{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T19:51:58Z","timestamp":1791661918267,"version":"4.3.4"},"reference-count":107,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:00:00Z","timestamp":1791590400000},"content-version":"vor","delay-in-days":9,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100014428","name":"Engelberg Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100014428","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>In Vietnam, access to genetic testing has expanded rapidly, but the genetic counseling needed to translate genetic testing results into informed healthcare decisions remains limited. Currently, genetic counseling is provided by physicians or PhD\u2010trained laboratory geneticists in Vietnam; there are no Master's\u2010level trained genetic counselors or genetic counseling training programs. As such, significant gaps exist in the genetic counseling services offered to patients and families in Vietnam. To date, limited research has explored how to implement the profession of genetic counselors in Vietnam. This study, therefore, explores the needs, challenges, and opportunities for integrating the profession of genetic counselors into Vietnam's healthcare system from the perspectives of healthcare professionals, institutional leaders, and genetics specialists. Grounded in a constructivist paradigm and the Consolidated Framework for Implementation Research (CFIR), we conducted 25 semi\u2010structured interviews with healthcare professionals, institutional leaders, and genetics specialists across Northern, Central, and Southern Vietnam in 2025. We purposively sampled participants to represent diverse roles, clinical populations, and institutions, including public and private hospitals, testing laboratories, advocacy organizations, and public health agencies. We collected demographic data via a screening survey and conducted virtual interviews in Vietnamese or English. Using inductive, reflexive thematic analysis, we analyzed transcripts and mapped themes to CFIR to support actionability. Participants described three major themes: (1) genetic testing is outpacing genetics specialists; (2) family, spiritual, and hierarchical frameworks shape the patient response to genetic care; and (3) a phased implementation pathway for genetic counselors is needed. Participants converged on a roadmap that includes raising awareness, embedding genetic counselors within existing clinical pathways, developing short\u2010 and long\u2010term training strategies, and securing Ministry of Health recognition and guidelines. These findings constitute the first locally grounded implementation roadmap for genetic counselors in Vietnam.<\/jats:p>","DOI":"10.1002\/jgc4.70303","type":"journal-article","created":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T19:45:01Z","timestamp":1791661501000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Needs, Challenges, and Opportunities for Genetic Counselors in Vietnam: A Qualitative Interview Study With Healthcare Leaders and Genetics Professionals"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0854-5001","authenticated-orcid":false,"given":"Mai Ly Tran","family":"Burke","sequence":"first","affiliation":[{"name":"Department of Genetics Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8899-9044","authenticated-orcid":false,"given":"Peter James B.","family":"Abad","sequence":"additional","affiliation":[{"name":"College of Nursing University of the Philippines Manila  Manila Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1702-6955","authenticated-orcid":false,"given":"Basma","family":"M'Barek","sequence":"additional","affiliation":[{"name":"FV Hospital  Ho Chi Minh City Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3470-5467","authenticated-orcid":false,"given":"Angelica Michelle","family":"Raney","sequence":"additional","affiliation":[{"name":"Department of Genetics Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0434-9026","authenticated-orcid":false,"given":"Janine S.","family":"Bruce","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5525-0379","authenticated-orcid":false,"given":"Sylvia","family":"Bereknyei Merrell","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5894-7390","authenticated-orcid":false,"given":"Hetanshi","family":"Naik","sequence":"additional","affiliation":[{"name":"Department of Genetics Stanford University School of Medicine  Stanford California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1033-0818","authenticated-orcid":false,"given":"Kelly E.","family":"Ormond","sequence":"additional","affiliation":[{"name":"Department of Genetics Stanford University School of Medicine  Stanford California USA"},{"name":"Department of Health Sciences and Technology, Health Ethics and Policy Lab ETH Z\u00fcrich  Z\u00fcrich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,10]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.70197"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12687\u2010014\u20100193\u20101"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1804"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gimo.2024.101861"},{"key":"e_1_2_15_6_1","unstructured":"Accreditation Council for Genetic Counseling.2023.\u201cStandards of Accreditation for Graduate Programs in Genetic Counseling.\u201dhttps:\/\/www.gceducation.org\/wp\u2010content\/uploads\/2024\/07\/ACGC_StandardsOfAccreditation_2023.pdf."},{"key":"e_1_2_15_7_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.glmedi.2024.100051","article-title":"The Pillars of Trustworthiness in Qualitative Research","volume":"2","author":"Ahmed S. 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