Health practitioners' perceptions of the barriers and enablers to the implementation of reproductive genetic carrier screening: A systematic review.

Best, S; Long, J; Theodorou, T; Hatem, S; Lake, R; Archibald, A; Freeman, L; Braithwaite, J

Health practitioners' perceptions of the barriers and enablers to the implementation of reproductive genetic carrier screening: A systematic review.

Best, S Long, J Theodorou, T Hatem, S Lake, R Archibald, A Freeman, L

Braithwaite, J

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Publisher:: Wiley
Publication Type:: Journal Article
Citation:: Prenat Diagn, 2021, 41, (6), pp. 708-719
Issue Date:: 2021-05

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Field	Value	Language
dc.contributor.author	Best, S
dc.contributor.author	Long, J
dc.contributor.author	Theodorou, T
dc.contributor.author	Hatem, S
dc.contributor.author	Lake, R
dc.contributor.author	Archibald, A
dc.contributor.author	Freeman, L https://orcid.org/0000-0002-5814-3894
dc.contributor.author	Braithwaite, J
dc.date.accessioned	2022-03-12T05:04:25Z
dc.date.available	2021-01-26
dc.date.available	2022-03-12T05:04:25Z
dc.date.issued	2021-05
dc.identifier.citation	Prenat Diagn, 2021, 41, (6), pp. 708-719
dc.identifier.issn	0197-3851
dc.identifier.issn	1097-0223
dc.identifier.uri	http://hdl.handle.net/10453/155171
dc.description.abstract	BACKGROUND: As interest in reproductive genetic carrier screening rises, with increased availability, the role of healthcare practitioners is central in guiding uptake aligned with a couples' values and beliefs. Therefore, practitioners' views on implementation are critical to the success of any reproductive genetic carrier screening programme. AIM: To explore healthcare practitioners' perceptions of the barriers and enablers to implementation. MATERIALS & METHODS: We undertook a systematic review of the literature searching seven databases using health practitioner, screening and implementation terms returning 490 articles. RESULTS: Screening led to the inclusion of 26 articles for full-text review. We found three interconnected themes relating to reproductive genetic carrier screening: (i) use and impact, (ii) practitioners' beliefs and expectations and (iii) resources. DISCUSSION: Barriers and enablers to implementation were present within each theme and grouping these determinants by (a) community for example lack of public interest, (b) practitioner for example lack of practitioner time and (c) organisation for example lack of effective metrics, reveals a preponderance of practitioner barriers and organisational enablers. Linking barriers with potential enablers leaves several barriers unresolved (e.g., costs for couples) implying additional interventions may be required. CONCLUSION: Future research should draw on the findings from this study to develop and test strategies to facilitate appropriate offering of reproductive genetic carrier screening by healthcare practitioners.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Wiley
dc.relation.ispartof	Prenat Diagn
dc.relation.isbasedon	10.1002/pd.5914
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	1103 Clinical Sciences, 1114 Paediatrics and Reproductive Medicine
dc.subject.classification	Obstetrics & Reproductive Medicine
dc.subject.mesh	Adult
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Female
dc.subject.mesh	Genetic Carrier Screening
dc.subject.mesh	Health Personnel
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Middle Aged
dc.subject.mesh	Perception
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Reproductive Health
dc.subject.mesh	Humans
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Perception
dc.subject.mesh	Qualitative Research
dc.subject.mesh	Adult
dc.subject.mesh	Middle Aged
dc.subject.mesh	Health Personnel
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Reproductive Health
dc.subject.mesh	Genetic Carrier Screening
dc.title	Health practitioners' perceptions of the barriers and enablers to the implementation of reproductive genetic carrier screening: A systematic review.
dc.type	Journal Article
utslib.citation.volume	41
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1114 Paediatrics and Reproductive Medicine
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.date.updated	2022-03-12T05:04:21Z
pubs.issue	6
pubs.publication-status	Published
pubs.volume	41
utslib.citation.issue	6

Abstract:

BACKGROUND: As interest in reproductive genetic carrier screening rises, with increased availability, the role of healthcare practitioners is central in guiding uptake aligned with a couples' values and beliefs. Therefore, practitioners' views on implementation are critical to the success of any reproductive genetic carrier screening programme. AIM: To explore healthcare practitioners' perceptions of the barriers and enablers to implementation. MATERIALS & METHODS: We undertook a systematic review of the literature searching seven databases using health practitioner, screening and implementation terms returning 490 articles. RESULTS: Screening led to the inclusion of 26 articles for full-text review. We found three interconnected themes relating to reproductive genetic carrier screening: (i) use and impact, (ii) practitioners' beliefs and expectations and (iii) resources. DISCUSSION: Barriers and enablers to implementation were present within each theme and grouping these determinants by (a) community for example lack of public interest, (b) practitioner for example lack of practitioner time and (c) organisation for example lack of effective metrics, reveals a preponderance of practitioner barriers and organisational enablers. Linking barriers with potential enablers leaves several barriers unresolved (e.g., costs for couples) implying additional interventions may be required. CONCLUSION: Future research should draw on the findings from this study to develop and test strategies to facilitate appropriate offering of reproductive genetic carrier screening by healthcare practitioners.

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