Genetic counselor opinions of, and experiences with telephone communication of BRCA1/2 test results.
Bradbury, A R
Cummings, S A
Daly, M B
Clinical genetics 2011 Feb; 79(2): 125-31
BRCA1/2 test disclosure has, historically, been conducted in-person by genetics professionals. Given increasing demand for, and access to, genetic testing, interest in telephone and Internet genetic services, including disclosure of test results, has increased. Semi-structured interviews with genetic counselors were conducted to determine interest in, and experiences with telephone disclosure of BRCA1/2 test results. Descriptive data are summarized with response proportions. One hundred and ninety-four genetic counselors completed self-administered surveys via the web. Although 98% had provided BRCA1/2 results by telephone, 77% had never provided pre-test counseling by telephone. Genetic counselors reported perceived advantages and disadvantages to telephone disclosure. Thirty-two percent of participants described experiences that made them question this practice. Genetic counselors more frequently reported discomfort with telephone disclosure of a positive result or variant of uncertain significance (p < 0.01) than other results. Overall, 73% of participants reported interest in telephone disclosure. Many genetic counselors have provided telephone disclosure, however, most, infrequently. Genetic counselors identify potential advantages and disadvantages to telephone disclosure, and recognize the potential for testing and patient factors to impact patient outcomes. Further research evaluating the impact of testing and patient factors on cognitive, affective, social and behavioral outcomes of alternative models of communicating genetic information is warranted.
External LinkFull Text from Publisher
Showing items related by title, author, creator and subject.
Should genetic testing for BRCA1/2 be permitted for minors? Opinions of BRCA mutation carriers and their adult offspring Bradbury, Angela R.; Patrick-Miller, Linda; Pawlowski, Kimberly; Ibe, Comfort N.; Cummings, Shelly A.; Olopade, Olufunmilayo I.; Daugherty, Christopher K. (2008-02-15)
Controversies in communication of genetic screening results for cancer: a report from the American Society of Preventive Oncology's Screening Special Interest Group Patrick-Miller, Linda; Bradbury, Angela R.; Terry, Mary Beth (2010-02)
Retrospective comparison of patient outcomes after in-person and telephone results disclosure counseling for BRCA1/2 genetic testing. Doughty Rice, Courtney; Ruschman, Jennifer Gamm; Martin, Lisa J; Manders, Jennifer B; Miller, Erin (2010-06)Telephone disclosure of BRCA1/2 molecular genetic test results has been proposed as a feasible alternative to traditional in-person results disclosure. The purpose of this study was to investigate the relationship between ...