Investigating the Impact of Screen-Sharing Visual Aids during Genomic Results Disclosure via Telehealth in Diverse Families in the TeleKidSeq Pilot Study
Introduction: Telehealth genetic counseling is comparable to in-person visits in terms of satisfaction, knowledge, and psychological outcomes, but using visual aids can be challenging on telehealth platforms. This pilot study assessed if the “screen-sharing” feature via Zoom to display vi...
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Karger Publishers
2025-01-01
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| Series: | Public Health Genomics |
| Online Access: | https://karger.com/article/doi/10.1159/000542444 |
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| author | Jacqueline A. Odgis Nicole R. Kelly Monisha Sebastin Laura Golfinopoulos Beverly J. Insel Sabrina A. Suckiel Katherine E. Bonini Priya N. Marathe Miranda Di Biase Kaitlyn Brown Katie M. Gallagher Michelle A. Ramos Jessica E. Rodriguez Nicole Yelton Karla López Aguiñiga Michelle A. Rodriguez Estefany María Jessenia Lopez Randi E. Zinberg George A. Diaz John M. Greally Noura S. Abul-Husn Laurie J. Bauman Bruce D. Gelb Carol R. Horowitz Eimear E. Kenny Melissa P. Wasserstein |
| author_facet | Jacqueline A. Odgis Nicole R. Kelly Monisha Sebastin Laura Golfinopoulos Beverly J. Insel Sabrina A. Suckiel Katherine E. Bonini Priya N. Marathe Miranda Di Biase Kaitlyn Brown Katie M. Gallagher Michelle A. Ramos Jessica E. Rodriguez Nicole Yelton Karla López Aguiñiga Michelle A. Rodriguez Estefany María Jessenia Lopez Randi E. Zinberg George A. Diaz John M. Greally Noura S. Abul-Husn Laurie J. Bauman Bruce D. Gelb Carol R. Horowitz Eimear E. Kenny Melissa P. Wasserstein |
| author_sort | Jacqueline A. Odgis |
| collection | DOAJ |
| description |
Introduction: Telehealth genetic counseling is comparable to in-person visits in terms of satisfaction, knowledge, and psychological outcomes, but using visual aids can be challenging on telehealth platforms. This pilot study assessed if the “screen-sharing” feature via Zoom to display visual aids during results disclosure sessions positively impacted parental experience and comprehension of their child’s genomic results, especially in underrepresented groups and those with limited English proficiency. Methods: In the TeleKidSeq pilot study, 409 children with suspected genetic conditions underwent genome sequencing. Families were randomized to receive genomic results via televisits with (ScrS) or without (NScrS) screen-sharing of visual aids. Spanish- or English-speaking parents/legal guardians completed surveys at three time points to assess perceived and objective understanding, perceived confidence, and telehealth experience. Regression models evaluated the effect of screen-sharing over time. Results: Overall, understanding and telehealth experience ratings were high, with no significant differences between the ScrS (N = 192) and NScrS (N = 200) arms with regard to perceived (p = 0.32) or objective (p = 0.94) understanding, confidence (p = 0.14) over time, or telehealth experience (p = 0.10). When stratifying by sociodemographic characteristics and type of device used during results disclosure, we observed subtle differences in the effect of screen-sharing within some subgroups. Conclusion: While screen-sharing had no significant impact on overall outcomes, we identified modest effects of screen-sharing within population groups that highlight the need for tailored communication strategies to ensure diverse, multilingual communities derive equitable benefit from telehealth-based genomic results disclosure. Future research is needed to determine whether certain types of visual aids best enhance genomic results disclosure in larger, more robust studies designed to detect smaller effects and subgroup differences. |
| format | Article |
| id | doaj-art-d13e1c0b35cc4eb5903cc197f69bc751 |
| institution | OA Journals |
| issn | 1662-8063 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Public Health Genomics |
| spelling | doaj-art-d13e1c0b35cc4eb5903cc197f69bc7512025-08-20T01:51:03ZengKarger PublishersPublic Health Genomics1662-80632025-01-012818510110.1159/000542444Investigating the Impact of Screen-Sharing Visual Aids during Genomic Results Disclosure via Telehealth in Diverse Families in the TeleKidSeq Pilot StudyJacqueline A. OdgisNicole R. KellyMonisha SebastinLaura GolfinopoulosBeverly J. InselSabrina A. Suckielhttps://orcid.org/0000-0003-3333-7526Katherine E. BoniniPriya N. MaratheMiranda Di BiaseKaitlyn BrownKatie M. GallagherMichelle A. RamosJessica E. RodriguezNicole YeltonKarla López AguiñigaMichelle A. RodriguezEstefany MaríaJessenia LopezRandi E. ZinbergGeorge A. DiazJohn M. GreallyNoura S. Abul-HusnLaurie J. BaumanBruce D. GelbCarol R. HorowitzEimear E. KennyMelissa P. Wasserstein Introduction: Telehealth genetic counseling is comparable to in-person visits in terms of satisfaction, knowledge, and psychological outcomes, but using visual aids can be challenging on telehealth platforms. This pilot study assessed if the “screen-sharing” feature via Zoom to display visual aids during results disclosure sessions positively impacted parental experience and comprehension of their child’s genomic results, especially in underrepresented groups and those with limited English proficiency. Methods: In the TeleKidSeq pilot study, 409 children with suspected genetic conditions underwent genome sequencing. Families were randomized to receive genomic results via televisits with (ScrS) or without (NScrS) screen-sharing of visual aids. Spanish- or English-speaking parents/legal guardians completed surveys at three time points to assess perceived and objective understanding, perceived confidence, and telehealth experience. Regression models evaluated the effect of screen-sharing over time. Results: Overall, understanding and telehealth experience ratings were high, with no significant differences between the ScrS (N = 192) and NScrS (N = 200) arms with regard to perceived (p = 0.32) or objective (p = 0.94) understanding, confidence (p = 0.14) over time, or telehealth experience (p = 0.10). When stratifying by sociodemographic characteristics and type of device used during results disclosure, we observed subtle differences in the effect of screen-sharing within some subgroups. Conclusion: While screen-sharing had no significant impact on overall outcomes, we identified modest effects of screen-sharing within population groups that highlight the need for tailored communication strategies to ensure diverse, multilingual communities derive equitable benefit from telehealth-based genomic results disclosure. Future research is needed to determine whether certain types of visual aids best enhance genomic results disclosure in larger, more robust studies designed to detect smaller effects and subgroup differences. https://karger.com/article/doi/10.1159/000542444 |
| spellingShingle | Jacqueline A. Odgis Nicole R. Kelly Monisha Sebastin Laura Golfinopoulos Beverly J. Insel Sabrina A. Suckiel Katherine E. Bonini Priya N. Marathe Miranda Di Biase Kaitlyn Brown Katie M. Gallagher Michelle A. Ramos Jessica E. Rodriguez Nicole Yelton Karla López Aguiñiga Michelle A. Rodriguez Estefany María Jessenia Lopez Randi E. Zinberg George A. Diaz John M. Greally Noura S. Abul-Husn Laurie J. Bauman Bruce D. Gelb Carol R. Horowitz Eimear E. Kenny Melissa P. Wasserstein Investigating the Impact of Screen-Sharing Visual Aids during Genomic Results Disclosure via Telehealth in Diverse Families in the TeleKidSeq Pilot Study Public Health Genomics |
| title | Investigating the Impact of Screen-Sharing Visual Aids during Genomic Results Disclosure via Telehealth in Diverse Families in the TeleKidSeq Pilot Study |
| title_full | Investigating the Impact of Screen-Sharing Visual Aids during Genomic Results Disclosure via Telehealth in Diverse Families in the TeleKidSeq Pilot Study |
| title_fullStr | Investigating the Impact of Screen-Sharing Visual Aids during Genomic Results Disclosure via Telehealth in Diverse Families in the TeleKidSeq Pilot Study |
| title_full_unstemmed | Investigating the Impact of Screen-Sharing Visual Aids during Genomic Results Disclosure via Telehealth in Diverse Families in the TeleKidSeq Pilot Study |
| title_short | Investigating the Impact of Screen-Sharing Visual Aids during Genomic Results Disclosure via Telehealth in Diverse Families in the TeleKidSeq Pilot Study |
| title_sort | investigating the impact of screen sharing visual aids during genomic results disclosure via telehealth in diverse families in the telekidseq pilot study |
| url | https://karger.com/article/doi/10.1159/000542444 |
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