Jundishapur Scientific Medical Journal

Jundishapur Scientific Medical Journal

Examining the Knowledge, Type of Attitude and Performance of General and Specialist Doctors in Relation to the Referral of Necessary Cases to Genetic Counseling and Genetic Tests Required by Patients of Bushehr city in the Period of 2020

Document Type : Original Article

Authors
1 Department of Medical Surgical Nursing, School of Nursing and Midwifery, Bushehr University of Medical Sciences, Bushehr,Iran.
2 Department of Community Medicine, Faculty of Medicine , Bushehr University of Medical Sciences, Bushehr,Iran.
3 Department of Genetics and Molecular Medicine, School of Medicine, Bushehr University of Medical Sciences,Bushehr,Iran.
10.32592/jsmj.23.6.509
Abstract
Background and Objectives Considering the increase in the number of genetic disorders among human diseases and the importance of genetic counseling in prevention and the role of physicions in providing counseling, this study aims to determine the evaluation of the knowledge, attitude and performance of health specialists regarding the referral of necessary cases to genetic counseling and genetic tests were done in Bushehr in 2020.
Subjects and Methods This research was a cross-sectional descriptive analytical study that was conducted using a questionnaire containing demographic information and questions in three areas of knowledge, attitude and performance of doctors regarding the referral of necessary cases to genetic counseling and testingin Bushehr with the participation of 95 doctors. Spearman, U-Man-Whitney and Kruskal-Wallis correlation tests and Tukey's Post Hoc test were used for data analysis.
Results The average scores of doctors' knowledge, attitude and performance were 70.30 ± 7.45, 89.21 ± 10.77 and 38.25 ± 20.60, respectively, which indicates good knowledge and attitude and poor performance of doctors in this field. There was a significant difference in the performance score among doctors of different disciplines. A statistically significant relationship was obtained between knowledge and performance, attitude and performance and between participation in the genetics training course and performance.
Conclusion According to the findings of the study, holding effective and practical training courses, preparing a referral guide for doctors and establishing a standard genetic services center to improve the status of genetic counseling in Bushehr in order to control and prevent these diseases seems necessary.
Keywords
Subjects

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    • World Health Organization. Global action plan for the prevention and control of noncommunicable diseases 2013-2020. World Health Organization; 2013.
    • World health organization. Community genetics services: Report of a WHO consultation on community genetics in low and middle income countries: Geneva. 2011.
    • Ademi Z, Watts GF, Pang J, Sijbrands EJ, Van Bockxmeer FM, O'Leary P, Geelhoed E, Liew D. Cascade screening based on genetic testing is cost-effective: evidence for the implementation of models of care for familial hypercholesterolemia. Journal of clinical lipidology. 2014 Jul 1;8(4):390-400. [1016/j.jacl.2014.05.008 ][PMID]
    • Teng I, Spigelman A. Attitudes and knowledge of medical practitioners to hereditary cancer clinics and cancer genetic testing. Familial cancer. 2014 Jun;13:311-24. [1007/s10689-013-9695-y ] [PMID]
    • Williams JK. Genetic Screening. Journal of Obstetric, Gynecologic & Neonatal Nursing. 1985;14(5):350. [1111/j.1552-6909.1985.tb02081.x ] [PMID]
    • Zirn B, Mehnert K. Guide for Genetic Consultation. Springer International Publishing; 2019 Apr 24.
    • Hoseini SM, Montazeri F, Froughmand AM, Dehghani M, Ghadimi HR. Introduction to genetic testing–applications, advantages and disadvantages. Genet 3rd millennium. 2014;12(11):3544-563. [
    • Ahmed K, Ahmed M, Potrata B, Willis TA, Grant HL, Allsop MJ, Hewison J, Downey L, Gale R, McKibbin M. Patient attitudes towards prenatal diagnostic testing for inherited retinal disease. Prenatal diagnosis. 2015 Sep;35(9):913-8. [1002/pd.4644 ][PMID]
    • Ghasemi N, Ayatolahi J, Mosaddegh MH. Assessment of knowledge and attitude of medical student toward genetic counselling and therapeutic abortion. J Med Sci. 2007;7(5):810-5.
    • Tan YY, Spurdle AB, Obermair A. Knowledge, attitudes and referral patterns of lynch syndrome: A survey of clinicians in australia. Journal of personalized medicine. 2014 May 12;4(2):218-44. [3390/jpm4020218 ] [PMID]
    • Raker R. Genetic Literacy and the Acquisition of Clinical Genetics Knowledge in Medical Students (Doctoral dissertation, University of Pittsburgh).
    • Sheikhha MH, Asadi Ghajarloo E, Shahali Ramesheh M, Faghihi M, Eghbal AA, Alagheband M, Haghirosadat B. Investigating the necessary cases of genetic counseling in couples referred to pre-marriage test centers, Yazd, Iran. Hormozgan Medical Journal. 2011 Jan 1;15(2):97-104.
    • Ramazani AA, Faraji A, Fatemi M, Solooki M. The effects of pre-marriage education and consultation on knowledge and attitude of couples regarding to reproductive health. Tolooebehdasht. 2013 Feb 10;11(3):56-65.
    • Saghafipour A, Moosavi-Myandashti Z, Mohebi S, Rahimi T, Noroozi M. Educational needs regarding thalassemia and related factors for couples. Journal of Health System Research. 2012 Dec 10;8(5):791-8.
    • Mousavinasab SM, Khosravi S, Ramezanzadeh M. Psychometric of Physicians' Awareness, Attitudes and Performance Questionnaire about Genetic Counseling and Testing. International Journal of Preventive Medicine. 2022;13. [4103/ijpvm.IJPVM_608_20 ] [PMID]
    • Mehnert A, Bergelt C, Koch U. Knowledge and attitudes of gynecologists regarding genetic counseling for hereditary breast and ovarian cancer. Patient education and counseling. 2003 Feb 1;49(2):183-8. [1016/s0738-3991(02)00117-9 ] [PMID]
    • Marzuillo C, De Vito C, Boccia S, D’Addario M, D’Andrea E, Santini P, Boccia A, Villari P. Knowledge, attitudes and behavior of physicians regarding predictive genetic tests for breast and colorectal cancer. Preventive Medicine. 2013 Nov 1;57(5):477-82. [1016/j.ypmed.2013.06.022 ] [PMID]
    • Hunter A, Wright P, Cappelli M, Kasaboski A, Surh L. Physician knowledge and attitudes towards molecular genetic (DNA) testing of their patients. Clinical genetics. 1998 Jun;53(6):447-55. [1111/j.1399-0004.1998.tb02593.x ] [PMID]
    • Escher M, Sappino AP. Primary care physicians' knowledge and attitudes towards genetic testing for breast-ovarian cancer predisposition. Annals of Oncology. 2000 Sep 1;11(9):1131-6. [1023/a:1008319114278 ] [PMID]
Volume 23, Issue 6 - Serial Number 153
January and February 2025
Pages 509-520

  • Receive Date 05 June 2024
  • Revise Date 23 October 2024
  • Accept Date 18 November 2024