Development and evaluation of an exome sequencing training course for medical interpreters

Riddle, Leslie; Karliner, Leah; Livaudais‐Toman, Jennifer; Guerra, Cláudia; Roat, Cynthia; Rope, Alan F.; Wade, Amy; Caruncho, Mikaella; Zepp, Jamilyn; Giang, Jessica; Wilfond, Benjamin S.; Joseph, Galen

doi:10.2217/pme-2021-0091

Cited by 5 publications

(11 citation statements)

References 40 publications

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“…Our interview findings indicated that interpreters' felt their proficiency was limited by the infrequency of genetics appointments to develop skills and remember vocabulary. This aligns with the result of our interpreter training study, in which we found that the training significantly increased interpreters' confidence, but not knowledge (Riddle et al, 2022).…”

Section: Discussionsupporting

confidence: 91%

“…To address the need for medical interpreters' proficiency in fundamental genetics and genomics concepts and vocabulary, specialized training could improve overall performance and reduce errors. Our team has created an in‐depth course (8 h over 2 days) that builds on findings described here as well as on the results of our interpreter training study (Riddle et al, 2022). It is available via the HealthCare Interpreters Network (HCIN), where other continuing education classes and workshops funded by the American College of Medical Genetics are also available, to enhance interpreters' understanding of genetic/genomic medicine (Health Care Interpreter Network, n.d.).…”

Section: Discussionmentioning

confidence: 98%

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Medical interpreter‐mediated genetic counseling for Spanish preferring adults at risk for a hereditary cancer syndrome

Joseph

Lindberg

Guerra

et al. 2023

Journal of Genetic Counseling

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The objective of this study was to identify interpretation challenges specific to exome sequencing and errors of potential clinical significance in the context of genetic counseling for adults at risk for a hereditary cancer syndrome. Thirty transcripts of interpreter‐mediated telephone results disclosure genetic counseling appointments were coded for errors by bilingual researchers, and the coders applied an overall rating to denote the degree to which the errors interfered with communication overall. Genetic counselors reviewed a subset of errors flagged for potential clinical significance to identify those likely to have clinical impact. Qualitative interviews with 19 interpreters were analyzed to elucidate the challenges they face in interpreting for genetic counseling appointments. Our analysis identified common interpretation errors such as raising the register, omissions, and additions. Further, we found errors specific to genetic counseling concepts and content that appeared to impact the ability of the genetic counselor to accurately assess risk. These errors also may have impacted the patient's ability to understand their results, access appropriate follow‐up care, and communicate with family members. Among interpreters' strengths was the use of requests for clarification; in fact, even more use of clarification would have been beneficial in these encounters. Qualitative interviews surfaced challenges stemming from the structure of interpreter work, such as switching from medical and nonmedical interpretations without substantial breaks. Importantly, while errors were frequent, most did not impede communication overall, and most were not likely to impact clinical care. Nevertheless, potentially clinically impactful errors in communication of genetics concepts may contribute to inequitable care for limited English proficient patients and suggest that additional training in genetics and specialization in healthcare may be warranted. In addition, training for genetic counselors and guidance for patients in working effectively with interpreters could enhance interpreters' transmission of complex genetic concepts.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 98%

Medical interpreter‐mediated genetic counseling for Spanish preferring adults at risk for a hereditary cancer syndrome

Joseph

Lindberg

Guerra

et al. 2023

Journal of Genetic Counseling

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“…Medical translators from the same ethnic background and culture can help clinicians to provide a family‐centered model that considers different preferences and decision‐making. Some centers provide specific training to translators in genomic medicine 199 . The development of patient‐facing material and additional informative resources through medical translation is another mechanism to support families.…”

Section: Discussionmentioning

confidence: 99%

“…Some centers provide specific training to translators in genomic medicine. 199 The development of patient-facing material and additional informative resources through medical translation is another mechanism to support families. These resources can be used complementarily with genetic counselling (where available) to better support the diverse multicultural community.…”

Section: General Genetic Counselling Considerationsmentioning

confidence: 99%

Genetic counselling considerations with genetic/genomic testing in Neonatal and Pediatric Intensive Care Units: A scoping review

Kim,

Pistawka,

Langlois

et al. 2023

Clinical Genetics

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Genetic and genomic technologies can effectively diagnose numerous genetic disorders. Patients benefit when genetic counselling accompanies genetic testing and international guidelines recommend pre‐ and post‐test genetic counselling with genome‐wide sequencing. However, there is a gap in knowledge regarding the unique genetic counselling considerations with different types of genetic testing in the Neonatal Intensive Care Unit (NICU) and the Pediatric Intensive Care Unit (PICU). This scoping review was conducted to identify the gaps in care with respect to genetic counselling for infants/pediatric patients undergoing genetic and genomic testing in NICUs and PICUs and understand areas in need of improvement in order to optimize clinical care for patients, caregivers, and healthcare providers. Five databases (MEDLINE [Ovid], Embase [Ovid], PsycINFO [Ebsco], CENTRAL [Ovid], and CINHAL [Ebsco]) and grey literature were searched. A total of 170 studies were included and used for data extraction and analysis. This scoping review includes descriptive analysis, followed by a narrative account of the extracted data. Results were divided into three groups: pre‐test, post‐test, and comprehensive (both pre‐ and post‐test) genetic counselling considerations based on indication for testing. More studies were conducted in the NICU than the PICU. Comprehensive genetic counselling was discussed in only 31% of all the included studies demonstrating the need for both pre‐test and post‐test genetic counselling for different clinical indications in addition to the need to account for different cultural aspects based on ethnicity and geographic factors.

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“…For example, training for medical interpreters who interpret in genetic counseling sessions may be a good option for GCs working with the same group of medical interpreters regularly in an effort to increase interpreters' preparedness (e.g., session content and format, common terminology) for sessions. Riddle et al (2022) found that a course aimed at enhancing interpreters' preparedness for genomic results disclosure appointments was effective at improving interpreters' confidence during sessions. Alternatively, English‐speaking GCs could consider trainings aimed at improving communication for limited health literacy patients, i.e., incorporating methods like the teach‐back method and using simplified language in sessions, as there are several published studies on different models and interventions (Joseph et al, 2019; Riddle et al, 2021; van der Giessen et al, 2020; van der Giessen, Ausems, et al, 2021; van der Giessen, Fransen, et al, 2021; van der Giessen, van Dulmen, et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

Perspectives on Spanish language concordant cancer genetic counseling sessions from the Spanish‐speaking population

Jimenez

Matthews

Darrah

et al. 2022

Journal of Genetic Counseling

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Genetic counselors (GCs) provide risk assessment, education, and counseling about the genetic contribution to disease. To do so, they must effectively communicate, build rapport, and help patients make the best decisions for themselves and their families. Language barriers add a complex layer to this patient-provider dynamic. While interpreters serve as a primary solution when a patient and GC speak different languages, issues have been documented with these sessions, such as misinterpreted genetic terminology (Gutierrez et al., 2017). Having a GC with concordant language skills may help address these barriers. The purpose of this study was to assess Spanishspeaking patients' perspectives on communication, decision-making, and the interpersonal relationship developed with a bilingual GC in language concordant cancer genetic counseling sessions. Spanish-speaking patients, ages 18 or older, seen by a Spanish-speaking GC at a California public, safety-net hospital were eligible to participate in this study. Nine participants were interviewed via telephone by the bilingual researcher using a semi-structured interview guide to assess three domains: communication, decision-making, and interpersonal relationship. Analyses of interview transcripts identified themes within these three areas of focus: (1) participants felt all explanations were clear and they were not afraid to ask questions in the session, (2) participants experienced preference-concordant decision making, and (3) participants felt empowered and supported by the GC. Participants suggested that GCs working with Spanish-speaking patients in the future should consider group counseling sessions, engaging in outreach efforts to educate the Spanish-speaking community about genetics, and increasing the number of GCs who speak Spanish. These results demonstrate the positive experiences of Spanish-speaking patients in language concordant cancer genetic counseling sessions and further support the need for recruitment of Spanish-speaking individuals into the profession. Future research should further assess the experience of Spanish-speaking patients in language concordant sessions and address the role of cultural concordance in sessions.

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Development and evaluation of an exome sequencing training course for medical interpreters

Cited by 5 publications

References 40 publications

Medical interpreter‐mediated genetic counseling for Spanish preferring adults at risk for a hereditary cancer syndrome

Medical interpreter‐mediated genetic counseling for Spanish preferring adults at risk for a hereditary cancer syndrome

Genetic counselling considerations with genetic/genomic testing in Neonatal and Pediatric Intensive Care Units: A scoping review

Perspectives on Spanish language concordant cancer genetic counseling sessions from the Spanish‐speaking population

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