Operationalizing the Reciprocal Engagement Model of Genetic Counseling Practice: a Framework for the Scalable Delivery of Genomic Counseling and Testing

With the advent of widespread genomic testing for diagnostic indications and disease risk assessment, there is increased need to optimize genetic counseling services to support the scalable delivery of precision medicine. Here, we describe how we operationalized the reciprocal engagement model of genetic counseling practice to develop a framework of counseling components and strategies for the delivery of genomic results. This framework was constructed based upon qualitative research with patients receiving genomic counseling following online receipt of potentially actionable complex disease and pharmacogenomics reports. Consultation with a transdisciplinary group of investigators, including practicing genetic counselors, was sought to ensure broad scope and applicability of these strategies for use with any large-scale genomic testing effort. We preserve the provision of pre-test education and informed consent as established in Mendelian/single-gene disease genetic counseling practice. Following receipt of genomic results, patients are afforded the opportunity to tailor the counseling agenda by selecting the specific test results they wish to discuss, specifying questions for discussion, and indicating their preference for counseling modality. The genetic counselor uses these patient preferences to set the genomic counseling session and to personalize result communication and risk reduction recommendations. Tailored visual aids and result summary reports divide areas of risk (genetic variant, family history, lifestyle) for each disease to facilitate discussion of multiple disease risks. Post-counseling, session summary reports are actively routed to both the patient and their physician team to encourage review and follow-up. Given the breadth of genomic information potentially resulting from genomic testing, this framework is put forth as a starting point to meet the need for scalable genetic counseling services in the delivery of precision medicine.     

Effects of environmental support on overt and covert visuospatial rehearsal

People can rehearse to-be-remembered locations either overtly, using eye movements, or covertly, using only shifts of spatial attention. The present study examined whether the effectiveness of these two strategies depends on environmental support for rehearsal. In Experiment 1, when environmental support (i.e., the array of possible locations) was present and participants could engage in overt rehearsal during retention intervals, longer intervals resulted in larger spans, whereas in Experiment 2, when support was present but participants could only engage in covert rehearsal, longer intervals resulted in smaller spans. When environmental support was absent, however, longer retention intervals resulted in smaller memory spans regardless of which rehearsal strategies were available. In Experiment 3, analyses of participants’ eye movements revealed that the presence of support increased participants’ fixations of to-be-remembered target locations more than fixations of non-targets, and that this was associated with better memory performance. Further, although the total time fixating targets increased, individual target fixations were actually briefer. Taken together, the present findings suggest that in the presence of environmental support, overt rehearsal is more effective than covert rehearsal at maintaining to-be-remembered locations in working memory, and that having more time for overt rehearsal can actually increase visuospatial memory spans.     

Should They Be Recruited? Fan Perceptions of Deviant Student-Athletes

The purpose of this study was to examine fan opinion toward the active recruitment of prospective student-athletes with deviant pasts. College football fans were surveyed to determine to what extent the deviant behavior of a prospective student-athlete impacted how much they would support their favorite team recruiting that athlete. There were three primary findings: (a) deviant behavior negatively impacts a prospective student-athlete’s fan support score, (b) assault of a female student is the most severe deviant behavior in which an athlete could engage, and (c) White recruits were judged more harshly for using illegal drugs when compared to Black recruits.     

Implementing and Sustaining SHARE: An Exposure‐Based Psychotherapy Group for Incarcerated Women Survivors of Sexual Violence

Although incarcerated women are a highly victimized population, therapy for sexual violence victimization (SVV) sequela is not routinely offered in prison. SHARE is a group therapy for SVV survivors that was successfully implemented and sustained in a women’s correction center. Here, we aimed to identify implementation factors and strategies that led to SHARE’s success and describe incarcerated women’s perspectives on the program. We conducted a retrospective process evaluation using interviews structured according to EPIS, a well‐established implementation science framework. Participants (N = 22) were incarcerated women, members of the SHARE treatment team, and members of the correction center’s leadership, therapeutic team, and volunteer program. Factors that facilitated SHARE implementation varied by EPIS phase and organization. Positive inter‐organizational and interpersonal relationships were key across phases, as were the synergies between both the strengths and needs of each organization involved in implementation. Incarcerated women reported a strong need for SHARE and did not report any concerns about receiving trauma therapy in a carceral setting. Therapy for SVV sequelae, including exposure‐based therapy, is possible to implement and sustain in carceral settings. Community–academic partnerships may be a particularly feasible way to expand access to SVV therapy for incarcerated women.     

Affect,meaning in life,and life satisfaction among immigrants and non-immigrants: A moderated mediation model

Current Psychology - Immigration has become a global phenomenon as part of modern life. However, immigrants often demonstrate negative emotional states following the immigration process, which may...     

Further Defining the Role of the Laboratory Genetic Counselor

Laboratory genetic counseling is becoming increasingly common as a result of increased laboratory services and genetic testing menus, as well as growing job responsibilities. Christian et al. (2012) provided the first quantitative data regarding the roles of the laboratory-based genetic counselor (LBGC) finding that two of the most prevalent roles are as customer liaisons and communicators of test results. The goal of the present study was to further delineate the role of the LBGC by addressing specific tasks that LBGCs are involved with on a day-to-day basis. A survey was designed to expand upon themes identified in the Christian et al. (2012) study by querying specific tasks performed in several categories of potential LBGC job duties. An invitation for LBGCs to participate was distributed via email to the membership of the National Society of Genetic Counselors (NSGC) and the Canadian Association of Genetic Counsellors (CAGC). We identified 121 genetic counselors who primarily work in the laboratory setting or whose job role includes a laboratory component. Almost all respondents performed customer liaison/case coordination (95 %), and interpretation and result reporting (88 %). The most frequently performed tasks within these categories involved addressing questions from clients, making phone calls with genetic testing results, obtaining clinical or family history information for results interpretation, and composing case-specific interpretations for unique results and/or obtaining literature references to support interpretations. The study results also point to trends of expanding roles in sales and marketing, variant interpretation and management responsibilities. Results of this study may be useful to further define the full scope of practice of LBGCs, aid in the development of new LBGC positions and expand current positions to include roles related to test development, research, and student supervision. It may also aid in curriculum updates for training programs to increase exposure to LBGC roles.     

Moderating the bullying perpetration–delinquency relationship with parental support and knowledge: A prospective analysis of middle school students

The purpose of this study was to ascertain whether parental support and knowledge moderate the relationship between bullying perpetration and delinquency. A sample of 305 middle school students (141 boys, 164 girls; 10–12 years of age) served as participants in this study. The research hypothesis predicted that parental support and knowledge would moderate the prospective bullying–delinquency relationship. Testing this hypothesis with least squares regression parametric coefficients and percentile bootstrapped 95% confidence intervals, parental support received full support and parental knowledge no support as factors potentially capable of reducing risk for future delinquency by interacting with prior bullying perpetration. Whereas parental support decreased the odds of high bullying boys engaging in future delinquency—an outcome consistent with the view that parenting can serve a protective function against future offending by neutralizing the risk effect of bullying—parental knowledge failed to reduce future delinquency in children who bullied, although it did have a direct ameliorative effect on future delinquency. The protective effect was strongest when parental support was high and parental knowledge low, whereas the risk effect was strongest when parental support was low and parental knowledge was medium to high. These results suggest that protective and risk effects are limited to certain combinations of protective and risk factors.     

Contextual Differences in Parent–Child Play: Implications for Children's Gender Role Development

Parent–child play behavior of 33 preschool children (18 boys, 29 European-American, middle- and upper-middle-class families) was videotaped in separate pretend and physical play sessions. Children's play behavior with a same-sex peer also was observed. Analyses focus on contextual differences in parent–child play behavior, as well as associations between parent–child play and child–peer play. During the pretense play session parent–daughter dyads, particularly mother–daughter dyads, engaged in more pretense play than did parent–son dyads. During the physical play session father–son dyads engaged in more physical play than did father–daughter dyads. These data suggest that context may play an important role in gender differentiated patterns of parent–child play behavior. As for children's peer play behavior, consistent with previous evidence, girls were more likely than boys to engage peers in pretend play and boys were more likely than girls to play physically with peers. Children whose parents engaged in more pretense play engaged in more pretense play with a peer, whereas children's whose parents engaged in more physical play engaged in more physical play with a peer. These findings suggest that parents may contribute to children's gender-typed play behaviors with peers.     

The WISC-R and the Woodcock-Johnson Tests of Achievement: correlations for exceptional children

The present study concerns correlations of scores on the Woodcock-Johnson Tests of Achievement with those on the Wechsler Intelligence Scale for Children--Revised (WISC--R). Correlations between WISC--R Full Scale, Verbal, and Performance IQ and the Reading Aptitude Cluster, the Mathematics Aptitude Cluster, and the Written Language Aptitude Cluster of the Woodcock-Johnson were expected to be high and support the contention that conventional measures of ability do predict achievement for children. Results confirm the hypothesis. The Verbal IQ was the best one-variable predictor of each aptitude cluster, with R s ranging from .32 to .78.