In Different Voices: The Views of People with Disabilities about Return of Results from Precision Medicine Research
Open accessAbstract
Purpose: Returning genetic results to research participants is gaining momentum in the USA. It is believed to be an important step in exploring the impact of efforts to translate findings from research to bedside and public health benefits. Some also hope that this practice will incentivize research participation, especially among people from historically marginalized communities who are commonly underrepresented in research. However, research participants’ interest in receiving nongenomic medical and nonmedical results that may emerge from precision medicine research (PMR) is understudied and no study to date has explored the views of people with disabilities about return of genomic and nongenomic results from PMR. Methods: In a national online survey of people with disabilities, participants were queried about their interest in receiving biological, environmental, and lifestyle results from PMR (n = 1,294). Analyses describe findings for all of the participants and comparisons for key demographic characteristics and disability subgroups. Results: The participants expressed high interest in biological and health-related results and less interest in other findings. However, the interest among the study participants was lower than that found in comparable studies of the general population. Moreover, this interest varied significantly across gender, race/ethnicity, and disability subgroups. Possible reasons for these differences are discussed. Conclusion: Insofar as return of results from PMR may impact translational efforts, it is important to better understand the role of sociomedical marginalization in decisions about return of results from PMR and to develop strategies to address existing barriers.
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Several quantitative studies indicate that patients want to be fully informed about tests, the results and treatment options.
“Several quantitative studies indicate that patients want to be fully informed about tests [71], the results [51, 71, 72, 78] and treatment options [29].”
From Patients’ and professionals’ views related to ethical issues in precision medicine: a mixed research synthesis (2021) · cites this paper as [78]
The Results (‘Overall Interest in Results from PMR’; page not provided) report that most participants wanted their genetic results (78%), but interest varied substantially by result type. The study surveyed people with disabilities about results from precision medicine research; it does not establish that patients generally want to be fully informed about all results. This citation is attached to ‘the results,’ not to tests or treatment options. (LLM, conf=0.84)
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Persons with disabilities as an unrecognized health disparity population
Krahn, G. L., Walker, D. K., & Correa-De-Araujo, R. (2015) · American Journal of Public Health · doi:10.2105/ajph.2014.302182 · Cited by 1,080 · see citing works
What should autism research focus upon? Community views and priorities from the United Kingdom
Pellicano, E., Dinsmore, A., & Charman, T. (2014) · Autism · doi:10.1177/1362361314529627 · Cited by 800 · see citing works
Disability inclusion in precision medicine research: a first national survey
Sabatello, M., Chen, Y., Zhang, Y., & Appelbaum, P. S. (2019) · Genetics in Medicine · doi:10.1038/s41436-019-0486-1 · Cited by 58 · see citing works
Self-citationSabatello, M., Blake, L. A., Chao, A., Silverman, A., Ovadia Mazzoni, R., Zhang, Y., Chen, Y., & Appelbaum, P. S. (2019) · Genetics in Medicine · doi:10.1038/s41436-019-0533-y · Cited by 29 · see citing works
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Cited by
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Erdmann, A., Rehmann-Sutter, C., & Bozzaro, C. (2021) · BMC Medical Ethics · doi:10.1186/s12910-021-00682-8 · Cited by 86 · see citing works
- Authors
- Sabatello, M., Zhang, Y., Chen, Y., & Appelbaum, P. S.
- Affiliations
- Columbia University Irving Medical Center (US)
- Columbia University (US)
- New York State Psychiatric Institute (US)
- Venue
- Public Health Genomics
- Publisher
- S. Karger AG
- Published
- 2020
- Volume
- 23
- Issue
- 1-2
- Pages
- 42-53
- ISSN
- 1422-2795 (ISSN-L)
- 1662-4246
- 1662-8063
- PMC
- PMC7331043
- OpenAlex
- W3015990120
- Cited by
- 25
- References
- 4
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 4 · 2023: 6 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 1
- FWCI
- 3.00
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Public Health Genomics (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Human Genome Research Institute (K01HG008653, P50HG007257, RM1HG007257)
- NIH Office of the Director (3P50HG007257-05S1)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics in Clinical Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Race, Genetics, and Society
- Health Sciences › Medicine › Physiology › Biomedical Ethics and Regulation
- Keywords
- return of results, people with disabilities, research participant perspectives, translational research, underrepresented groups, research participation
- MeSH terms
- Adult, Female, Disabled Persons, Persons with Disabilities, Humans, Male, Social Perception, Research Subjects, Genetic Research, Information Seeking Behavior, Precision Medicine, Social Marginalization, Medicalization
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