A systematic review of theory-informed strategies used in interventions fostering family genetic risk communication.
A systematic review of theory-informed strategies used in interventions fostering family genetic risk communication.
复制标题
一项系统性综述，对促进家庭遗传风险沟通的干预措施中使用的理论指导策略进行了综述。
DOI：
10.1016/j.pec.2022.03.009
复制
发表时间：
2022-07
影响因子：
3.5
通讯作者：
McBride, Colleen M.
中科院分区：
文献类型：
--
作者：
Zhao, Jingsong;Guan, Yue;McBride, Colleen M.
遗传风险是一个家庭问题。确定携带致病基因变异的家庭成员可能会增加患癌症和其他慢性病的风险，这可能会挽救受影响的人的生命。研究问题是：(1)哪些家庭沟通框架已经被应用，(2)干预策略如何与这些理论相对应，以及(3)家庭对这些策略和沟通的接受度有多高？在三个数据库中检索2010年1月至2020年8月发表的手稿：PubMed、SqucINFO和Web of Science。共确定了9项干预试验。所有干预措施都是在临床遗传咨询环境中使用至少一种个人水平的策略(例如增加知识)进行评估的。只有三个人专注于二元对话，比如为亲戚的信息需求做准备。这一系统的综述提出了一个问题，即基于理论的方法是否已被应用于促进家庭遗传风险沟通。需要更多地注意利用二元水平和家庭系统水平的理论来指导干预发展。最后，我们呼吁加快和扩大干预措施的开发，以使家庭能够就遗传风险进行沟通，这些干预措施以理论为基础，纳入了家庭系统的思维，并在专科诊所之外进行。
Inherited risk is a family issue. Identifying family members who carry a pathogenic genetic variant that increases risk of cancers and other chronic diseases can be lifesaving for those affected. The research questions are: (1) which family communication frameworks have been applied, (2) how do intervention strategies employed map to these theories, and (3) to what extent were families receptive to these strategies and communication increased? Manuscripts published between January 2010 and August 2020 were searched in three databases: PubMed, PsycINFO, and Web of Science. Nine intervention trials were identified. All interventions were evaluated in clinical genetic counseling contexts using at least one individual-level strategy (e.g. increase knowledge). Only three focused on dyadic conversations such as preparing for relatives’ information needs. This systematic review posed the question whether theoretically based approaches have been applied to foster family genetic risk communication. Greater attention needs to be paid to the utilization of dyadic level and family system level theories to guide intervention developments. We conclude by calling for accelerating and broadening the development of interventions to enable family communication about inherited risk that are theory-based, incorporate family-systems thinking, and are conducted outside of specialty clinic settings.
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DOI：
10.1016/0749-5978(91)90020-t
发表时间：
1991-12-01
影响因子：
4.6
作者：
AJZEN, I
通讯作者：
AJZEN, I
影响因子：
3.5
作者：
Dean M;Tezak AL;Johnson S;Pierce JK;Weidner A;Clouse K;Pal T;Cragun D
通讯作者：
Cragun D
影响因子：
1.9
作者：
Black, Lee;McClellan, Kelly A.;Knoppers, Bartha Maria
通讯作者：
Knoppers, Bartha Maria
影响因子：
3.5
作者：
Bowen DJ;Makhnoon S;Shirts BH;Fullerton SM;Larson E;Ralston JD;Leppig K;Crosslin DR;Veenstra D;Jarvik GP
通讯作者：
Jarvik GP
影响因子：
1.9
作者：
Fehniger, Julia;Lin, Feng;Kaplan, Celia
通讯作者：
Kaplan, Celia