercholesterolemia;    identification;    implementation outcomes;    cascade screening;    cascade testing;    chatbots;   

DOI  :  10.3390/jpm11060587

来源: DOAJ

【 摘 要 】

Guided by the Conceptual Model of Implementation Research, we explored the acceptability, appropriateness, and feasibility of: (1) automated screening approaches utilizing existing health data to identify those who require subsequent diagnostic evaluation for familial hypercholesterolemia (FH) and (2) family communication methods including chatbots and direct contact to communicate information about inherited risk for FH. Focus groups were conducted with 22 individuals with FH (2 groups) and 20 clinicians (3 groups). These were recorded, transcribed, and analyzed using deductive (coded to implementation outcomes) and inductive (themes based on focus group discussions) methods. All stakeholders described these initiatives as: (1) acceptable and appropriate to identify individuals with FH and communicate risk with at-risk relatives; and (2) feasible to implement in current practice. Stakeholders cited current initiatives, outside of FH (e.g., pneumonia protocols, colon cancer and breast cancer screenings), that gave them confidence for successful implementation. Stakeholders described perceived obstacles, such as nonfamiliarity with FH, that could hinder implementation and potential solutions to improve systematic uptake of these initiatives. Automated health data screening, chatbots, and direct contact approaches may be useful for patients and clinicians to improve FH diagnosis and cascade screening.

【 授权许可】

Unknown