What is informed consent?
Informed consent is the essential process of educating a patient about a genetic test's benefits, limitations, and potential consequences to ensure they can make an educated, voluntary decision.
Understanding the Process
Before a person undergoes genetic testing, it is vital to understand the procedure, the benefits and limitations of the test, and the possible consequences of the results. The process of educating a person and obtaining their permission is called informed consent. "Informed" signifies that the person has sufficient information to make an educated decision, while "consent" refers to the voluntary agreement to proceed.
Who Provides Consent
Generally, informed consent is provided by adults who are competent to make their own medical decisions. For children or individuals unable to make their own medical decisions—such as those with impaired mental status—consent may be provided by a parent, guardian, or other legally responsible party.
This process is typically conducted by a doctor or genetic counselor during an office visit. The provider discusses the test, answers questions, and the patient usually reads and signs a consent form if they wish to proceed.
Key Elements of Informed Consent Forms
While requirements may vary by state, informed consent forms typically include the following:
- A general description and purpose of the test, including the condition being evaluated.
- The method by which the test will be performed (e.g., a blood sample).
- An explanation of what results mean, including positive, negative, uninformative, or incorrect results (false positives/negatives).
- Physical or emotional risks associated with the test.
- Whether results may be used for research purposes.
- Whether results might provide information about the health of other family members.
- How and to whom results will be reported, including disclosure to health insurance providers.
- The disposition of the test specimen after completion.
- Acknowledgement that the patient had the opportunity to discuss the test with a provider.
- The individual's signature and potentially that of a witness.
Changing Your Mind
Informed consent is not a contract. A person can change their mind at any time, even after a sample has been collected. To stop the process, the individual simply needs to notify their health care provider.