Results of a randomized study of telephone versus in-person breast cancer risk counseling

Results of a randomized study of telephone versus in-person breast cancer risk counseling
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DOI:
10.1016/j.pec.2005.12.002
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发表时间:
2006-12-01
影响因子:
3.5
通讯作者:
Bowen, Deborah J.
Bowen, Deborah J.
中科院分区:
医学2区
文献类型:
--
作者:
Helmes, Almut W.;Culver, Julie O.;Bowen, Deborah J.

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目的:各种风险水平的女性都表示对获得乳腺癌风险基因检测非常感兴趣。乳腺癌风险咨询可以帮助女性了解她们的风险和适当的检测选择。本研究测量了现场干预和电话干预的效果,并与对照组进行比较。方法:参与者为 340 名女性,通过初级保健医生网络招募。他们收到了邮寄的基线调查问卷,被随机分配到三个研究组之一,并在 3 个月后完成了一项后续调查。结果:两种类型的咨询都非常受欢迎。咨询减少了女性对癌症的担忧、风险认知以及进行基因检测的意愿。面对面咨询和电话咨询都有类似的效果。结论:遗传咨询可用于告知所有风险水平的女性有关乳腺癌的风险。实践意义:乳腺癌风险咨询可以当面或通过电话进行,从而惠及偏远地区的妇女。 (c) 2005 Elsevier Ireland Ltd. 保留所有权利。
Objective: Women of all risk levels have reported high interest in obtaining genetic testing for breast cancer risk. Breast cancer risk counseling may help women to team about their risk and appropriate options of testing. This study measured the effects of an intervention in-person and by telephone, compared to a control group.Methods: Participants were 340 women, recruited through a network of primary care physicians. They received a baseline questionnaire in the mail, were randomized to one of the three study arms, and completed a follow-up survey 3 months later.Results: Both types of counseling were very well received. The counseling decreased women's cancer worry, risk perceptions, and intentions to pursue genetic testing. There were similar effects for both in-person and telephone counseling.Conclusion: Genetic counseling can be used to inform women at all risk levels about their breast cancer risk. Practice implications: Breast cancer risk counseling can be done in-person and by telephone-thereby reaching women in remote areas. (c) 2005 Elsevier Ireland Ltd. All rights reserved.