Using the diffusion of innovations model to guide participant engagement in the genomics era.

Document Type

Article

Publication Date

4-2019

Identifier

DOI: 10.1002/jgc4.1090; PMCID: PMC6456416

Abstract

Exome and genome sequencing (EGS) are increasingly the genetic testing modalities of choice among researchers owing to their ready availability, low cost, and large data output. Recruitment of larger, more diverse cohorts into long-term studies with extensive data collection is fundamental to the success of EGS research and to the widespread benefit of genomic medicine to various populations. Effective engagement will be critical to meeting this demand. The Diffusion of Innovation (DOI) model provides a framework for how new technologies are adopted in communities, including antecedents of an individual's decision to adopt the technology, how the technology's attributes influence its acceptability, the predictors of sustained use of that technology, and its diffusion through society. We apply the DOI model to frame participant engagement in EGS research and to guide the proposal of potential strategies that aim to overcome forecasted challenges. Finally, we suggest a variety of ways genetic counselors can apply their skills and training to the development and implementation of these strategies.

Journal Title

Journal of genetic counseling

Volume

28

Issue

2

First Page

419

Last Page

427

MeSH Keywords

Adult; Diffusion of Innovation; Genetic Testing; Genomics; Humans; Patient Participation; Whole Exome Sequencing; Whole Genome Sequencing

Keywords

diffusion of innovation; diversity; early adopters; engagement; exome sequencing; genome sequencing

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