Tailoring communication in consultations with women from high risk breast cancer families Lobb, E en_US Butow, P en_US Meiser, Bettina en_US Barratt, Anthony en_US Gaff, C en_US 2021-11-25T12:49:28Z 2021-11-25T12:49:28Z 2002 en_US
dc.description.abstract This multicentre study examined the influence of patient demographic, disease status and psychological variables on clinical geneticists/genetic counsellors (consultants) behaviours in initial consultations with women from high-risk breast cancer families. One hundred and fifty-eight women completed a pre-clinic self-report questionnaire. The consultations were audiotaped, transcribed verbatim and coded. Consultants did not vary their behaviour according to women's expectations. However, significantly more aspects of genetic testing were discussed with women who were affected with breast cancer (P<0.001), screening and management with unaffected women (P=0.01) and breast cancer prevention with younger women (P=0.01). Prophylactic mastectomy was discussed more frequently with women with medical and allied health training (P=0.02), and prophylactic oophorectomy with women affected with breast cancer (P=0.03), those in non-professional occupations (P=0.04) and with a family history of breast and ovarian cancer (P<0.001). Consultants used significantly more behaviours to facilitate understanding with women who were in non-professional occupations (P=0.04); facilitated active patient involvement more with women affected with breast cancer (P<0.001) and used more supportive and counselling behaviours with affected women (P=0.02). This study showed that patient demographics were more likely to predict consultants' communication behaviours than the woman's psychological status. Methods to facilitate assessment of psychological morbidity are needed to allow more tailored communication. en_US
dc.identifier.issn 0007-0920 en_US
dc.language English
dc.language.iso EN en_US
dc.rights CC BY-NC-ND 3.0 en_US
dc.rights.uri en_US
dc.source Legacy MARC en_US
dc.subject.other consultant communication en_US
dc.subject.other familial breast cancer en_US
dc.subject.other predictors en_US
dc.title Tailoring communication in consultations with women from high risk breast cancer families en_US
dc.type Journal Article en
dcterms.accessRights metadata only access
dspace.entity.type Publication en_US
unsw.description.notePublic The British Journal of Cancer is published by the Nature Publishing Group en_US
unsw.description.publisherStatement Copyright 2002 Cancer Research UK en_US
unsw.identifier.doiPublisher en_US
unsw.relation.faculty Medicine & Health
unsw.relation.ispartofjournal British Journal of Cancer en_US
unsw.relation.ispartofpagefrompageto 502-508 en_US
unsw.relation.ispartofvolume 87 en_US
unsw.relation.originalPublicationAffiliation Lobb, E en_US
unsw.relation.originalPublicationAffiliation Butow, P en_US
unsw.relation.originalPublicationAffiliation Meiser, Bettina, Prince of Wales Clinical School, Faculty of Medicine, UNSW en_US
unsw.relation.originalPublicationAffiliation Barratt, Anthony en_US
unsw.relation.originalPublicationAffiliation Gaff, C en_US Clinical School Prince of Wales Hospital *
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