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Genetic counseling communication with an African American BRCA1 kindred

Author

Listed:
  • Ellington, Lee
  • Maxwel, Amiee
  • Baty, Bonnie J.
  • Roter, Debra
  • Dudley, William N.
  • Kinney, Anita Y.

Abstract

We studied communication in genetic counseling sessions conducted with an African American, Breast Cancer 1, Early Onset (BRCA1) kindred in the USA. The Roter Interaction Analysis System (RIAS) was used to code and compare two sessions of 46 participants (26 females and 20 males) before and after they underwent genetic testing. Three certified genetic counselors and one medical geneticist conducted the sessions. When compared to pre-test communication, most of the providers' post-test communication was devoted to the provision of biomedical information (including screening recommendations) with fewer questions and psychosocial statements. Clients contributed a similar proportion to the total session dialogue in pre- and post-test sessions (40%). A larger proportion of their post-test session was devoted to indicating receptiveness to provider information than in the pre-test session. We found when providers were informing clients that they were BRCA1 mutation carriers, they provided more biomedical and psychosocial information and asked more psychosocial questions than when talking with non-carriers. This study provides the first description of genetic counseling communication for pre- and post-test BRCA1 sessions with African American individuals.

Suggested Citation

  • Ellington, Lee & Maxwel, Amiee & Baty, Bonnie J. & Roter, Debra & Dudley, William N. & Kinney, Anita Y., 2007. "Genetic counseling communication with an African American BRCA1 kindred," Social Science & Medicine, Elsevier, vol. 64(3), pages 724-734, February.
    • Handle: RePEc:eee:socmed:v:64:y:2007:i:3:p:724-734
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    Citations

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    Cited by:

    1. Albada, Akke & Ausems, Margreet G.E.M. & van Dulmen, Sandra, 2014. "Counselee participation in follow-up breast cancer genetic counselling visits and associations with achievement of the preferred role, cognitive outcomes, risk perception alignment and perceived perso," Social Science & Medicine, Elsevier, vol. 116(C), pages 178-186.
    2. Butrick, Morgan N. & Vanhusen, Lauren & Leventhal, Kara-Grace & Hooker, Gillian W. & Nusbaum, Rachel & Peshkin, Beth N. & Salehizadeh, Yasmin & Pavlick, Jessica & Schwartz, Marc D. & Graves, Kristi D., 2014. "Discussing race-related limitations of genomic testing for colon cancer risk: Implications for education and counseling," Social Science & Medicine, Elsevier, vol. 114(C), pages 26-37.

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