Please use this identifier to cite or link to this item:
https://hdl.handle.net/2440/7060
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Type: | Journal article |
Title: | Communication and information-giving in high-risk breast cancer consultations: influence on patient outcomes |
Author: | Lobb, E. Butow, P. Barratt, A. Meiser, B. Gaff, C. Young, M. Haan, E. Suthers, G. Gattas, M. Tucker, K. |
Citation: | British Journal of Cancer, 2004; 90(2):321-327 |
Publisher: | Nature Publishing Group |
Issue Date: | 2004 |
ISSN: | 0007-0920 1532-1827 |
Statement of Responsibility: | EA Lobb, PN Butow, A Barratt, B Meiser, C Gaff, MA Young, E Haan, G Suthers, M Gattas and K Tucker |
Abstract: | This longitudinal study aimed to document (i) the information-giving and patient-communication styles of clinical geneticists and genetic counsellors (consultants) in familial breast cancer clinics and (ii) assess the effect of these styles on women's knowledge, whether their expectations were met, satisfaction, risk perception and psychological status. A total of 158 women from high-risk breast cancer families completed self-report questionnaires at 2 weeks preconsultation and 4 weeks postconsultation. The consultations were audiotaped, transcribed and coded. Multivariate logistic regressions showed that discussing prophylactic mastectomy (P=0.00) and oophorectomy (P=0.01) led to women having significantly more expectations met; discussing genetic testing significantly decreased anxiety (P=0.03) and facilitating understanding significantly decreased depression (P=0.05). Receiving a summary letter of the consultation significantly lowered anxiety (P=0.01) and significantly increased the accuracy of perceived risk (P=0.02). Women whose consultant used more supportive communications experienced significantly more anxiety about breast cancer at the 4 weeks follow-up (P=0.00). These women were not significantly more anxious before genetic counselling. In conclusion, this study found that consultants vary in the amount of information they give and the way they communicate; and this variation can result in better or worse psychosocial outcomes. Greater use of supportive and counselling communications appeared to increase anxiety about breast cancer. Identifying methods to assist consultants to address emotional issues effectively may be helpful. |
Keywords: | genetic counselling familial breast cancer outcomes of consultants’ communication |
Description: | Copyright © 2004 Cancer Research UK |
Provenance: | Published online 20 January 2004 |
DOI: | 10.1038/sj.bjc.6601502 |
Published version: | http://dx.doi.org/10.1038/sj.bjc.6601502 |
Appears in Collections: | Aurora harvest Paediatrics publications |
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hdl_7060.pdf | Published version | 111.95 kB | Adobe PDF | View/Open |
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