Counselees' Expressed Level of Understanding of the Risk Estimate and Surveillance Recommendation are Not Associated with Breast Cancer Surveillance Adherence.


:We studied counselees' expressed understanding of the risk estimate and surveillance recommendation in the final consultation for breast cancer genetic counseling in relation with their risk perception, worry and cancer surveillance adherence 1 year post-counseling. Consecutive counselees were included from 2008 to 2010. Counselees with an indication for diagnostic DNA-testing for themselves or a breast cancer affected relative were requested to complete online questionnaires before and after counseling and one year after counseling (N = 152-124). Self-reported surveillance was compared to surveillance recommendations. Consultations were videotaped. Counselees' reactions to the risks and recommendations were coded. Statements about the risk perception and surveillance intentions of breast cancer unaffected counselees were transcribed. Associations with outcomes were explored. Almost all breast cancer unaffected counselees (>90 %) reacted to their risk estimate with an utterance indicating understanding and this reaction was not significantly associated with their post-visit risk perception alignment. Over one-third (38.6 %) overestimated their risk post-counseling. Few counselees (5.8 %) expressed surveillance intentions. One year after counseling, about three-quarters (74.0 %) of the breast cancer unaffected counselees had adhered to the surveillance recommendation. Almost one-quarter (23.3 %) had performed more mammograms/MRI scans than recommended, which was associated with prior mammography uptake (n = 47; X (2)  = 5.2; p = .02). Counselees' post-counseling overestimation of their risk, high levels of worry and high surveillance uptake were not reflected in their reactions to the counselor's information during the final visit.


J Genet Couns


Albada A,van Dulmen S,Dijkstra H,Wieffer I,Witkamp A,Ausems MG




Has Abstract


2016-04-01 00:00:00














  • Rapid clinical exome sequencing in a pediatric ICU: Genetic counselor impacts and challenges.

    abstract::Exome sequencing (ES) has revolutionized molecular diagnosis in children with genetic disease over the past decade. However, exome sequencing in the inpatient setting has traditionally been discouraged, in part due to an increased risk of providers failing to retrieve and act upon results, as many patients are dischar...

    journal_title:Journal of genetic counseling

    pub_type: 杂志文章


    authors: Clowes Candadai SV,Sikes MC,Thies JM,Freed AS,Bennett JT

    更新日期:2019-04-01 00:00:00

  • Sickle Cell Trait Screening of Collegiate Athletes: Ethical Reasons for Program Reform.

    abstract::The National Collegiate Athletic Association (NCAA) requires all student-athletes have their sickle cell trait (SCT) status confirmed prior to athletic participation. The NCAA approved the screening program in 2010 for institutions participating in Division I athletics and extended it in subsequent years to institutio...

    journal_title:Journal of genetic counseling

    pub_type: 杂志文章


    authors: Ferrari R,Parker LS,Grubs RE,Krishnamurti L

    更新日期:2015-12-01 00:00:00

  • Assessment of Current Genetic Counselor Practices in Post-Visit Written Communications to Patients.

    abstract::Providing patients with post-visit written communication (PVWC) is a long-standing component of genetic counseling. However the depiction of this practice in today's clinical landscape is limited. To better describe this practice, we surveyed practicing clinical genetic counselors to ask if they send post-visit commun...

    journal_title:Journal of genetic counseling

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    authors: VandenBoom E,Trepanier AM,Carmany EP

    更新日期:2018-06-01 00:00:00

  • Genetic Counselling for Psychiatric Disorders: Accounts of Psychiatric Health Professionals in the United Kingdom.

    abstract::Genetic counselling is not routinely offered for psychiatric disorders in the United Kingdom through NHS regional clinical genetics departments. However, recent genomic advances, confirming a genetic contribution to mental illness, are anticipated to increase demand for psychiatric genetic counselling. This is the fir...

    journal_title:Journal of genetic counseling

    pub_type: 杂志文章


    authors: Jenkins S,Arribas-Ayllon M

    更新日期:2016-12-01 00:00:00

  • Impact of Huntington Disease Gene-Positive Status on Pre-Symptomatic Young Adults and Recommendations for Genetic Counselors.

    abstract::Huntington disease (HD) is an autosomal dominant, progressive neurodegenerative disorder for which there is no cure. Predictive testing for HD is available to asymptomatic at-risk individuals. Approximately half of the population undergoing predictive testing for HD consists of young adults (≤35 years old). Finishing ...

    journal_title:Journal of genetic counseling

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    authors: Gong P,Fanos JH,Korty L,Siskind CE,Hanson-Kahn AK

    更新日期:2016-12-01 00:00:00

  • The utility of genetic counseling prior to offering first trimester screening options.

    abstract::In order to evaluate the utility of genetic counseling at the time of first trimester screening in patients with no previously identified genetic concerns, we reviewed family history data for 700 women seen for genetic counseling in Utah during 2005-2006. The mean maternal age was 35 years (Range: 16-47 years). The ma...

    journal_title:Journal of genetic counseling

    pub_type: 杂志文章


    authors: Hafen LB,Hulinsky RS,Simonsen SE,Wilder S,Rose NC

    更新日期:2009-08-01 00:00:00

  • Nursing and genetic health care.

    abstract::Advances in DNA technology are leading to major developments in nursing practice in clinical genetics, including the creation of new roles for nurses who care for people with genetic conditions. Application of genetic information and testing is moving genetics into the mainstream of health care. Therefore, it is antic...

    journal_title:Journal of genetic counseling

    pub_type: 杂志文章


    authors: Lea DH,Williams JK,Tinley ST

    更新日期:1994-06-01 00:00:00

  • A Qualitative Investigation of Student and Supervisor Perceptions of Live Supervision in Genetic Counseling.

    abstract::Live supervision of genetic counseling students is critical for ensuring quality client care and student clinical skill development. However, no research has investigated students' and supervisors' experience of this primary supervision method. In this study, separate focus groups of students and supervisors discussed...

    journal_title:Journal of genetic counseling

    pub_type: 杂志文章


    authors: Hendrickson SM,McCarthy Veach P,LeRoy BS

    更新日期:2002-02-01 00:00:00

  • Genetic Counselors' Judgments of Patient Concerns: Concordance and Consequences.

    abstract::The aims of this prospective study were to determine (a) the concordance between patient concerns and genetic counselors' judgments of these concerns, (b) the predictors of patient and counselor judgments, and (c) the relationship between concordance and patient outcomes. Patients' and counselors' views were sought be...

    journal_title:Journal of genetic counseling

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    authors: Michie S,Weinman J,Marteau TM

    更新日期:1998-06-01 00:00:00

  • Genetic testing of children at risk for adult onset conditions: when is testing indicated?

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    journal_title:Journal of genetic counseling

    pub_type: 杂志文章


    authors: Lwiwski N,Greenberg CR,Mhanni AA

    更新日期:2008-12-01 00:00:00

  • Update and Review: Maternal Serum Screening.

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    journal_title:Journal of genetic counseling

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    authors: Ormond KE

    更新日期:1997-12-01 00:00:00

  • Psychological Distress, Anxiety, and Depression of Cancer-Affected BRCA1/2 Mutation Carriers: a Systematic Review.

    abstract::Understanding the intermediate- and long-term psychological consequences of genetic testing for cancer patients has led to encouraging research, but a clear consensus of the psychosocial impact and clinical routine for cancer-affected BRCA1 and BRCA2 mutation carriers is still missing. We performed a systematic review...

    journal_title:Journal of genetic counseling

    pub_type: 杂志文章,评审


    authors: Ringwald J,Wochnowski C,Bosse K,Giel KE,Schäffeler N,Zipfel S,Teufel M

    更新日期:2016-10-01 00:00:00

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    abstract::Increasing awareness of and the potentially concomitant increasing demand for cancer genetic services is driving the need to explore more efficient models of service delivery. The aims of this study were to determine which service delivery models are most commonly used by genetic counselors, assess how often they are ...

    journal_title:Journal of genetic counseling

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    authors: Trepanier AM,Allain DC

    更新日期:2014-04-01 00:00:00

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    abstract::This case report, presented to a supervision group, is a prenatal genetic counseling casethat caused me a great deal of emotional discomfort as the events unfolded. Thediscomfort originated during my first meeting with the couple for routine preamniocentesiscounseling and continued through later encounters. This case ...

    journal_title:Journal of genetic counseling

    pub_type: 杂志文章


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    journal_title:Journal of genetic counseling

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    authors: Guan Y,Maloney KA,Pollin TI

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    journal_title:Journal of genetic counseling

    pub_type: 杂志文章


    authors: Noke M,Ulph F

    更新日期:2014-02-01 00:00:00

  • Practice-based competencies for accreditation of and training in graduate programs in genetic counseling.

    abstract::In January 1996, the American Board of Genetic Counseling (ABGC) adopted 27 practice-based competencies as a standard for assessing the training of graduate students in genetic counseling. These competencies were identified and refined through a collective, narrative process that took place from January through Novemb...

    journal_title:Journal of genetic counseling

    pub_type: 杂志文章


    authors: Fine BA,Baker DL,Fiddler MB,ABGC Consensus Development Consortium.

    更新日期:1996-09-01 00:00:00

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    abstract::Gay, lesbian, bisexual, and transgender (GLBT) individuals comprise a growing patient population in genetic counseling, yet literature on working with this population is scarce. This study sought to investigate GLBT patient experiences in genetic counseling and genetic counselor attitudes and practices when counseling...

    journal_title:Journal of genetic counseling

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    authors: Glessner HD,VandenLangenberg E,Veach PM,LeRoy BS

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    journal_title:Journal of genetic counseling

    pub_type: 杂志文章


    authors: Keenan LA,Lesniak KT,Guarnaccia CA,Althaus B,Ethington G,Blum JL

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  • From Campers to Counselors: a Resource for Prospective Genetic Counseling Students.

    abstract::When thinking about the future of the genetic counseling field, one place to start is with prospective genetic counseling graduate school applicants. Although resources and mentorship opportunities exist for genetic counselors entering the field, the process of deciding on a career, applying to graduate programs, and ...

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    authors: Wiesman C,Rose E,Klugman S,Schreiber-Agus N

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  • What do we tell the children? Contrasting the disclosure choices of two HD families regarding risk status and predictive genetic testing.

    abstract::Above all else, predictive genetic testing provides information. Gaining insight into the psychosocial effects of this information is a primary goal of genetic counseling. For individuals utilizing predictive genetic testing, the acquisition of genetic information requires choices regarding disclosure within the famil...

    journal_title:Journal of genetic counseling

    pub_type: 杂志文章


    authors: Holt K

    更新日期:2006-08-01 00:00:00

  • Does a duty of disclosure foster special treatment of genetic research participants?

    abstract::The principle that research participants not receive enhanced care compared to non-participants may be challenged by a duty to disclose genetic research results, especially where care is otherwise inaccessible. Autism researchers' attitudes toward providing enhanced care to study participants were analyzed quantitativ...

    journal_title:Journal of genetic counseling

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    authors: Hayeems RZ,Miller FA,Bytautas JP,Li L

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  • Using the diffusion of innovations model to guide participant engagement in the genomics era.

    abstract::Exome and genome sequencing (EGS) are increasingly the genetic testing modalities of choice among researchers owing to their ready availability, low cost, and large data output. Recruitment of larger, more diverse cohorts into long-term studies with extensive data collection is fundamental to the success of EGS resear...

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    authors: Lewis KL,Facio FM,Berrios CD

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  • Creation and utility of 'Boston Minority Genetic Counselors'.

    abstract::The genetic counseling profession began shortly after the Civil Rights Movement, before effective strategies for inclusion of racial minorities had emerged. Given the historical context of the field and the continued lack of diversity in the professional body, inclusion among genetic counselors of social minority back...

    journal_title:Journal of genetic counseling

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    authors: Berro T,Amir F,Chan-Smutko G,Lawrence J,Channaoui N

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    journal_title:Journal of genetic counseling

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    authors: Reid GT,Walter FM,Emery JD

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  • Attitudes of clinicians toward cardiac surgery and trisomy 18.

    abstract::Trisomy 18 is an autosomal trisomy condition characterized by minor to major birth defects, severe disabilities, and high rates of pre- and postnatal mortality. Interventions for these infants have traditionally been withheld with focus instead on palliative support. The issues and attitudes surrounding corrective sur...

    journal_title:Journal of genetic counseling

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    authors: Kaulfus ME,Gardiner H,Hashmi SS,Mendez-Figueroa H,Miller VJ,Stevens B,Carter R

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  • Assessing Shared Decision-Making Clinical Behaviors Among Genetic Counsellors.

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    journal_title:Journal of genetic counseling

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    authors: Birch PH,Adam S,Coe RR,Port AV,Vortel M,Friedman JM,Légaré F

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  • "I am a Genetic Counselor": A qualitative exploration of field leaders' perceptions of the title "genetic counselor".

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    journal_title:Journal of genetic counseling

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    authors: Means C,Cirino A,Swenson KB,Austin J

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  • Pediatric and Adult Recommendations Vary for Sibling Testing in Cystic Fibrosis.

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    journal_title:Journal of genetic counseling

    pub_type: 杂志文章


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    journal_title:Journal of genetic counseling

    pub_type: 杂志文章


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