TY - JOUR
T1 - Linking Genetic Counseling Content to Short-Term Outcomes in Individuals at Elevated Breast Cancer Risk
AU - Kelly, Kimberly M.
AU - Ellington, Lee
AU - Schoenberg, Nancy
AU - Agarwal, Parul
AU - Jackson, Thomas
AU - Dickinson, Stephanie
AU - Abraham, Jame
AU - Paskett, Electra D.
AU - Leventhal, Howard
AU - Andrykowski, Michael
N1 - Publisher Copyright:
© 2014, National Society of Genetic Counselors, Inc.
PY - 2014/10/1
Y1 - 2014/10/1
N2 - Few studies have linked actual genetic counseling content to short-term outcomes. Using the Self-regulation Model, the impact of cognitive and affective content in genetic counseling on short-term outcomes was studied in individuals at elevated risk of familial breast-ovarian cancer. Surveys assessed dependent variables: distress, perceived risk, and 6 knowledge measures (Meaning of Positive Test; Meaning of Negative Test; Personal Behavior; Practitioner Knowledge; Mechanisms of Cancer Inheritance; Frequency of Inherited Cancer) measured at pre- and post-counseling. Proportion of participant cognitive and affective and counselor cognitive and affective content during sessions (using LIWC software) were predictors in regressions. Knowledge increased for 5 measures and decreased for Personal Behavior, Distress and Perceived Risk. Controlling for age and education, results were significant/marginally significant for three measures. More counselor content was associated with decreases in knowledge of Personal Behavior. More participant and less counselor affective content was associated with gains in Practitioner Knowledge. More counselor cognitive, and interaction of counselor cognitive and affective content, were associated with higher perceived risk. Genetic counselors dominate the content of counseling sessions. Therefore, their content is tied more closely to short term outcomes than participant content. A lack of patient communication in sessions may pose problems for understanding of complex concepts.
AB - Few studies have linked actual genetic counseling content to short-term outcomes. Using the Self-regulation Model, the impact of cognitive and affective content in genetic counseling on short-term outcomes was studied in individuals at elevated risk of familial breast-ovarian cancer. Surveys assessed dependent variables: distress, perceived risk, and 6 knowledge measures (Meaning of Positive Test; Meaning of Negative Test; Personal Behavior; Practitioner Knowledge; Mechanisms of Cancer Inheritance; Frequency of Inherited Cancer) measured at pre- and post-counseling. Proportion of participant cognitive and affective and counselor cognitive and affective content during sessions (using LIWC software) were predictors in regressions. Knowledge increased for 5 measures and decreased for Personal Behavior, Distress and Perceived Risk. Controlling for age and education, results were significant/marginally significant for three measures. More counselor content was associated with decreases in knowledge of Personal Behavior. More participant and less counselor affective content was associated with gains in Practitioner Knowledge. More counselor cognitive, and interaction of counselor cognitive and affective content, were associated with higher perceived risk. Genetic counselors dominate the content of counseling sessions. Therefore, their content is tied more closely to short term outcomes than participant content. A lack of patient communication in sessions may pose problems for understanding of complex concepts.
KW - Breast cancer
KW - Cancer
KW - Genetic counseling
KW - Knowledge
KW - Oncology
KW - Perceived risk
UR - http://www.scopus.com/inward/record.url?scp=84896577073&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84896577073&partnerID=8YFLogxK
U2 - 10.1007/s10897-014-9705-8
DO - 10.1007/s10897-014-9705-8
M3 - Article
C2 - 24671341
AN - SCOPUS:84896577073
SN - 1059-7700
VL - 23
SP - 838
EP - 848
JO - Journal of Genetic Counseling
JF - Journal of Genetic Counseling
IS - 5
ER -