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Published in: Journal of Genetic Counseling 3/2009

Open Access 01-06-2009 | Original Research

A Systematic Review of the Impact of Genetic Counseling on Risk Perception Accuracy

Authors: Chris M. R. Smerecnik, Ilse Mesters, Eline Verweij, Nanne K. de Vries, Hein de Vries

Published in: Journal of Genetic Counseling | Issue 3/2009

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Abstract

This review presents an overview of the impact of genetic counseling on risk perception accuracy in papers published between January 2000 and February 2007. The results suggest that genetic counseling may have a positive impact on risk perception accuracy, though some studies observed no impact at all, or only for low-risk participants. Several implications for future research can be deduced. First, future researchers should link risk perception changes to objective risk estimates, define risk perception accuracy as the correct counseled risk estimate, and report both the proportion of individuals who correctly estimate their risk and the average overestimation of the risk. Second, as the descriptions of the counseling sessions were generally poor, future research should include more detailed description of these sessions and link their content to risk perception outcomes to allow interpretation of the results. Finally, the effect of genetic counseling should be examined for a wider variety of hereditary conditions. Genetic counselors should provide the necessary context in which counselees can understand risk information, use both verbal and numerical risk estimates to communicate personal risk information, and use visual aids when communicating numerical risk information.
Footnotes
1
Note that the numbers reported here are not consistent; that is, 58% is not a 25% increase from 42%. This inconsistency is due to the fact that all three figures are means of the raw data, which do not have the property of consistency in such calculations.
 
2
Note that the numbers reported here are not consistent; that is, 18% is not an 8% decrease from 25%. This inconsistency is due to the fact that all three figures are means of the raw data, which do not have the property of consistency in such calculations.
 
Literature
go back to reference Burke, W., Culver, J. O., Bowen, D., Lowry, D., Durfy, S., McTiernan, A., et al. (2000). Genetic counseling for women with an intermediate family history of breast cancer. American Journal of Medical Genetics, 90, 361–368. doi:10.1002/(SICI)1096-8628(20000228)90:5<361::AID-AJMG4>3.0.CO;2-8.PubMedCrossRef Burke, W., Culver, J. O., Bowen, D., Lowry, D., Durfy, S., McTiernan, A., et al. (2000). Genetic counseling for women with an intermediate family history of breast cancer. American Journal of Medical Genetics, 90, 361–368. doi:10.1002/(SICI)1096-8628(20000228)90:5<361::AID-AJMG4>3.0.CO;2-8.PubMedCrossRef
go back to reference Butow, P. N., Lobb, E. A., Meiser, B., Barratt, A., & Tucker, K. M. (2003). Psychological outcomes and risk perception after genetic testing and counselling in breast cancer: a systematic review. The Medical Journal of Australia, 178, 77–81.PubMed Butow, P. N., Lobb, E. A., Meiser, B., Barratt, A., & Tucker, K. M. (2003). Psychological outcomes and risk perception after genetic testing and counselling in breast cancer: a systematic review. The Medical Journal of Australia, 178, 77–81.PubMed
go back to reference Chua, H. F., Yates, J. F., & Priti, S. (2006). Risk avoidance: Graphs versus numbers. Memory & Cognition, 34, 399–410.CrossRef Chua, H. F., Yates, J. F., & Priti, S. (2006). Risk avoidance: Graphs versus numbers. Memory & Cognition, 34, 399–410.CrossRef
go back to reference Evans, D. G. R., Blair, V., Greenhalgh, R., Hopwood, P., & Howell, A. (1994). The impact of genetic-counseling on risk perception in women with a family history of breast-cancer. British Journal of Cancer, 70, 934–938.PubMedPubMedCentralCrossRef Evans, D. G. R., Blair, V., Greenhalgh, R., Hopwood, P., & Howell, A. (1994). The impact of genetic-counseling on risk perception in women with a family history of breast-cancer. British Journal of Cancer, 70, 934–938.PubMedPubMedCentralCrossRef
go back to reference Higgins, J. P. T., & Green, S. (Eds.).(2006). Cochrane handbook for systematic reviews of interventions 4.2.6 [updated September 2006]. In: The Cochrane Library, Issue 4, 2006. Chichester, UK: John Wiley & Sons, Ltd. Higgins, J. P. T., & Green, S. (Eds.).(2006). Cochrane handbook for systematic reviews of interventions 4.2.6 [updated September 2006]. In: The Cochrane Library, Issue 4, 2006. Chichester, UK: John Wiley & Sons, Ltd.
go back to reference Hopwood, P., Wonderling, D., Watson, M., Cull, A., Douglas, F., Cole, T., et al. (2004). A randomised comparison of UK genetic risk counselling services for familial cancer: psychosocial outcomes. British Journal of Cancer, 91, 884–892.PubMedPubMedCentralCrossRef Hopwood, P., Wonderling, D., Watson, M., Cull, A., Douglas, F., Cole, T., et al. (2004). A randomised comparison of UK genetic risk counselling services for familial cancer: psychosocial outcomes. British Journal of Cancer, 91, 884–892.PubMedPubMedCentralCrossRef
go back to reference Humphreys, P., & Berkeley, D. (1987). Representing risks: supporting genetic counseling. Birth Defects Original Article Series, 23, 227–250.PubMed Humphreys, P., & Berkeley, D. (1987). Representing risks: supporting genetic counseling. Birth Defects Original Article Series, 23, 227–250.PubMed
go back to reference Janz, N., & Becker, M. H. (1984). The health belief model: A decade later. Health Education Quarterly, 11, 1–47.PubMedCrossRef Janz, N., & Becker, M. H. (1984). The health belief model: A decade later. Health Education Quarterly, 11, 1–47.PubMedCrossRef
go back to reference Julian Reynier, C., Chabal, F., Sobol, H., Aurran, Y., Nogues, C., Vennin, P., et al. (1995). Risk perception, anxiety and attitudes towards predictive testing alter cancer genetic consultations. American Journal of Human Genetics, 57, 1722–1722. Julian Reynier, C., Chabal, F., Sobol, H., Aurran, Y., Nogues, C., Vennin, P., et al. (1995). Risk perception, anxiety and attitudes towards predictive testing alter cancer genetic consultations. American Journal of Human Genetics, 57, 1722–1722.
go back to reference Kent, G., Howie, H., Fletcher, M., Newbury-Ecob, R., & Hosie, K. (2000). The relationship between perceived risk, thought intrusiveness and emotional well-being in women receiving counselling for breast cancer risk in a family history clinic. British Journal of Health Psychology, 5, 15–26. doi:https://doi.org/10.1348/135910700168739.CrossRef Kent, G., Howie, H., Fletcher, M., Newbury-Ecob, R., & Hosie, K. (2000). The relationship between perceived risk, thought intrusiveness and emotional well-being in women receiving counselling for breast cancer risk in a family history clinic. British Journal of Health Psychology, 5, 15–26. doi:https://​doi.​org/​10.​1348/​135910700168739.CrossRef
go back to reference Palmero, E. I., Caleffi, M., Vargas, F. R., Rocha, J. C. C., Giugliani, R., Kalakun, L., et al. (2004). Genetic counseling and cancer risk perception in Brazilian patients at-risk for hereditary breast and ovarian cancer. Journal of Clinical Oncology, 22, 884–884.CrossRef Palmero, E. I., Caleffi, M., Vargas, F. R., Rocha, J. C. C., Giugliani, R., Kalakun, L., et al. (2004). Genetic counseling and cancer risk perception in Brazilian patients at-risk for hereditary breast and ovarian cancer. Journal of Clinical Oncology, 22, 884–884.CrossRef
go back to reference Parrot, R., Silk, K., Dorgan, K., Condit, C., & Harris, T. (2005). Risk comprehension and judgements of statisical evidentiary appeals. When a picture is not worth a thousand words. Human Communication Research, 31, 423–452. Parrot, R., Silk, K., Dorgan, K., Condit, C., & Harris, T. (2005). Risk comprehension and judgements of statisical evidentiary appeals. When a picture is not worth a thousand words. Human Communication Research, 31, 423–452.
go back to reference Rogers, R. W. (1983). Cognitive and physiological processes in fear appeals and attitude change: A revised theory of protection motivation. In T. Cacioppo, & R. E. Petty (Eds.), Social psychophysiology: A sourcebook (pp. 153–176). New York: Guilford Press. Rogers, R. W. (1983). Cognitive and physiological processes in fear appeals and attitude change: A revised theory of protection motivation. In T. Cacioppo, & R. E. Petty (Eds.), Social psychophysiology: A sourcebook (pp. 153–176). New York: Guilford Press.
go back to reference Warner, E., Carroll, J. C., Heisey, R. E., Goel, V., Meschino, W. S., Lickley, H. L., et al. (2003). Educating women about breast cancer. An intervention for women with a family history of breast cancer. Canadian Family Physician Medecin de Famille Canadien, 49, 56–63.PubMedPubMedCentral Warner, E., Carroll, J. C., Heisey, R. E., Goel, V., Meschino, W. S., Lickley, H. L., et al. (2003). Educating women about breast cancer. An intervention for women with a family history of breast cancer. Canadian Family Physician Medecin de Famille Canadien, 49, 56–63.PubMedPubMedCentral
go back to reference Witte, K. (1992). Putting the fear back into fear appeals: The extended parallel process model (EPPM). Communication Monographs, 59, 329–349.CrossRef Witte, K. (1992). Putting the fear back into fear appeals: The extended parallel process model (EPPM). Communication Monographs, 59, 329–349.CrossRef
Metadata
Title
A Systematic Review of the Impact of Genetic Counseling on Risk Perception Accuracy
Authors
Chris M. R. Smerecnik
Ilse Mesters
Eline Verweij
Nanne K. de Vries
Hein de Vries
Publication date
01-06-2009
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 3/2009
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-008-9210-z

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