Interventions to improve patient access to and utilisation of genetic and genomic counselling services.

Primary objective The primary objective is to assess the effectiveness of interv entions to improve patient identification, access to and utilis ation of genetic and genomic counselling services when compared to: i) No intervention; ii) Usual or current practice; and iii) Other active intervention. Secondary objective The secondary objective is to explore the resource use and costs associated with interventions aimed at improving patient identification, access to and utilisation of genetic and genomic counselling services from studies meeting the eligibility criteria. We will report on factors that may explain variation in the eff ectiveness of interventions aimed at improving patient iden tification, access to and utilisation of genetic and genomic counselling services from studies meeting the eligibility criteria. Another secondary objective is to explore how interventions w hich target improved patient identification, access to and utili sation of genetic and genomic counselling services affect the subsequent appropriate use of health services for the prevention or early detection of disease. It is also possible that the genetic counselling interaction itself will contribute to the possible use of preventative services