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This scoping review aimed to consolidate empirical research to understand GHP and consumer needs and identify knowledge gaps. Forty\u2010four publications from 2007 to 2025 covering GHP attitudes towards DTC\u2010GT and GHP\/consumer experiences of counselling (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200930); company provision of counselling (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200912); and counsellor\u2010designed tools for DTC\u2010GT consumers (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20092) were reviewed. Of studies reporting GHP attitudes and experiences, the majority (82%) focused on GHPs in clinical settings. GHPs considered counselling necessary for informed consent and result interpretation, but felt this was outside their professional responsibilities, wanted additional resources and clearer practice guidelines. Despite considering counselling the responsibility of the DTC\u2010GT companies, many GHPs were concerned about inherent conflicts of interest and wanted greater industry oversight and regulation. Little literature on the extent of company\u2010provided counselling (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200912) was identified, and none on quality. This review highlights the need to clarify the roles and scope of GHPs in clinical practice regarding DTC\u2010GT, to develop best\u2010practice models, and for more research on the nature and efficacy of counselling by GHPs in company and non\u2010clinical settings.\n                  <\/jats:p>","DOI":"10.1111\/cge.70150","type":"journal-article","created":{"date-parts":[[2026,2,20]],"date-time":"2026-02-20T15:51:55Z","timestamp":1771602715000},"page":"819-836","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How Has the Rise of Direct\u2010To\u2010Consumer Genetic Testing Impacted Genetic Counselling Practice? 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