Table 4.
Uncertainty themes and sub-themes discussed by PiGeOn interviewees over 12 months.
Themes and sub-themes | Baseline (T0) | 3-month (T1) | 12-month (T2) |
---|---|---|---|
Genome sequencing to reduce illness uncertainty | |||
Etiology | X | X | X |
Own illness risk | X | X | X |
Disease trajectory uncertainty | X | ||
Previous genetic testing | X | X | |
Illness uncertainty most salient | X | X | X |
Continued uncertainty over bad news | X | X | |
Genome sequencing to reduce uncertainty about relatives' risk | |||
Relatives illness risk | X | X | X |
Children | X | X | X |
Family planning | X | X | |
Family history of illness | X | ||
Potential impact on relatives | X | X | X |
Family communication | X | X | X |
Family history influence on communication | X | ||
Uncertainty generated by genome sequencing | |||
No uncertainty | X | X | X |
Practical—uncertain knowledge | X | X | X |
Practical—uncertain of study processes | X | X | |
Practical—insurance/discrimination | X | X | X |
Scientific—limitations of science | X | X | X |
Scientific—result ambiguity | X | X | |
Scientific—likelihood of results | X | ||
Personal—emotional reaction to results | X | X | X |
Personal—life choices | X | X | X |
Personal—ethical uncertainty | X | ||
Decisional uncertainty (to have/not have; which results if any) | X | X | X |
Uncertainty reduces/become episodic over time | X | X | |
Resilience and coping with uncertainty | |||
Resilience | X | X | X |
Mobilizing coping—information seeking | X | X | X |
Mobilizing coping—lifestyle | X | X | |
Mobilizing coping—plan of action | X | ||
Affect coping—seeking professional support | X | X | |
Affect coping—seeking informal support | X | X | |
Affect coping—positive attitude | X | X | X |
Affect coping—trust in experts/research | X | X | |
Affect coping—reduce expectation | X | ||
Affect coping—don't worry about things outside your control | X | X | |
Buffering coping—acceptance | X | X | X |
Buffering coping—avoidance | X | X | X |
Buffering coping—live in the now | X | X | |
Unhealthy behaviors | X | ||
Worry/anxiety | X | X | X |