{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T06:09:09Z","timestamp":1788761349220,"version":"build-2803163510"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,6]],"date-time":"2026-09-06T00:00:00Z","timestamp":1788652800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100016064","name":"British Columbia Medical Services Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100016064","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":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Traditional in\u2010person consultations for genetic services create access barriers. We hypothesized that the Genetics Adviser platform\u2014a web\u2010based digital platform delivering clinical genomic services\u2014could reduce these barriers. Focusing on pretest education and counseling, we tested a pilot version of the platform in medical genetics and pediatric endocrinology group practices. The multimethod design consisted of quantitative patient and caregiver surveys, Google Analytics data, and qualitative healthcare provider interviews. Surveys included validated measures of acceptability and empowerment. Transcribed interviews were thematically coded and analyzed using NVivo. Of the 102 patients and caregivers targeted for this study, 85\/102 (83%) accessed the platform, 71\/102 (70%) proceeded beyond the landing page, and 60\/102 (59%) completed the post\u2010module survey. Users expressed high confidence in genetic understanding and empowerment (Genomics Outcome Scale [GOS]: 77\/100), and providers noted potential benefits and highlighted technological and content\u2010related limitations. Further research is needed to validate effectiveness across diverse populations and to evaluate long\u2010term impacts on patient outcomes and healthcare efficiency.<\/jats:p>","DOI":"10.1002\/jgc4.70288","type":"journal-article","created":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T05:57:26Z","timestamp":1788760646000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Pilot Evaluation of a Digital Pretest Education Platform for Genomic Counseling: Perspectives of Health Care Providers and Patients"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-6937-1356","authenticated-orcid":false,"given":"Duha","family":"Hejla","sequence":"first","affiliation":[{"name":"Department of Pediatrics University of British Columbia and BC Children's Hospital  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Huynh","sequence":"additional","affiliation":[{"name":"Provincial Medical Genetics Program BC Women's Hospital  Vancouver British Columbia Canada"},{"name":"Department of Medical Genetics University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun\u2010Kyung","family":"Lee","sequence":"additional","affiliation":[{"name":"Provincial Medical Genetics Program BC Women's Hospital  Vancouver British Columbia Canada"},{"name":"Department of Medical Genetics University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asli E.","family":"Ozer","sequence":"additional","affiliation":[{"name":"BC Children's Hospital Research Institute  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leah","family":"Prentice","sequence":"additional","affiliation":[{"name":"Provincial Medical Genetics Program BC Women's Hospital  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrienne","family":"Elbert","sequence":"additional","affiliation":[{"name":"Provincial Medical Genetics Program BC Women's Hospital  Vancouver British Columbia Canada"},{"name":"Department of Medical Genetics University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linlea","family":"Armstrong","sequence":"additional","affiliation":[{"name":"Provincial Medical Genetics Program BC Women's Hospital  Vancouver British Columbia Canada"},{"name":"Department of Medical Genetics University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marc","family":"Clausen","sequence":"additional","affiliation":[{"name":"Genomics Health Services Research Program, Li Ka Shing Knowledge Institute St Michael's Hospital, Unity Health Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yvonne","family":"Bombard","sequence":"additional","affiliation":[{"name":"Genomics Health Services Research Program, Li Ka Shing Knowledge Institute St Michael's Hospital, Unity Health Toronto  Toronto Ontario Canada"},{"name":"Institute of Health Policy, Management and Evaluation University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3097-241X","authenticated-orcid":false,"given":"Cornelius F.","family":"Boerkoel","sequence":"additional","affiliation":[{"name":"Provincial Medical Genetics Program BC Women's Hospital  Vancouver British Columbia Canada"},{"name":"Department of Medical Genetics University of British Columbia  Vancouver British Columbia Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,6]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2021.689927"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2017.8049"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41431\u2010018\u20100144\u20100"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41436\u2010019\u20100702\u2010z"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajhg.2022.05.001"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41576\u2010020\u20100260\u2010x"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41431\u2010025\u201001812\u20101"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/17437199.2022.2161801"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41436\u2010021\u201001149\u20102"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.1035316"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.16768"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/PPO.0000000000000693"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1481"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.5195\/jmla.2022.1333"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41436\u2010020\u20100825\u20102"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38926.629329.AE"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2023.107786"},{"key":"e_1_2_14_20_1","unstructured":"Genetics Adviser Inc.2023.\u201cGenetics Adviser\u2122 [Digital Health Platform].\u201dScale Genomics.https:\/\/www.geneticsadviser.com."},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X221112556"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.2196\/57827"},{"key":"e_1_2_14_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.c.31599"},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1627"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/jso.23712"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1136\/jmg\u20102022\u2010108653"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gim.2025.101461"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gim.2023.100812"},{"key":"e_1_2_14_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399\u20100004.2011.01636.x"},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41436\u2010019\u20100628\u20105"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.51.3226"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010017\u20102031\u20108"},{"key":"e_1_2_14_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12913\u2010022\u201007577\u20103"},{"key":"e_1_2_14_34_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X20916567"},{"key":"e_1_2_14_35_1","unstructured":"United States Government Accountability Office.2020.\u201cGenetic Counselor and Medical Geneticist Workforces: Information on Supply and Outreach Efforts\u201d(Report No. GAO\u201020\u2010593).https:\/\/www.gao.gov\/products\/gao\u201020\u2010593."},{"key":"e_1_2_14_36_1","unstructured":"US Bureau of Labor Statistics.2023.\u201cOccupational Employment and Wage Statistics: Genetic Counselors.\u201dhttps:\/\/www.bls.gov\/oes\/2023\/may\/oes299092.htm."},{"key":"e_1_2_14_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gim.2025.101370"},{"key":"e_1_2_14_38_1","doi-asserted-by":"publisher","DOI":"10.1136\/medethics\u20102014\u2010102026"},{"key":"e_1_2_14_39_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.outlook.2019.06.004"}],"container-title":["Journal of Genetic Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgc4.70288","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jgc4.70288","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgc4.70288","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T05:57:29Z","timestamp":1788760649000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jgc4.70288"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,6]]},"references-count":38,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/jgc4.70288"],"URL":"https:\/\/doi.org\/10.1002\/jgc4.70288","archive":["Portico"],"relation":{},"ISSN":["1059-7700","1573-3599"],"issn-type":[{"value":"1059-7700","type":"print"},{"value":"1573-3599","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,6]]},"assertion":[{"value":"2025-08-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-24","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70288"}}