Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/16102
Title: "Both Sides of the Wheelchair": the views of individuals with, and parents of individuals with Friedreich Ataxia regarding pre-symptomatic testing of minors
Austin Authors: Lowe, Georgia C;Corben, Louise A;Duncan, Rony E;Yoon, Grace;Delatycki, Martin B 
Affiliation: Austin Health, Heidelberg, Victoria, Australia
Murdoch Childrens Research Institute, Parkville, Victoria, Australia
Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia
School of Psychological Sciences, Monash University, Clayton, Victoria, Australia
Centre for Adolescent Health, Royal Children's Hospital, Parkville, Victoria, Australia
Divisions of Neurology and Clinical and Metabolic Genetics, Hospital for Sick Children and University of Toronto, Toronto, Ontario, Canada
Department of Clinical Genetics, Austin Health, Heidelberg, Victoria, Australia
Issue Date: Oct-2015
metadata.dc.date: 2015-01-17
Publication information: Journal of Genetic Counseling 2015; 24(5): 732-743
Abstract: Friedreich ataxia (FRDA) is an autosomal recessive neurodegenerative disorder characterized by variable age of onset, with no treatment proven to alter its natural history. Siblings of individuals with FRDA have a 25 % risk of developing the condition, raising issues around genetic testing of asymptomatic minors. There is a lack of professional consensus and limited empirical evidence to support provision or refusal of testing. This study aimed to ascertain the opinions of individuals with and parents of individuals with FRDA regarding pre-symptomatic testing of minors. A qualitative research approach using semi-structured interviews and thematic analysis was employed. Interviews with ten individuals with FRDA, and ten parents of individuals with FRDA were conducted, recorded, transcribed and analyzed. Four findings emerged. First, a number of arguments for and against testing minors were identified. Second, strong support existed from parents about the parental right to test their at-risk immature children, but individuals with FRDA were of mixed opinions. Third, participants felt it was not the clinician's role to make a final decision about whether testing occurs. Finally, a specific issue of concern regarding testing was what and when to tell at-risk children about the test result. The findings highlight a dilemma of how to manage the desires of some individuals and families affected by FRDA to access testing, when there is a lack of professional consensus due to differing opinions regarding autonomy, confidentiality and risk of harm. Research regarding the impact of testing and the views of at-risk individuals and clinicians is required so an appropriate framework for dealing with this contentious issue is developed.
URI: http://ahro.austin.org.au/austinjspui/handle/1/16102
DOI: 10.1007/s10897-014-9801-9
PubMed URL: https://pubmed.ncbi.nlm.nih.gov/25592143
Type: Journal Article
Subjects: Friedreich ataxia
Genetic predisposition testing
Parents
Qualitative research
Adolescent
Siblings
Appears in Collections:Journal articles

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