Patient-facing digital tools for delivering genetic services: a systematic review. Issue 1 (22nd September 2022)

• Record Type: Journal Article
• Authors: Lee, Whiwon; Shickh, Salma; Assamad, Daniel; Luca, Stephanie; Clausen, Marc; Somerville, Cherith; Tafler, Abby; Shaw, Angela; Hayeems, Robin; Bombard, Yvonne
• Other Names: author non-byline.; Bombard Yvonne author non-byline.; Hayeems Robin author non-byline.; Aronson Melyssa author non-byline.; Bernier Francois author non-byline.; Brudno Michael author non-byline.; Carroll June C author non-byline.; Chad Lauren author non-byline.; Clausen Marc author non-byline.; Cohn Ronald author non-byline.; Costain Gregory author non-byline.; Dhalla Irfan author non-byline.; Faghfoury Hanna author non-byline.; Friedman Jan author non-byline.; Hewson Stacy author non-byline.; Jobling Rebekah author non-byline.; Kodida Rita author non-byline.; Laberge Anne-Marie author non-byline.; Lerner-Ellis Jordan author non-byline.; Liston Eriskay author non-byline.; Luca Stephanie author non-byline.; Mamdani Muhammad author non-byline.; Marshall Christian author non-byline.; Osmond Matthew author non-byline.; Pham Quynh author non-byline.; Reble Emma author non-byline.; Rudzicz Frank author non-byline.; Seto Emily author non-byline.; Shastri-Estrada Serena author non-byline.; Shuman Cheryl author non-byline.; Silver Josh author non-byline.; Smith Maureen author non-byline.; Thorpe Kevin E author non-byline.; Ungar Wendy author non-byline.; Jamieson Trevor author non-byline.;
• Is Part Of: Journal of medical genetics. Volume 60:Issue 1(2023)
• Page Start: 1
• Page End: 10
• Publication Date: 2022-09-22
• Subjects: Genetics -- Patient Care -- Genetic Testing -- Genetic Counseling; Medical genetics -- Periodicals; 616.042
• DOI: 10.1136/jmg-2022-108653
• Languages: English
• ISSNs: 1468-6244

Abstract

Abstract : This study systematically reviewed the literature on the impact of digital genetics tools on patient care and system efficiencies. MEDLINE and Embase were searched for articles published between January 2010 and March 2021. Studies evaluating the use of patient-facing digital tools in the context of genetic service delivery were included. Two reviewers screened and extracted patient-reported and system-focused outcomes from each study. Data were synthesised using a descriptive approach. Of 3226 unique studies identified, 87 were included. A total of 70 unique digital tools were identified. As a result of using digital tools, 84% of studies reported a positive outcome in at least one of the following patient outcomes: knowledge, psychosocial well-being, behavioural/management changes, family communication, decision-making or level of engagement. Digital tools improved workflow and efficiency for providers and reduced the amount of time they needed to spend with patients. However, we identified a misalignment between study purpose and patient-reported outcomes measured and a lack of tools that encompass the entire genetic counselling and testing trajectory. Given increased demand for genetic services and the shift towards virtual care, this review provides evidence that digital tools can be used to efficiently deliver patient-centred care. Future research should prioritise development, evaluation and implementation of digital tools that can support the entire patient trajectory across a range of clinical settings. PROSPERO registration numberCRD42020202862.