Motivational interviewing for genetic counseling: A unified framework for persuasive and equipoise conversations.

ABSTRACT: Genetic counselors (GCs) have traditionally been trained to adopt a position of equipoise or clinical neutrality. They provide information, answer questions, address barriers, and engage in shared decision-making, but generally, they do not prescribe a genetic test. Historically, GCs have generally been trained not to persuade the ambivalent or resistant patient. More recently, however, there has been discussion regarding when a greater degree of persuasion or directionality may be appropriate within genetic counseling (GC) and what role MI may play in this process. The role for "persuasive GC" is based on the premise that some genetic tests provide actionable information that would clearly benefit patients and families by impacting treatment or surveillance. For other tests, the benefits

SUBMITTER: Resnicow K 

PROVIDER: S-EPMC9796431 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature