The Importance of Written Information Packages in Support of Case‐Finding Within Families at Risk for Inherited High Cholesterol
Inherited High Cholesterol is treatable, but highly underdiagnosed. To detect undiagnosed blood relatives at a presymptomatic stage, in the Netherlands written information packages are available to facilitate family communication. To investigate the role of those packages in the detection of carrier...
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Veröffentlicht in: | Journal of genetic counseling 2006-02, Vol.15 (1), p.29-40 |
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description | Inherited High Cholesterol is treatable, but highly underdiagnosed. To detect undiagnosed blood relatives at a presymptomatic stage, in the Netherlands written information packages are available to facilitate family communication. To investigate the role of those packages in the detection of carriers, we conducted a qualitative evaluation (plus‐minus method combined with semistructured interviews with index patients and relatives). Our data suggest that interviewees approved the family approach for finding carriers, although reluctantly. The packages aided family disclosure by reducing hesitation. However, index patients only informed first‐degree relatives and generally communicated the risk only once. This may be due to the cultural context and a limited understanding of genetics. For relatives the packages served as a cue to action and as a legitimation to gain access to a diagnostic cholesterol test. Despite the value of these written materials, they should not be used as the only communication between index patient and relatives. |
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P. ; Mesters, Ilse ; Nellissen, Joyce J. T. M. ; Stalenhoef, Anton F. ; Vries, Nanne K.</creator><creatorcontrib>Nieuwenhoff, Hélène W. P. ; Mesters, Ilse ; Nellissen, Joyce J. T. M. ; Stalenhoef, Anton F. ; Vries, Nanne K.</creatorcontrib><description>Inherited High Cholesterol is treatable, but highly underdiagnosed. To detect undiagnosed blood relatives at a presymptomatic stage, in the Netherlands written information packages are available to facilitate family communication. To investigate the role of those packages in the detection of carriers, we conducted a qualitative evaluation (plus‐minus method combined with semistructured interviews with index patients and relatives). Our data suggest that interviewees approved the family approach for finding carriers, although reluctantly. The packages aided family disclosure by reducing hesitation. However, index patients only informed first‐degree relatives and generally communicated the risk only once. This may be due to the cultural context and a limited understanding of genetics. For relatives the packages served as a cue to action and as a legitimation to gain access to a diagnostic cholesterol test. Despite the value of these written materials, they should not be used as the only communication between index patient and relatives.</description><identifier>ISSN: 1059-7700</identifier><identifier>EISSN: 1573-3599</identifier><identifier>DOI: 10.1007/s10897-005-9001-8</identifier><identifier>PMID: 16468088</identifier><language>eng</language><publisher>Boston: Springer US</publisher><subject>Adult ; Aged ; brochures ; Cholesterol ; disclosure ; familial combined hyperlipidemia ; familial hypercholesterolemia ; Families & family life ; family relations ; Genetic Carrier Screening ; Genetic counseling ; Genetic Predisposition to Disease ; genetic screening ; Genetic Testing ; Health education ; Humans ; Hyperlipoproteinemia Type II - genetics ; Interviews as Topic ; Middle Aged ; patient education ; Patient Education as Topic ; qualitative evaluation ; Risk factors</subject><ispartof>Journal of genetic counseling, 2006-02, Vol.15 (1), p.29-40</ispartof><rights>2006 National Society of Genetic Counselors, Inc.</rights><rights>Springer Science+Business Media, Inc. 2006</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3639-d9de44040bfa733b19cf7b9715f37f1be36ee09832273d0197e53d5afee0ad913</citedby><cites>FETCH-LOGICAL-c3639-d9de44040bfa733b19cf7b9715f37f1be36ee09832273d0197e53d5afee0ad913</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1007%2Fs10897-005-9001-8$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1007%2Fs10897-005-9001-8$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,12845,27923,27924,30998,45573,45574</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16468088$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nieuwenhoff, Hélène W. P.</creatorcontrib><creatorcontrib>Mesters, Ilse</creatorcontrib><creatorcontrib>Nellissen, Joyce J. T. M.</creatorcontrib><creatorcontrib>Stalenhoef, Anton F.</creatorcontrib><creatorcontrib>Vries, Nanne K.</creatorcontrib><title>The Importance of Written Information Packages in Support of Case‐Finding Within Families at Risk for Inherited High Cholesterol</title><title>Journal of genetic counseling</title><addtitle>J Genet Couns</addtitle><description>Inherited High Cholesterol is treatable, but highly underdiagnosed. To detect undiagnosed blood relatives at a presymptomatic stage, in the Netherlands written information packages are available to facilitate family communication. To investigate the role of those packages in the detection of carriers, we conducted a qualitative evaluation (plus‐minus method combined with semistructured interviews with index patients and relatives). Our data suggest that interviewees approved the family approach for finding carriers, although reluctantly. The packages aided family disclosure by reducing hesitation. However, index patients only informed first‐degree relatives and generally communicated the risk only once. This may be due to the cultural context and a limited understanding of genetics. For relatives the packages served as a cue to action and as a legitimation to gain access to a diagnostic cholesterol test. Despite the value of these written materials, they should not be used as the only communication between index patient and relatives.</description><subject>Adult</subject><subject>Aged</subject><subject>brochures</subject><subject>Cholesterol</subject><subject>disclosure</subject><subject>familial combined hyperlipidemia</subject><subject>familial hypercholesterolemia</subject><subject>Families & family life</subject><subject>family relations</subject><subject>Genetic Carrier Screening</subject><subject>Genetic counseling</subject><subject>Genetic Predisposition to Disease</subject><subject>genetic screening</subject><subject>Genetic Testing</subject><subject>Health education</subject><subject>Humans</subject><subject>Hyperlipoproteinemia Type II - genetics</subject><subject>Interviews as Topic</subject><subject>Middle Aged</subject><subject>patient education</subject><subject>Patient Education as Topic</subject><subject>qualitative evaluation</subject><subject>Risk factors</subject><issn>1059-7700</issn><issn>1573-3599</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkc9q3DAQh0VpaP60D9BLET305mZkWZZ1LKabbAmktCk5CtkerZXY1layKbmVPEGfsU9SLbsQ6CUnDeKbb2b4EfKWwUcGIM8jg0rJDEBkCoBl1QtywoTkGRdKvUw1CJVJCXBMTmO8AwBVCfaKHLOyKCuoqhPyeNMjXY9bH2YztUi9pbfBzTNOdD1ZH0YzOz_Rr6a9NxuM1E30-7Ld4Tu0NhH__v6zclPnpg29dXOfgJUZ3eASbGb6zcV7mjzJ1mMSY0cv3aande8HjDMGP7wmR9YMEd8c3jPyY_X5pr7Mrq4v1vWnq6zlJVdZpzosCiigsUZy3jDVWtkoyYTl0rIGeYmYDuR5LnkHTEkUvBPGpl_TKcbPyIe9dxv8zyUN16OLLQ6DmdAvUZdS5aKE8lkwB5lLJkUC3_8H3vklTOkInbOqFCwtkSC2h9rgYwxo9Ta40YQHzUDvYtT7GHWKUe9i1FXqeXcQL82I3VPHIbcEyD3wyw348LxRf7moC4Bc8X8o7Kmz</recordid><startdate>200602</startdate><enddate>200602</enddate><creator>Nieuwenhoff, Hélène W. 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P.</au><au>Mesters, Ilse</au><au>Nellissen, Joyce J. T. M.</au><au>Stalenhoef, Anton F.</au><au>Vries, Nanne K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Importance of Written Information Packages in Support of Case‐Finding Within Families at Risk for Inherited High Cholesterol</atitle><jtitle>Journal of genetic counseling</jtitle><addtitle>J Genet Couns</addtitle><date>2006-02</date><risdate>2006</risdate><volume>15</volume><issue>1</issue><spage>29</spage><epage>40</epage><pages>29-40</pages><issn>1059-7700</issn><eissn>1573-3599</eissn><abstract>Inherited High Cholesterol is treatable, but highly underdiagnosed. To detect undiagnosed blood relatives at a presymptomatic stage, in the Netherlands written information packages are available to facilitate family communication. To investigate the role of those packages in the detection of carriers, we conducted a qualitative evaluation (plus‐minus method combined with semistructured interviews with index patients and relatives). Our data suggest that interviewees approved the family approach for finding carriers, although reluctantly. The packages aided family disclosure by reducing hesitation. However, index patients only informed first‐degree relatives and generally communicated the risk only once. This may be due to the cultural context and a limited understanding of genetics. For relatives the packages served as a cue to action and as a legitimation to gain access to a diagnostic cholesterol test. Despite the value of these written materials, they should not be used as the only communication between index patient and relatives.</abstract><cop>Boston</cop><pub>Springer US</pub><pmid>16468088</pmid><doi>10.1007/s10897-005-9001-8</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged brochures Cholesterol disclosure familial combined hyperlipidemia familial hypercholesterolemia Families & family life family relations Genetic Carrier Screening Genetic counseling Genetic Predisposition to Disease genetic screening Genetic Testing Health education Humans Hyperlipoproteinemia Type II - genetics Interviews as Topic Middle Aged patient education Patient Education as Topic qualitative evaluation Risk factors |
title | The Importance of Written Information Packages in Support of Case‐Finding Within Families at Risk for Inherited High Cholesterol |
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