Evaluating parental satisfaction and empowerment with genetic testing in the Neonatal Intensive Care Unit (NICU)

Sunu Kim; Horacio Osiovich; Sylvie Langlois; Alice Virani; Ye Shen; GenCOUNSEL Study; Alison M Elliott

doi:10.1016/j.ejmg.2025.105014

Evaluating parental satisfaction and empowerment with genetic testing in the Neonatal Intensive Care Unit (NICU)

Eur J Med Genet. 2025 Jun:75:105014. doi: 10.1016/j.ejmg.2025.105014. Epub 2025 Apr 5.

Authors

Sunu Kim¹, Horacio Osiovich², Sylvie Langlois³, Alice Virani⁴, Ye Shen⁵; GenCOUNSEL Study¹; Alison M Elliott⁶

Affiliations

¹ Department of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada.
² BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada; Women's Health Research Institute, Vancouver, British Columbia, Canada; Department of Pediatrics, University of British Columbia, Vancouver, British Columbia, Canada.
³ Department of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada; BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada; Women's Health Research Institute, Vancouver, British Columbia, Canada.
⁴ Department of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada; Ethics Service, Provincial Health Services Authority, Canada.
⁵ BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada.
⁶ Department of Medical Genetics, University of British Columbia, Vancouver, British Columbia, Canada; BC Children's Hospital Research Institute, Vancouver, British Columbia, Canada; Women's Health Research Institute, Vancouver, British Columbia, Canada. Electronic address: aelliott@bcchr.ca.

PMID: 40194738
DOI: 10.1016/j.ejmg.2025.105014

Abstract

Genetic disorders are highly represented in the neonatal intensive care unit (NICU). Genetic testing (in particular rapid genome-wide sequencing) has transformed the ability to diagnose and manage these infants. The NICU is a place of stress and overwhelm for parents and implementing genetic testing can pose additional challenges, including anxiety. There is a critical gap in knowledge related to parents' empowerment and satisfaction with the NICU experience for those undergoing genetic testing. The goal of this mixed-methods study was to identify the key contributing factors related to empowerment and areas for improvement in care of parents undergoing genetic testing in the NICU by using validated tools that have not been previously implemented in Canada. A demographic survey and validated online survey tools were distributed to eligible parents. Descriptive statistics and linear regression analysis were performed. We conducted semi-structured interviews to gain insight into the genetic testing experience. The transcribed interviews were analyzed using an interpretive description framework and thematic analysis. A total of 31 surveys and 17 interviews were completed. We have identified self-reported demographic predictors of decreased satisfaction and empowerment for parents, including high income, English-speaking, ethnicity, sex of the parent, prematurity of the newborn, and length of hospital stay. Emerging themes from interviews fall under the broad category of communication and include information, logistics, parental perspective, and support. Subthemes include expectations and delivery of information, attention to timing and organization, comprehensive support, and parental distress and expectations when ordering genetic testing. The findings suggest the need for systematic improvement of the current genetic testing process in NICUs.

Keywords: Genetic testing; Neonatal intensive care unit (NICU); Parental empowerment; Parental satisfaction.

MeSH terms

Adult
Canada
Empowerment*
Female
Genetic Testing*
Humans
Infant, Newborn
Intensive Care Units, Neonatal*
Male
Parents* / psychology
Surveys and Questionnaires