{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T19:02:13Z","timestamp":1780599733417,"version":"3.54.1"},"reference-count":41,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T00:00:00Z","timestamp":1766707200000},"content-version":"vor","delay-in-days":25,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100011022","name":"Vertex Pharmaceuticals","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100011022","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Applications of genetic and genomic testing are increasing in clinical practice. However, access to genetic counselors (GCs), who can provide information and support to patients and providers, is limited and in high demand. We sought community feedback on a centralized cystic fibrosis\u2010specific genetic counseling telehealth service (CFgc\u2010T) as a novel, equitable solution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted virtual focus groups using semi\u2010structured interview guides for service providers (GCs), referrers (CF center and newborn screening [NBS] program staff), consumers (people with CF [pwCF], their partners, parents of pwCF or positive CF NBS results), and payors. Transcripts were coded, deductive and inductive methods were used to identify core service model features, and the Consolidated Framework for Implementation Research (CFIR) guided assessment of barriers and facilitators to inform model design. We then prepared a video description of the CFgc\u2010T model and sought feedback via survey from clinicians at 287 CF care centers and 52 consumers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Across 15 focus groups (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200967 participants), experience with a GC (not necessarily CF\u2010specific) varied. Referrers and providers supported CF\u2010specific GC access, emphasizing the importance of scheduling flexibility, availability, and addressing systemic barriers (e.g., insurance, licensure, language). Consumers desired accurate, digestible information. Participants expressed concerns about discussing sensitive topics over telehealth, technology barriers, and cost; consumers were amenable to paying typical co\u2010pays for valuable, accessible service. Additionally, 26 consumers and 67 clinicians provided feedback via survey. Overall, 58% of clinicians expressed interest in becoming a pilot site in a future implementation study, and 96% of consumers would refer family and friends to the CFgc\u2010T service.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A centralized CFgc\u2010T service staffed by GCs with CF expertise could improve equitable access to CF\u2010specific genetic counseling and was viewed favorably by key community members. Telehealth delivery may help resolve workforce shortages in specialties where few GCs have relevant expertise, offering a scalable, equitable model for care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ppul.71416","type":"journal-article","created":{"date-parts":[[2025,12,26]],"date-time":"2025-12-26T11:57:56Z","timestamp":1766750276000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Increasing Access to Genetic Counselors With Disease\u2010Specific Expertise: Development of a Centralized Cystic Fibrosis Genetic Counseling Telehealth Model"],"prefix":"10.1002","volume":"60","author":[{"given":"Elinor","family":"Langfelder\u2010Schwind","sequence":"first","affiliation":[{"name":"Northwell, New Hyde Park, NY and Department of Pulmonary Critical Care and Sleep Medicine, Lenox Hill Hospital New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Basile","sequence":"additional","affiliation":[{"name":"Northwell, New Hyde Park, NY and Feinstein Institutes for Medical Research Northwell Health Manhasset New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Moyal\u2010Smith","sequence":"additional","affiliation":[{"name":"Ariadne Labs, Brigham and Women's Hospital, and the Harvard T.H. Chan School of Public Health Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Polo","sequence":"additional","affiliation":[{"name":"Northwell, New Hyde Park, NY and Feinstein Institutes for Medical Research Northwell Health Manhasset New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly A.","family":"McGinniss","sequence":"additional","affiliation":[{"name":"Genome Medical South San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jenna","family":"Petersen","sequence":"additional","affiliation":[{"name":"Genome Medical South San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josua","family":"Talavera","sequence":"additional","affiliation":[{"name":"Northwell, New Hyde Park, NY and Department of Pulmonary Critical Care and Sleep Medicine, Lenox Hill Hospital New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haylee","family":"Schwind","sequence":"additional","affiliation":[{"name":"American University Washington USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard B.","family":"Parad","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Brigham and Women's Hospital Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen S.","family":"Raraigh","sequence":"additional","affiliation":[{"name":"Department of Genetic Medicine Johns Hopkins University Baltimore Maryland 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