Patient Perceptions of Telephone vs. In-Person BRCA1/BRCA2 Genetic Counseling View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2016-06

AUTHORS

Beth N. Peshkin, Scott Kelly, Rachel H. Nusbaum, Morgan Similuk, Tiffani A. DeMarco, Gillian W. Hooker, Heiddis B. Valdimarsdottir, Andrea D. Forman, Jessica Rispoli Joines, Claire Davis, Shelley R. McCormick, Wendy McKinnon, Kristi D. Graves, Claudine Isaacs, Judy Garber, Marie Wood, Lina Jandorf, Marc D. Schwartz

ABSTRACT

Telephone genetic counseling (TC) for hereditary breast/ovarian cancer risk has been associated with positive outcomes in high risk women. However, little is known about how patients perceive TC. As part of a randomized trial of TC versus usual care (UC; in-person genetic counseling), we compared high risk women's perceptions of: (1) overall satisfaction with genetic counseling; (2) convenience; (3) attentiveness during the session; (4) counselor effectiveness in providing support; and (5) counselor ability to recognize emotional responses during the session. Among the 554 participants (TC, N = 272; UC, N = 282), delivery mode was not associated with self-reported satisfaction. However, TC participants found counseling significantly more convenient than UC participants (OR = 4.78, 95 % CI = 3.32, 6.89) while also perceiving lower levels of support (OR = 0.56, 95 % CI = 0.40-0.80) and emotional recognition (OR = 0.53, 95 % CI = 0.37-0.76). In exploratory analyses, we found that non-Hispanic white participants reported higher counselor support in UC than in TC (69.4 % vs. 52.8 %; OR = 3.06, 95 % CI = 1.39-6.74), while minority women perceived less support in UC vs. TC (58.3 % vs. 38.7 %; OR = 0.80, 95 % CI = 0.39-1.65). We discuss potential research and practice implications of these findings which may further improve the effectiveness and utilization of TC. More... »

PAGES

472-482

References to SciGraph publications

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s10897-015-9897-6

    DOI

    http://dx.doi.org/10.1007/s10897-015-9897-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1011020960

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/26455498


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    443 https://www.grid.ac/institutes/grid.59062.38 schema:alternateName University of Vermont
    444 schema:name Familial Cancer Program, University of Vermont Cancer Center, Burlington, VT, USA
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    446 https://www.grid.ac/institutes/grid.59734.3c schema:alternateName Icahn School of Medicine at Mount Sinai
    447 schema:name Department of Oncological Sciences, Icahn School of Medicine at Mount Sinai, New York, NY, USA
    448 Department of Psychology, Reyjavik University, Reyjavik, Iceland
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