Development of a storytelling communication facilitation tool (SCFT) to facilitate discussion of complex genetic diagnoses between parents and their children: A pilot study using 22q11.2 deletion syndrome as a model condition

Simina Bogatan; Andrea Shugar; Syed Wasim; Susan Ball; Cathryn Schmidt; David Chitayat; Cheryl Shuman; Cheryl Cytrynbaum

doi:10.1016/j.pecinn.2022.100115

Development of a storytelling communication facilitation tool (SCFT) to facilitate discussion of complex genetic diagnoses between parents and their children: A pilot study using 22q11.2 deletion syndrome as a model condition

PEC Innov. 2022 Dec 6:2:100115. doi: 10.1016/j.pecinn.2022.100115. eCollection 2023 Dec.

Authors

Simina Bogatan¹, Andrea Shugar^{1

2

3}, Syed Wasim⁴, Susan Ball⁵, Cathryn Schmidt⁵, David Chitayat^{1

2

6}, Cheryl Shuman^{1

2

3}, Cheryl Cytrynbaum^{1

2

3}

Affiliations

¹ Department of Molecular Genetics, University of Toronto, Toronto, Canada.
² Division of Clinical and Metabolic Genetics, Department of Paediatrics, The Hospital for Sick Children, Toronto, Canada.
³ Department of Genetic Counseling, The Hospital for Sick Children, Toronto, Canada.
⁴ Fred A. Litwin Family Centre in Genetic Medicine, University Health Network and Mount Sinai Hospital, Toronto, Canada.
⁵ AboutKidsHealth, SickKids Learning Institute, The Hospital for Sick Children, Toronto, Canada.
⁶ The Prenatal Diagnosis and Medical Genetics Program, Department of Obstetrics and Gynecology, Mount Sinai Hospital, Toronto, Canada.

Abstract

Objective: To develop and evaluate a storytelling communication facilitation tool designed to help parents overcome barriers to discussing a complex multisystem genetic diagnosis with their affected children, using 22q11.2 deletion syndrome (22q11DS) as an exemplar condition.

Methods: A story telling communication facilitation tool (SCFT), entitled 22q and Me, was developed for a target audience of children with 22q11DS aged 9 to 12. The SCFT was evaluated by 14 parents to assess usability and utility by comparing responses to survey questions before and after viewing the SCFT, using a Likert scale.

Results: After viewing 22q and Me, parents reported that barriers to discussion were mitigated. Participants indicated they felt more comfortable and better prepared to talk to their children about 22q11DS and worried less that the diagnosis would affect their children's self-esteem. Parents described 22q and Me as engaging and able to address parental concerns.

Conclusion: 22q and Me was found to be an effective tool for increasing parental comfort and ability to talk to their children about their diagnosis of 22q11DS.

Innovation: This novel storytelling communication facilitation tool can serve as a model for the development of other educational tools geared at facilitating disclosure and discussion of other genetic conditions.

Keywords: 22q11.2 deletion syndrome; Disclosure of genetic diagnosis; Facilitating conversation; Parent-child communication; Storytelling communication facilitation tool.