A pre-visit website with question prompt sheet for counselees facilitates communication in the first consultation for breast cancer genetic counseling: findings from a randomized controlled trial
A pre-visit website with question prompt sheet for counselees facilitates communication in the first consultation for breast cancer genetic counseling: findings from a randomized controlled trial
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DOI：
10.1038/gim.2011.42
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发表时间：
2012-05-01
影响因子：
8.8
通讯作者：
Bensing, Jozien M.
中科院分区：
文献类型：
--
作者：
Albada, Akke;van Dulmen, Sandra;Bensing, Jozien M.
目的：最初的乳腺癌遗传咨询访问主要是教育性的，有大量的相对标准的信息和很少的咨询参与。如果受辅导者更多地参与，辅导员可能会提供更多的受辅导者特定信息。一个访问前的网站，提供计算机定制的信息和问题提示表（QPS）可能会帮助辅导员追求更积极的role.Methods：辅导员随机接受常规护理（UC）或UC加访问前的网站。QPS问题在访问前发送给顾问。所有consulees完成了基线问卷调查，并访问了video recorded.Results：干预组consulees（n = 102）没有问更多的问题比UC组consulees（n = 90）。然而，干预组的咨询人员更经常分享他们的议程，（B = 10.37;置信区间（CI）2.68-18.06; P = 0.01），指导沟通（B = 0.41; CI 0.28-0.53; P = 0.01），并对辅导员的话进行释义（B = 5.18; CI 0.43-9.92; P = 0.03）。辅导员介绍并回答了QPS的问题。因此，他们提供了更多的信息，这些问题的主题，所提供的信息是更具体的，是否有一个DNA测试的迹象。结论：一个访问前的网站与QPS帮助辅导员更自信地沟通。因此，所提供的信息更加具体，而不影响访问时间。
Purpose: The initial breast cancer genetic counseling visit is mainly educational, with large amounts of relatively standard information and little counselee participation. Counselors might provide More counselee-specific information if counselees would participate more. A pre-visit website providing computer-tailored information and a question prompt sheet (QPS) might help counselees to pursue a more active role.Methods: Counselees were randomized to receive usual care (UC) or UC plus the pre-visit website. The QPS questions were sent to the counselor before the visit. All counselees completed a baseline questionnaire, and visits were videotaped.Results: Intervention-group counselees (n = 102) did not ask more questions than UC-group counselees (n = 90). However, counselees in the intervention group more often shared their agenda (B = 10.37; confidence interval (CI) 2.68-18.06; P = 0.01), directed the communication (B = 0.41; CI 0.28-0.53; P = 0.01), and paraphrased the counselors' words (B = 5.18; CI 0.43-9.92; P = 0.03). Counselors introduced and answered the QPS questions. As a result, they provided more information about the topics of these questions, and the information provided was more specific to whether there was an indication for DNA testing.Conclusion: A pre-visit website with QPS helped counselees to communicate more assertively. As a result, the information provided was more counselee specific, without affecting the visit duration.