{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T16:51:16Z","timestamp":1791478276565,"version":"4.3.4"},"reference-count":37,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T00:00:00Z","timestamp":1784851200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000051","name":"National Human Genome Research Institute","doi-asserted-by":"publisher","award":["HG010903"],"award-info":[{"award-number":["HG010903"]}],"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":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Provider\u2010mediated genetic testing (PM\u2010GT) is a hybrid model in which consumers initiate testing online, but a physician, typically from a third\u2010party network, is required to order the test. While genetic counseling is a critical component of result interpretation and medical decision\u2010making, its integration into PM\u2010GT remains limited. This study explored how consumers engaged with genetic counseling in the context of PM\u2010GT, including factors that influenced whether they pursued it and their perceptions of its value. Participants had previously undergone a 59\u2010gene panel test for cancer and cardiovascular disease risk through Color Health, a PM\u2010GT company. Twenty\u2010nine participants completed qualitative interviews about their testing experience and a follow\u2010up survey that was focused on genetic counseling. Post\u2010test counseling was required only for individuals with positive results and was optional for those with negative or variant of uncertain significance (VUS) results. Using quantitative content analysis and qualitative inductive content analysis, we found that while most participants did not engage in pre\u2010 or post\u2010test counseling, nearly half of those who had not yet spoken with a genetic counselor after receiving their results expressed interest in doing so in the future. Participants often viewed the counseling that was offered by the testing company as helpful for understanding their results, clarifying disease risk, and guiding medical decisions. Time constraints were the most frequently cited barrier to accessing genetic counseling services. These findings indicate a gap between consumers' interest in counseling and their actual uptake of services, suggesting that many consumers who could benefit from counseling do not receive it. More proactive integration of genetic counseling into the PM\u2010GT process could help bridge this gap and ensure that consumers are appropriately supported regardless of their test results.<\/jats:p>","DOI":"10.1002\/jgc4.70257","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T05:00:37Z","timestamp":1784955637000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Consumer Experiences and Perceptions of Genetic Counseling in Provider\u2010Mediated Genetic Testing"],"prefix":"10.1002","volume":"35","author":[{"given":"Katherine A.","family":"Lauro","sequence":"first","affiliation":[{"name":"Graduate Program in Genetic Counseling University of Utah  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bob","family":"Wong","sequence":"additional","affiliation":[{"name":"College of Nursing University of Utah  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jason","family":"Iuliano","sequence":"additional","affiliation":[{"name":"S.J. Quinney College of Law University of Utah  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Peo","sequence":"additional","affiliation":[{"name":"S.J. Quinney College of Law University of Utah  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Park","sequence":"additional","affiliation":[{"name":"College of Engineering University of Utah  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karin M.","family":"Dent","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Utah  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela R.","family":"Bradbury","sequence":"additional","affiliation":[{"name":"Department of Medical Ethics and Health Policy University of Pennsylvania  Philadelphia Pennsylvania USA"},{"name":"Division of Hematology\u2010Oncology, Abramson Cancer Center University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8923-9944","authenticated-orcid":false,"given":"Madison K.","family":"Kilbride","sequence":"additional","affiliation":[{"name":"Department of Philosophy University of Utah  Salt Lake City Utah USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,24]]},"reference":[{"key":"e_1_2_14_2_1","unstructured":"23andMe. n.d.\u201cDo You Speak BRCA?\u201dhttps:\/\/www.23andme.com\/brca\/?srsltid=AfmBOor\u2010C06O_FccLRCdATAaCbVjOtUwQ0zWAPuItA9JGTzLNCFvUZaP."},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/gim.2015.190"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/aog.0000000000002020"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/PPO.0b013e3182610e38"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1101\/cshperspect.a038968"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1136\/jmedgenet-2012-101207"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1654"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/gim.2015.34"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1680"},{"key":"e_1_2_14_11_1","unstructured":"Color Health. n.d.https:\/\/web.archive.org\/web\/20250929145509\/https:\/\/www.color.com\/individuals\u2010genomics."},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2007.04569.x"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e31823ab7d2"},{"key":"e_1_2_14_14_1","volume-title":"Protect Sensitive Individual Data at Risk From DTC Genetic Tests","author":"Henry T. 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