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A randomized trial of a breast/ovarian cancer genetic testing decision aid used as a communication aid during genetic counseling.
Psychooncology. 2008 Aug; 17(8):844-54.P

Abstract

OBJECTIVES

To evaluate the impact of a decision aid for women considering genetic testing for breast/ovarian cancer risk given during genetic counseling.

METHODS

One hundred and forty-eight women were randomized to receive the decision aid or a control pamphlet at the beginning of their first consultation with a genetic counselor. When the patient received the decision aid, it was used to complement consultation discussions about genetic testing. One hundred and ten (74.3%) women completed the first questionnaire designed to elicit information about women's levels of decisional conflict and knowledge about genetic testing. Of these, 105 (70.9%) completed a second questionnaire to assess longer-term outcomes, 6 months postconsultation.

RESULTS

Results showed that women who received the decision aid felt more informed about genetic testing (chi(2)(1)=8.69; P=0.003), had clearer values (chi(2)(1)=6.90; P=0.009) and had higher knowledge levels (chi(2)(2)=6.49; P=0.039) than women who received the control pamphlet.

CONCLUSIONS

The developed decision aid improved patient outcomes better than a control pamphlet when implemented during genetic counseling and given to the patient to take home.

Authors+Show Affiliations

Department of Psychology, Macquarie University, NSW, Australia. c.wakefield@unsw.edu.auNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

18613319

Citation

Wakefield, Claire E., et al. "A Randomized Trial of a Breast/ovarian Cancer Genetic Testing Decision Aid Used as a Communication Aid During Genetic Counseling." Psycho-oncology, vol. 17, no. 8, 2008, pp. 844-54.
Wakefield CE, Meiser B, Homewood J, et al. A randomized trial of a breast/ovarian cancer genetic testing decision aid used as a communication aid during genetic counseling. Psychooncology. 2008;17(8):844-54.
Wakefield, C. E., Meiser, B., Homewood, J., Taylor, A., Gleeson, M., Williams, R., & Tucker, K. (2008). A randomized trial of a breast/ovarian cancer genetic testing decision aid used as a communication aid during genetic counseling. Psycho-oncology, 17(8), 844-54. https://doi.org/10.1002/pon.1353
Wakefield CE, et al. A Randomized Trial of a Breast/ovarian Cancer Genetic Testing Decision Aid Used as a Communication Aid During Genetic Counseling. Psychooncology. 2008;17(8):844-54. PubMed PMID: 18613319.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A randomized trial of a breast/ovarian cancer genetic testing decision aid used as a communication aid during genetic counseling. AU - Wakefield,Claire E, AU - Meiser,Bettina, AU - Homewood,Judi, AU - Taylor,Alan, AU - Gleeson,Margaret, AU - Williams,Rachel, AU - Tucker,Kathy, AU - ,, PY - 2008/7/10/pubmed PY - 2009/3/6/medline PY - 2008/7/10/entrez SP - 844 EP - 54 JF - Psycho-oncology JO - Psychooncology VL - 17 IS - 8 N2 - OBJECTIVES: To evaluate the impact of a decision aid for women considering genetic testing for breast/ovarian cancer risk given during genetic counseling. METHODS: One hundred and forty-eight women were randomized to receive the decision aid or a control pamphlet at the beginning of their first consultation with a genetic counselor. When the patient received the decision aid, it was used to complement consultation discussions about genetic testing. One hundred and ten (74.3%) women completed the first questionnaire designed to elicit information about women's levels of decisional conflict and knowledge about genetic testing. Of these, 105 (70.9%) completed a second questionnaire to assess longer-term outcomes, 6 months postconsultation. RESULTS: Results showed that women who received the decision aid felt more informed about genetic testing (chi(2)(1)=8.69; P=0.003), had clearer values (chi(2)(1)=6.90; P=0.009) and had higher knowledge levels (chi(2)(2)=6.49; P=0.039) than women who received the control pamphlet. CONCLUSIONS: The developed decision aid improved patient outcomes better than a control pamphlet when implemented during genetic counseling and given to the patient to take home. SN - 1099-1611 UR - https://www.unboundmedicine.com/medline/citation/18613319/A_randomized_trial_of_a_breast/ovarian_cancer_genetic_testing_decision_aid_used_as_a_communication_aid_during_genetic_counseling_ L2 - https://doi.org/10.1002/pon.1353 DB - PRIME DP - Unbound Medicine ER -