Kerry L McIver, William H Brown, Karin A Pfeiffer, Marsha Dowda, Russell R Pate
Development and Testing of the Observational System for Recording Physical Activity in Children: Elementary School
Research quarterly for exercise and sport
survey genetic counselors gcs counseled mosaic embryos regarding challenges faced counseling patient population assess need resources support practice selfadministered online survey academic university seventyeight gcs primarily united states canada genetic counselors completed quantitative survey embedded qualitative component quantitative data analyzed descriptive statistics inductive thematic analysis performed opentext responses genetic counselors asked clinical activities relating mosaic embryos performed asked rate challenging activity perform using 5point scale rating 4 5 defined highly challenging opentext questions enabled gcs describe factors felt contributed challenges challenges reported gcs included uncertainty outcomes offspring mosaic embryo transfer limited guidelines available assist clinicians counseling mosaic embryos ranking mosaic embryos suitability transfer contributing factors suggested participants included limited outcome data limited gc involvement pretest counseling preimplantation genetic testing aneuploidy pgta perceived inconsistency counseling practices across clinics genetic counselors differed genetic testing recommendations pregnancies conceived mosaic embryo transfer amniocentesis postnatal assessment recommended 85 49 gcs respectively 15 recommended chorionic villus sampling noninvasive prenatal testing almost 92 reported need resources standardized guidelines outcome data continuing education pgta mosaicism study describes challenges experienced gcs counseled mosaic embryos findings demonstrate need outcome data mosaic embryo pregnancies evidencebased clinical guidelines differing recommendations prenatal genetic testing among gcs study warrant research contributing factors strongly recommend pretest counseling including discussion regarding mosaicism provided couples considering pgta reduce counseling challenges promote patients informed decisionmaking