Decision making process |
Persons involved and resources required to make decisions through testing and follow up period |
Child’s involvement |
Preferences for children’s involvement in the decision making, ownership, and the return of results |
Preferences for sequencing and outcomes |
Preferences related to the testing process and required outcomes |
Severity of illness |
Impact of disease severity on psychological distress, willingness to pay, and willingness to undergo testing |
Diagnostic accuracy |
Levels of comfort with diagnostic accuracy, validity and the potential for misdiagnosis |
Evidentiary uncertainty |
Uncertainty related to disease characterization, pathogenicity, and the likelihood of obtaining personal quailty of life and survival improvements following genomic testing |
Parental psychological impact |
Parental experienced and perceived stess and anxiety associated with having an ill child |
Costs |
Direct and indirect costs associated with testing. Includes both out-of-pocket and health system costs |
Test access considerations |
Expectations and concerns about access to testing (e.g., availability and cost) |
Return of test results |
Processes related to the return of test results, information returned, and the process of communicating results to family |
Role for research |
Opinions about developing an evidence base to support research |
Data sharing |
Cross-institutional and cross-jurisdictional data sharing (not specific to research purposes) |
Data privacy and security |
Concerns and requirements related to data privacy and security |