{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T21:54:41Z","timestamp":1783547681393,"version":"3.55.0"},"reference-count":43,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,4,30]],"date-time":"2025-04-30T00:00:00Z","timestamp":1745971200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000051","name":"National Human Genome Research Institute","doi-asserted-by":"publisher","award":["R01HG010679"],"award-info":[{"award-number":["R01HG010679"]}],"id":[{"id":"10.13039\/100000051","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Genetic Counseling"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Some employers offer genetic testing for increased cancer and cardiovascular disease risk, as well as pharmacogenetic variants, as a wellness benefit, which presents unique considerations for genetic counseling. Our ethical, legal, and social implications (ELSI) of genomics study, positioned in a post\u2010positivist paradigm, aimed to qualitatively assess the perspectives and experiences of genetic counselors (GCs) who had counseled on workplace genetic testing (wGT). Semi\u2010structured interviews were conducted with 18\u2009US GCs who either worked in the wGT industry (i.e., role\u2010directed wGT experience) or provided post\u2010test counseling in a clinical setting (i.e., patient\u2010directed wGT experience). Interviews were analyzed following the principles of codebook thematic analysis using a codebook developed from key domains from the interview guide and emergent themes that were identified during data collection. De\u2010identified transcripts were double\u2010coded. Both role\u2010directed and patient\u2010directed GCs recognized the potential benefits of wGT such as increasing access to genetic services and thereby improving health outcomes. However, patient\u2010directed GCs had more concerns about the lack of access to follow\u2010up care and increasing healthcare disparities. Role\u2010directed GCs were generally more supportive of wGT and were more likely to endorse the benefits. Overall, both role\u2010 and patient\u2010directed GCs emphasized the need for guardrails, particularly adequate pre\u2010 and post\u2010test education, to mitigate potential harms of wGT, such as lack of informed decision\u2010making, psychological distress, false reassurance, and decisional regret. GCs spontaneously drew parallels between wGT and population genomic screening efforts, noting that wGT similarly attempts to increase access to genetic testing for the general population. GCs' perspectives on strategies to maximize the benefits and minimize the harms of wGT may inform ELSI considerations when developing population genomic screening efforts and other programs that aim to expand access to genetic testing for the general population.<\/jats:p>","DOI":"10.1002\/jgc4.70016","type":"journal-article","created":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:43:21Z","timestamp":1746060201000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Workplace perk or pitfall? A qualitative study of genetic counselors' perspectives and experiences with workplace genetic testing"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2444-2009","authenticated-orcid":false,"given":"Elizabeth","family":"Charnysh","sequence":"first","affiliation":[{"name":"The Jackson Laboratory for Genomic Medicine  Farmington Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4128-1649","authenticated-orcid":false,"given":"Katherine","family":"Hendy","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Health Equity University of Michigan School of Public Health  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kerry","family":"Ryan","sequence":"additional","affiliation":[{"name":"Center for Bioethics and Social Sciences in Medicine University of Michigan School of Medicine  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anya E. R.","family":"Prince","sequence":"additional","affiliation":[{"name":"University of Iowa College of Law  Iowa City Iowa USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"W. Gregory","family":"Feero","sequence":"additional","affiliation":[{"name":"Maine Dartmouth Family Medicine Residency  Augusta Maine USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alyx","family":"Vogle","sequence":"additional","affiliation":[{"name":"Department of Cardiology Brigham and Women's Hospital  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"McCain","sequence":"additional","affiliation":[{"name":"Department of Health Behavior and Health Equity University of Michigan School of Public Health  Ann Arbor Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Truhlar","sequence":"additional","affiliation":[{"name":"The Jackson Laboratory for Genomic Medicine  Farmington Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. 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