Perceptions of genetic risk assessment and education among first-degree relatives of colorectal cancer patients and implications for physicians
Background. Genetic risk assessment and education is a clinical service that provides an opportunity for individuals with a strong family history of cancer to understand their risk better, identify a screening regimen and discuss benefits and limitations of genetic testing. Objectives. The aim of th...
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Veröffentlicht in: | Family practice 2001-08, Vol.18 (4), p.367-372 |
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description | Background. Genetic risk assessment and education is a clinical service that provides an opportunity for individuals with a strong family history of cancer to understand their risk better, identify a screening regimen and discuss benefits and limitations of genetic testing. Objectives. The aim of this study was to assess knowledge of and attitudes to genetic risk assessment and education among first-degree relatives of patients with colorectal cancer. Methods. We conducted focus groups among first-degree relatives of patients with colorectal cancer to assess perceptions of genetic risk assessment and education. In the groups, we elicited reactions using two definitions of genetic risk assessment and education—one brief and one more detailed—that might be used by a health practitioner during the referral process. Results. Findings revealed a number of misconceptions and concerns including: (i) what is required to prepare for a session and a lack of desire to collect a family history; (ii) what is involved in a session (including assuming that genetic testing is always included in a session); (iii) distrust over accuracy and possible subjectivity of information provided; and (iv) fear of the effect that participation in a session might have on insurance status. Conclusions. The findings suggest that health practitioners should educate individuals about genetic risk assessment and education during the initial referral process. Further studies should explore how best to do this. |
doi_str_mv | 10.1093/fampra/18.4.367 |
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Genetic risk assessment and education is a clinical service that provides an opportunity for individuals with a strong family history of cancer to understand their risk better, identify a screening regimen and discuss benefits and limitations of genetic testing. Objectives. The aim of this study was to assess knowledge of and attitudes to genetic risk assessment and education among first-degree relatives of patients with colorectal cancer. Methods. We conducted focus groups among first-degree relatives of patients with colorectal cancer to assess perceptions of genetic risk assessment and education. In the groups, we elicited reactions using two definitions of genetic risk assessment and education—one brief and one more detailed—that might be used by a health practitioner during the referral process. Results. Findings revealed a number of misconceptions and concerns including: (i) what is required to prepare for a session and a lack of desire to collect a family history; (ii) what is involved in a session (including assuming that genetic testing is always included in a session); (iii) distrust over accuracy and possible subjectivity of information provided; and (iv) fear of the effect that participation in a session might have on insurance status. Conclusions. The findings suggest that health practitioners should educate individuals about genetic risk assessment and education during the initial referral process. Further studies should explore how best to do this.</description><identifier>ISSN: 0263-2136</identifier><identifier>EISSN: 1460-2229</identifier><identifier>DOI: 10.1093/fampra/18.4.367</identifier><identifier>PMID: 11477043</identifier><identifier>CODEN: FAPREH</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Adult ; Colorectal cancer ; Colorectal Neoplasms - genetics ; education ; Female ; Focus Groups ; Genetic factors ; genetics ; Health Services Research ; Humans ; Indianapolis ; Knowledge ; Male ; Middle Aged ; Patient Education as Topic ; Patients ; Perceptions ; Relatives ; Risk Assessment ; risk communication ; Risk factors ; St Louis ; Studies ; USA</subject><ispartof>Family practice, 2001-08, Vol.18 (4), p.367-372</ispartof><rights>Copyright Oxford University Press(England) Aug 2001</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c461t-d373a88dc4bc2ed0145db127477a09380ff2806bd565567c106cad90c31edca63</citedby><cites>FETCH-LOGICAL-c461t-d373a88dc4bc2ed0145db127477a09380ff2806bd565567c106cad90c31edca63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902,30977</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11477043$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Todora, Helen MS</creatorcontrib><creatorcontrib>Skinner, Celette Sugg</creatorcontrib><creatorcontrib>Gidday, Linda</creatorcontrib><creatorcontrib>Ivanovich, Jennifer L</creatorcontrib><creatorcontrib>Rawl, Sue</creatorcontrib><creatorcontrib>Whelan, Alison J</creatorcontrib><title>Perceptions of genetic risk assessment and education among first-degree relatives of colorectal cancer patients and implications for physicians</title><title>Family practice</title><addtitle>Family Practice</addtitle><description>Background. Genetic risk assessment and education is a clinical service that provides an opportunity for individuals with a strong family history of cancer to understand their risk better, identify a screening regimen and discuss benefits and limitations of genetic testing. Objectives. The aim of this study was to assess knowledge of and attitudes to genetic risk assessment and education among first-degree relatives of patients with colorectal cancer. Methods. We conducted focus groups among first-degree relatives of patients with colorectal cancer to assess perceptions of genetic risk assessment and education. In the groups, we elicited reactions using two definitions of genetic risk assessment and education—one brief and one more detailed—that might be used by a health practitioner during the referral process. Results. Findings revealed a number of misconceptions and concerns including: (i) what is required to prepare for a session and a lack of desire to collect a family history; (ii) what is involved in a session (including assuming that genetic testing is always included in a session); (iii) distrust over accuracy and possible subjectivity of information provided; and (iv) fear of the effect that participation in a session might have on insurance status. Conclusions. The findings suggest that health practitioners should educate individuals about genetic risk assessment and education during the initial referral process. Further studies should explore how best to do this.</description><subject>Adult</subject><subject>Colorectal cancer</subject><subject>Colorectal Neoplasms - genetics</subject><subject>education</subject><subject>Female</subject><subject>Focus Groups</subject><subject>Genetic factors</subject><subject>genetics</subject><subject>Health Services Research</subject><subject>Humans</subject><subject>Indianapolis</subject><subject>Knowledge</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Patient Education as Topic</subject><subject>Patients</subject><subject>Perceptions</subject><subject>Relatives</subject><subject>Risk Assessment</subject><subject>risk communication</subject><subject>Risk factors</subject><subject>St Louis</subject><subject>Studies</subject><subject>USA</subject><issn>0263-2136</issn><issn>1460-2229</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkb1uFDEURi0EIkugpkMWBd3s-t_eEkVAECtAAiJEY3ntO4uTmfFgzyDyFLwyTmYFEk0qF9-5x7r3Q-gpJWtKtnzTun7MbkPNWqy50vfQigpFGsbY9j5aEaZ4wyhXJ-hRKZeEEK2lfohOKBVaE8FX6PdHyB7GKaah4NTiAwwwRY9zLFfYlQKl9DBM2A0BQ5i9uyGx69NwwG3MZWoCHDIAztDV7CfcWnzqUgY_uQ57N3jIeKxh9ZRbUezHLi6qgttU0-_XJfrohvIYPWhdV-DJ8T1FX16_-nx23uw-vHl79nLXeKFo_ZRr7owJXuw9g0CokGFPma5ruXoXQ9qWGaL2QSoplfaUKO_ClnhOIXin-Cl6sXjHnH7MUCbbx-Kh69wAaS5WUyKloOROUGpDjOHmTpBRxoVSrILP_wMv05yHuq2l260kSjNRoc0C-ZxKydDaMcfe5WtLib2p3i7VW2qssLX6OvHsqJ33PYR__LHrCjQLEMsEv_7mLl_ZOq6lPf_6zV6Id58u3lNqd_wPbpS9CQ</recordid><startdate>20010801</startdate><enddate>20010801</enddate><creator>Todora, Helen MS</creator><creator>Skinner, Celette Sugg</creator><creator>Gidday, Linda</creator><creator>Ivanovich, Jennifer L</creator><creator>Rawl, Sue</creator><creator>Whelan, Alison J</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>RC3</scope><scope>7QJ</scope><scope>7X8</scope></search><sort><creationdate>20010801</creationdate><title>Perceptions of genetic risk assessment and education among first-degree relatives of colorectal cancer patients and implications for physicians</title><author>Todora, Helen MS ; Skinner, Celette Sugg ; Gidday, Linda ; Ivanovich, Jennifer L ; Rawl, Sue ; Whelan, Alison J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c461t-d373a88dc4bc2ed0145db127477a09380ff2806bd565567c106cad90c31edca63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Colorectal cancer</topic><topic>Colorectal Neoplasms - genetics</topic><topic>education</topic><topic>Female</topic><topic>Focus Groups</topic><topic>Genetic factors</topic><topic>genetics</topic><topic>Health Services Research</topic><topic>Humans</topic><topic>Indianapolis</topic><topic>Knowledge</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Patient Education as Topic</topic><topic>Patients</topic><topic>Perceptions</topic><topic>Relatives</topic><topic>Risk Assessment</topic><topic>risk communication</topic><topic>Risk factors</topic><topic>St Louis</topic><topic>Studies</topic><topic>USA</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Todora, Helen MS</creatorcontrib><creatorcontrib>Skinner, Celette Sugg</creatorcontrib><creatorcontrib>Gidday, Linda</creatorcontrib><creatorcontrib>Ivanovich, Jennifer L</creatorcontrib><creatorcontrib>Rawl, Sue</creatorcontrib><creatorcontrib>Whelan, Alison J</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>MEDLINE - Academic</collection><jtitle>Family practice</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Todora, Helen MS</au><au>Skinner, Celette Sugg</au><au>Gidday, Linda</au><au>Ivanovich, Jennifer L</au><au>Rawl, Sue</au><au>Whelan, Alison J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Perceptions of genetic risk assessment and education among first-degree relatives of colorectal cancer patients and implications for physicians</atitle><jtitle>Family practice</jtitle><addtitle>Family Practice</addtitle><date>2001-08-01</date><risdate>2001</risdate><volume>18</volume><issue>4</issue><spage>367</spage><epage>372</epage><pages>367-372</pages><issn>0263-2136</issn><eissn>1460-2229</eissn><coden>FAPREH</coden><abstract>Background. Genetic risk assessment and education is a clinical service that provides an opportunity for individuals with a strong family history of cancer to understand their risk better, identify a screening regimen and discuss benefits and limitations of genetic testing. Objectives. The aim of this study was to assess knowledge of and attitudes to genetic risk assessment and education among first-degree relatives of patients with colorectal cancer. Methods. We conducted focus groups among first-degree relatives of patients with colorectal cancer to assess perceptions of genetic risk assessment and education. In the groups, we elicited reactions using two definitions of genetic risk assessment and education—one brief and one more detailed—that might be used by a health practitioner during the referral process. Results. Findings revealed a number of misconceptions and concerns including: (i) what is required to prepare for a session and a lack of desire to collect a family history; (ii) what is involved in a session (including assuming that genetic testing is always included in a session); (iii) distrust over accuracy and possible subjectivity of information provided; and (iv) fear of the effect that participation in a session might have on insurance status. Conclusions. The findings suggest that health practitioners should educate individuals about genetic risk assessment and education during the initial referral process. Further studies should explore how best to do this.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>11477043</pmid><doi>10.1093/fampra/18.4.367</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Colorectal cancer Colorectal Neoplasms - genetics education Female Focus Groups Genetic factors genetics Health Services Research Humans Indianapolis Knowledge Male Middle Aged Patient Education as Topic Patients Perceptions Relatives Risk Assessment risk communication Risk factors St Louis Studies USA |
title | Perceptions of genetic risk assessment and education among first-degree relatives of colorectal cancer patients and implications for physicians |
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