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- Title
Patient Perceptions of Telephone vs. In-Person BRCA1/BRCA2 Genetic Counseling.
- Authors
Peshkin, Beth; Kelly, Scott; Nusbaum, Rachel; Similuk, Morgan; DeMarco, Tiffani; Hooker, Gillian; Valdimarsdottir, Heiddis; Forman, Andrea; Joines, Jessica; Davis, Claire; McCormick, Shelley; McKinnon, Wendy; Graves, Kristi; Isaacs, Claudine; Garber, Judy; Wood, Marie; Jandorf, Lina; Schwartz, Marc
- 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.
- Subjects
PATIENT satisfaction; CONFIDENCE intervals; EMOTIONS; GENETIC counseling; STATISTICAL sampling; TELEPHONES; SOCIAL support; RANDOMIZED controlled trials; BRCA genes; PATIENTS' attitudes; ODDS ratio
- Publication
Journal of Genetic Counseling, 2016, Vol 25, Issue 3, p472
- ISSN
1059-7700
- Publication type
Article
- DOI
10.1007/s10897-015-9897-6