Abstract
In genetic counseling, information must be provided in ways that the client and general public can understand to ensure that decisions are made autonomously. To realize this, we must assess the extent of knowledge held by the general public regarding genetics. To identify the client’s original knowledge before genetic counseling, we explored the fundamental knowledge related to genetic counseling that is taught in Japanese compulsory education. A qualitative study was conducted. We selected 50 textbooks for compulsory education (Japanese, social studies, science, health and physical education, technology and home economics, morality, and life) that had been used in more than half of the districts in Japan. The text data were analyzed using qualitative content analysis, and quantitative data were analyzed for methodological triangulation. Codes, subcategories, and categories were generated from the contexts that met the following criteria: the contents included in the official textbook for clinical geneticists, contents derived from such descriptions that were related to genetic counseling, and contents clearly related to genetics. Among the 50 textbooks, 33 textbooks contained fundamental knowledge regarding genetic counseling. A qualitative content analysis identified four major categories: (1) basics of genetics, (2) understanding and control of diseases, (3) efforts and barriers to the realization of a harmonious society, and (4) technology and humans. We found that fundamental knowledge related to genetic counseling is directly or indirectly taught in compulsory education. Our results are an important resource for understanding the client’s knowledge baseline and will be helpful for effective genetic counseling.
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The datasets generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.
References
Boerwinkel DJ, Yarden A, Waarlo AJ (2017) Reaching a consensus on the definition of genetic literacy that is required from a twenty-first-century citizen. Sci Educ 26(10):1087–1114. https://doi.org/10.1007/s11191-017-9934-y
Brooks WK (1906) Heredity and variation; logical and biological. Am Philos Society 45(182):70–76 https://www.jstor.org/stable/983680
Browner CH, Preloran HM, Casado MC, Bass HN, Walker AP (2003) Genetic counseling gone awry: miscommunication between prenatal genetic service providers and Mexican-origin clients. Soc Sci Med 56(9):1933–1946. https://doi.org/10.1016/S0277-9536(02)00214-9
Bruce RK, Mira BI (2013) Human genetics and genomics, 4th edn. Wiley-Blackwell, Hoboken
Denzin NK, Lincoln YS (eds) (1994) Handbook of qualitative research. Sage Publications, Thousand Oaks
Gurmankin AD, Domchek S, Stopfer J, Fels C, Armstrong K (2005) Patients’ resistance to risk information in genetic counseling for BRCA1/2. Arch Intern Med 165(5):523–529. https://doi.org/10.1001/archinte.165.5.523
Higuchi K (2016) KH Coder 3 Reference Manual. https://khcoder.net/en/manual_en_v3.pdf. Accessed 18 Jul 2022
Ikeuchi T (2015) Nihon no Tyu-gakkou, Koukou ni okeru “Iden Kyouiku”: Genjyou to Mondaiten (The present status and problem of the field of heredity in lower secondary school and upper secondary school in Japan). Seibutu no kagaku 69(3):166–170 [published in Japanese]
Japanese Board of Medical Genetics and Genomics, Clinical Genetics (2019) Learning goals of clinical geneticist. http://www.jbmg.jp/file/2021/mokuhyo.pdf. Accessed 18 Jul 2022
Japanese Board of Medical Genetics and Genomics, Clinical Genetics (2021) Text series of Clinical Genetics, General Clinical Genetics. Medical Do, Osaka
Klitzman RL (2010) Misunderstandings concerning genetics among patients confronting genetic disease. J Genet Couns 19(5):430–446. https://doi.org/10.1007/s10897-010-9307-z
Mayring P (2000) Qualitative content analysis. Forum Qual Soc Res 1(2) http://nbn-resolving.de/urn:nbn:de:0114-fqs0002204
MEXT (2017a) Explanation of courses of study. Social studies. https://www.mext.go.jp/component/a_menu/education/micro_detail/__icsFiles/afieldfile/2019/03/18/1387018_003.pdf Accessed 18 Jul 2022
MEXT (2017b) Explanation of courses of study; Technology and home economics. https://www.mext.go.jp/component/a_menu/education/micro_detail/__icsFiles/afieldfile/2019/03/18/1387018_009.pdf Accessed 18 Jul 2022
MEXT (2017c) Explanation of courses of study; Japanese. https://www.mext.go.jp/component/a_menu/education/micro_detail/__icsFiles/afieldfile/2019/03/18/1387017_002.pdf Accessed 18 Jul 2022
MEXT (2017d) Explanation of courses of study; morality. https://www.mext.go.jp/content/220221-mxt_kyoiku02-100002180_004.pdf. Accessed 18 Jul 2022
MEXT (2017e) Explanation of courses of study. Science. https://www.mext.go.jp/content/20210830-mxt_kyoiku01-100002608_05.pdf. Accessed 18 Jul 2022
MEXT (2022a) Guidelines for the development and operation of the three policies. https://www.mext.go.jp/b_menu/shingi/chukyo/chukyo4/015/attach/1365326.htm. Accessed 18 Jul 2022
MEXT (2022b) Reform of compulsory education. https://www.mext.go.jp/en/policy/education/elsec/title02/detail02/1373866.htm. Accessed 18 Jul 2022
MEXT (2022c) Overview. https://www.mext.go.jp/en/policy/education/overview/index.htm. Accessed 18 Jul 2022
MEXT (2022d) Japan’s school textbook. https://www.mext.go.jp/en/policy/education/elsec/title02/detail02/sdetail02/1383718.html. Accessed 18 Jul 2022
National Academies of Sciences, Engineering, and Medicine; National Academy of Medicine; National Academy of Sciences; Committee on Human Gene Editing: Scientific, Medical, and Ethical Considerations (2017) Human genome editing: science, ethics, and governance. National Academies Press, Washington, D.C. https://doi.org/10.17226/24623
National Comprehensive Cancer Network (2022) Detection, prevention, and risk reduction. https://www.nccn.org/guidelines/category_2. Accessed 18 Jul 2022.
National Society of Genetic Counselors’ Definition Task Force, Resta R, Biesecker BB et al (2006) A new definition of genetic counseling: National Society of Genetic Counselors’ Task Force report. J Genet Couns 15(2):77–83. https://doi.org/10.1007/s10897-005-9014-3
O’Brien BC, Harris IB, Beckman TJ, Reed DA, Cook DA (2014) Standards for reporting qualitative research: a synthesis of recommendations. Acad Med 89(9):1245–1251. https://doi.org/10.1097/ACM.0000000000000388
Robert LN, Roderick RM, Huntington FW (2016) Thompson & Thompson genetics in medicine, 8th edn. Elsevier, Amsterdam
Taguchi I, Yamada T, Akaishi R et al (2019) Attitudes of clinical geneticists and certified genetic counselors to genome editing and its clinical applications: a nation-wide questionnaire survey in Japan. J Hum Genet 64(9):945–954. https://doi.org/10.1038/s10038-019-0635-z
Uhlmann WR, Schuette JL, Yashar BM (eds) (2009) A guide to genetic counseling, 2nd edn. Wiley-Blackwell, Hoboken
Wertz DC, Fletcher JC, Kare B, Boulyjenkov V, World Health Organization (1995) Hereditary diseases programme. guidelines on ethical issues in medical genetics and the provision of genetics services / prepared by Dorothy C. Wertz, John C. Fletcher, Kare Berg in cooperation with the World Health Organization, Victor Boulyjenkov. https://apps.who.int/iris/handle/10665/62048. Accessed 18 Jul 2022
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Eri Sakai conceptualized and designed the study, conducted the acquisition, analyses, and interpretation of data, drafted the initial manuscript, and reviewed and revised the manuscript. Takahiro Yamada conceptualized and designed the study, conducted the acquisition, analyses, and interpretation of data, drafted the initial manuscript, and reviewed and revised the manuscript. Tomomi Funaki contributed to study design and data analyses. Miho Iwakuma designed the study, contributed to data analyses, and critically reviewed and revised the manuscript. Harumo Osawa contributed to the acquisition and analyses of the data. Kana Morimoto contributed to the acquisition and analyses of the data. Shinji Kosugi contributed to the analyses and interpretation of the data, and critically reviewed and revised the manuscript. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.
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Sakai, E., Yamada, T., Funaki, T. et al. Fundamental knowledge taught in compulsory education for effective genetic counseling: a qualitative study of descriptions in textbooks. J Community Genet 14, 263–274 (2023). https://doi.org/10.1007/s12687-023-00641-3
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DOI: https://doi.org/10.1007/s12687-023-00641-3