Evaluating a genetic counseling narrative group session for people who have tested positive for the Huntington's disease expansion: An interpretative phenomenological analysis. Issue 6 (19th February 2020)

• Record Type: Journal Article
• Authors: Spiers, Johanna; Smith, Jonathan A.; Ferrer‐Duch, Mariangels; Moldovan, Ramona; Roche, Jay; MacLeod, Rhona
• Is Part Of: Journal of genetic counseling. Volume 29:Issue 6(2020)
• Page Start: 1015
• Page End: 1025
• Publication Date: 2020-02-19
• Subjects: family -- genetic counseling -- genetic testing -- lived experience -- predictive genetic testing; Genetic counseling -- Periodicals; 616.042
• DOI: 10.1002/jgc4.1229
• Languages: English
• ISSNs: 1059-7700

Abstract

Abstract: Huntington's disease (HD) is an inherited neurodegenerative disorder characterized by motor problems, cognitive impairment, and mood disturbances. Given the emotional elements of both HD itself and the testing process for it, psychological interventions may be helpful for those families impacted by HD. A stand‐alone genetic counseling narrative group has been offered by one regional genetics clinic in the north of England to support people's coping following predictive genetic testing for HD. Groups are held 4–5 times per year with patients attending a group on a single occasion. This study assessed participants' experiences of attending a group using the qualitative method interpretative phenomenological analysis (IPA). Telephone interviews were conducted with 12 people who had a mutation‐positive HD predictive test result and who had taken part in a genetic counseling narrative group session between November 2017 and February 2018. Participants were asked about their experiences of the group and any impact it had had on their lives. Four themes emerged: 'The power of the group, 'Active elements of the narrative exercise', 'Subsequent impact of the session', and 'Another voice'. Participants described the positive impact of being able to meet and empathize with others in a similar situation, the group's positive impact on their mood and future outlook, and its beneficial impact on disclosure. While most participants were positive about the session, the final theme presented the voices of two participants for whom the groups were poorly timed. Given the sessions' generally positive impact, we recommend other centers consider offering people impacted by HD similar sessions.