Usefulness of the Threatening Medical Situations Inventory in individuals considering genetic testing for cancer risk.

Abstract:

OBJECTIVE:To assess the psychometric properties of the Threatening Medical Situations Inventory (TMSI) in a community sample (Study 1), and to examine its usefulness in individuals with a strong family history of cancer (Study 2). METHODS:Study 1 participants (N=276) completed 2 online surveys, 14 days apart. Study 2 participants (N=311) completed 2 questionnaires, 6 months apart. RESULTS:Both studies revealed the inventory was psychometrically sound, although some concerns were raised about the factor structure. High monitors in Study 1 reported desiring more health-related information and an active role in medical decision-making. High monitors in Study 2 had the greatest knowledge increase when they received a detailed decision aid, compared to a brief pamphlet. CONCLUSION:The TMSI is appropriate for use in both community and clinical samples. High monitors in the general community are more likely to prefer receiving as much health-related information as possible and desire an active role in decision-making about their health. PRACTICE IMPLICATIONS:Familial cancer clinic patients may benefit from tailoring the amount of information they receive to their coping style, such that patients who are vigilant information-seekers may benefit most from receiving more detailed information about genetic testing.

journal_name

Patient Educ Couns

authors

Wakefield CE,Homewood J,Mahmut M,Taylor A,Meiser B

doi

10.1016/j.pec.2007.07.001

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

29-38

issue

1-3

eissn

0738-3991

issn

1873-5134

pii

S0738-3991(07)00268-6

journal_volume

69

pub_type

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