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Published in: Journal of Genetic Counseling 2/2006

01-04-2006 | Original Article

A Qualitative Study of Health Professionals' Views Regarding Provision of Information About Health-Protective Behaviors During Genetic Consultation for Breast Cancer

Authors: Gwyneth Rees, Mary-Anne Young, Clara Gaff, Paul R. Martin

Published in: Journal of Genetic Counseling | Issue 2/2006

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Abstract

This study aimed to explore health professionals' views and practice regarding the provision of information about health-protective behaviors (e.g., exercise, alcohol consumption, diet) during genetic consultation for breast cancer. Ten genetic counselors participated in three focus groups, and seven medical specialists were interviewed in a focus group or individually. Data was analyzed using the constant comparative method. Findings suggested that health professionals held differing, often opposing, views about the value of health-protective behaviors for women at increased risk of breast cancer. The content and extent of information provided about health-protective behaviors varied widely, and participants expressed a need to form consensus regarding information provision both within and across clinics. The main barriers to providing information regarding health-protective behaviors included the lack of research evidence regarding the impact of these factors and higher priority of other information need to be provided in the limited consultation time. Participants generally did not consider it their role to promote health-protective behaviors, and were concerned about the psychological impact of providing information about behavioral risk factors during genetic consultations.
Literature
go back to reference Biesecker, B. B., & Marteau, T. M. (1999). The future of genetic counselling: an international perspective. Nat Genet, 22, 133–137.CrossRef Biesecker, B. B., & Marteau, T. M. (1999). The future of genetic counselling: an international perspective. Nat Genet, 22, 133–137.CrossRef
go back to reference Biesecker, B. B., & Peters, K. F. (2001). Process studies in genetic counseling: Peering into the black box. Am J Med Genet, 106, 191–198.PubMedCrossRef Biesecker, B. B., & Peters, K. F. (2001). Process studies in genetic counseling: Peering into the black box. Am J Med Genet, 106, 191–198.PubMedCrossRef
go back to reference Brain, K., Gray, J., Norman, P., Parsons, E., Clarke, A., Rogers, C., et al. (2000). Why do women attend familial breast cancer clinics? J Med Genet, 37, 197–202.PubMedCrossRef Brain, K., Gray, J., Norman, P., Parsons, E., Clarke, A., Rogers, C., et al. (2000). Why do women attend familial breast cancer clinics? J Med Genet, 37, 197–202.PubMedCrossRef
go back to reference Butow, P. N., Hiller, J. E., Price, M. A., Thackway, S. V., Kricker, A., & Tennant, C. C. (2000). Epidemiological evidence for a relationship between life events, coping style, and personality factors in the development of breast cancer. J Psychosom Res, 49(3), 169–181.PubMedCrossRef Butow, P. N., Hiller, J. E., Price, M. A., Thackway, S. V., Kricker, A., & Tennant, C. C. (2000). Epidemiological evidence for a relationship between life events, coping style, and personality factors in the development of breast cancer. J Psychosom Res, 49(3), 169–181.PubMedCrossRef
go back to reference Butow, P. N., & Lobb, E. A. (2004). Analyzing the process and content of genetic counseling in familial breast cancer consultations. J Genet Couns, 13(5), 403–424.PubMedCrossRef Butow, P. N., & Lobb, E. A. (2004). Analyzing the process and content of genetic counseling in familial breast cancer consultations. J Genet Couns, 13(5), 403–424.PubMedCrossRef
go back to reference Carpenter, C. L., Ross, R. K., Paganini-Hill, A., & Bernstein, L. (2003). Effect of family history, obesity and exercise on breast cancer risk among postmenopausal women. Int J Cancer, 106, 96–102.PubMedCrossRef Carpenter, C. L., Ross, R. K., Paganini-Hill, A., & Bernstein, L. (2003). Effect of family history, obesity and exercise on breast cancer risk among postmenopausal women. Int J Cancer, 106, 96–102.PubMedCrossRef
go back to reference Emmons, K. M., Kalkbrenner, K. J., Klar, N., Light, T., Schneider, A., & Garber, J. E. (2000). Behavioral risk factors among women presenting for genetic testing. Cancer Epidemiol Biomarkers Prev, 9, 89–94.PubMed Emmons, K. M., Kalkbrenner, K. J., Klar, N., Light, T., Schneider, A., & Garber, J. E. (2000). Behavioral risk factors among women presenting for genetic testing. Cancer Epidemiol Biomarkers Prev, 9, 89–94.PubMed
go back to reference Ford, C., Easton, D. F., & Peto, J. (1995). Estimates of the gene frequency of BRCA1 and its contribution to breast and ovarian cancer incidence. Am J Hum Genet, 57, 1457–1462.PubMed Ford, C., Easton, D. F., & Peto, J. (1995). Estimates of the gene frequency of BRCA1 and its contribution to breast and ovarian cancer incidence. Am J Hum Genet, 57, 1457–1462.PubMed
go back to reference Friedenreich, C. M., & Orenstein, M. R. (2002). Physical activity and cancer prevention: Etiologic evidence and biological mechanisms. J Nutr, 132(11S), S3456–S3464. Friedenreich, C. M., & Orenstein, M. R. (2002). Physical activity and cancer prevention: Etiologic evidence and biological mechanisms. J Nutr, 132(11S), S3456–S3464.
go back to reference Gibbs, G. (2002). Qualitative data analysis: Explorations with NVIVO. Buckingham: Open University Press. Gibbs, G. (2002). Qualitative data analysis: Explorations with NVIVO. Buckingham: Open University Press.
go back to reference Goodwin, P. J. (2000). Management of familial breast cancer risk. Breast Cancer Res Treat, 62(1), 19–33.PubMedCrossRef Goodwin, P. J. (2000). Management of familial breast cancer risk. Breast Cancer Res Treat, 62(1), 19–33.PubMedCrossRef
go back to reference Hamajima, N. (2002). Collaborative group on hormonal factors in breast cancer. Alcohol, tobacco and breast cancer- collaborative reanalysis of individual data from 53 epidemiological studies including 58,515 women with breast cancer and 98,067 women without the disease. Br J Cancer, 87(11), 1234–1245.PubMedCrossRef Hamajima, N. (2002). Collaborative group on hormonal factors in breast cancer. Alcohol, tobacco and breast cancer- collaborative reanalysis of individual data from 53 epidemiological studies including 58,515 women with breast cancer and 98,067 women without the disease. Br J Cancer, 87(11), 1234–1245.PubMedCrossRef
go back to reference International Agency for Research on Cancer [IARC]. (2002). Working group on the evaluation of cancer-preventive agents. Weight control and physical activity. IARC Handbooks of cancer prevention. Vol. 6. Lyon, France: IARC. International Agency for Research on Cancer [IARC]. (2002). Working group on the evaluation of cancer-preventive agents. Weight control and physical activity. IARC Handbooks of cancer prevention. Vol. 6. Lyon, France: IARC.
go back to reference Johnson, K. C., Dixon, J. M., & Steel, C. M. (2001). Risk factors for breast cancer. Br Med J, 322(7282), 365.CrossRef Johnson, K. C., Dixon, J. M., & Steel, C. M. (2001). Risk factors for breast cancer. Br Med J, 322(7282), 365.CrossRef
go back to reference King, M., Marks, J. H., & Mandell, J. B. (2003). Breast and ovarian cancer risk due to inherited mutations in BRCA1 and BRCA2. Science, 302, 643–646.PubMedCrossRef King, M., Marks, J. H., & Mandell, J. B. (2003). Breast and ovarian cancer risk due to inherited mutations in BRCA1 and BRCA2. Science, 302, 643–646.PubMedCrossRef
go back to reference Krueger, R. A., King, J. A., & Morgan, D. L. (1998). Focus group kit. California: Sage. Krueger, R. A., King, J. A., & Morgan, D. L. (1998). Focus group kit. California: Sage.
go back to reference Lobb, E. A., Butow, P. N., Meiser, B., Barratt, A., Young, M. A., Kirk, J., et al. (2002). Tailoring communication in consultations with women from high risk breast cancer families. Br J Cancer, 87, 502–508.PubMedCrossRef Lobb, E. A., Butow, P. N., Meiser, B., Barratt, A., Young, M. A., Kirk, J., et al. (2002). Tailoring communication in consultations with women from high risk breast cancer families. Br J Cancer, 87, 502–508.PubMedCrossRef
go back to reference Lobb, E. A., Butow, P. N., Meiser, B., Tucker, K., & Barratt, A. (2001). How do geneticists and genetic counselors counsel women from high-risk breast cancer families? J Genet Couns, 10(2), 185–199.CrossRef Lobb, E. A., Butow, P. N., Meiser, B., Tucker, K., & Barratt, A. (2001). How do geneticists and genetic counselors counsel women from high-risk breast cancer families? J Genet Couns, 10(2), 185–199.CrossRef
go back to reference Maykut, P., & Morehouse, R. (1994). Qualitative data analysis: Using the constant comparative method. In Beginning qualitative research: A philosophic and practical puide. (pp. 126–149). London: Falmer Press. Maykut, P., & Morehouse, R. (1994). Qualitative data analysis: Using the constant comparative method. In Beginning qualitative research: A philosophic and practical puide. (pp. 126–149). London: Falmer Press.
go back to reference McPherson, K., Steel, C. M., & Dixon, J. M. (2000). ABC of breast diseases: Breast cancer epidemiology, risk factors, and genetics. Br Med J, 321(7261), 624–628.CrossRef McPherson, K., Steel, C. M., & Dixon, J. M. (2000). ABC of breast diseases: Breast cancer epidemiology, risk factors, and genetics. Br Med J, 321(7261), 624–628.CrossRef
go back to reference McTiernan, A. (2003). Behavioral risk factors in breast cancer: Can risk be modified? Oncologist, 8(4), 326–334.PubMedCrossRef McTiernan, A. (2003). Behavioral risk factors in breast cancer: Can risk be modified? Oncologist, 8(4), 326–334.PubMedCrossRef
go back to reference Michie, S., Johnston, M., Abraham, C., Lawton, R., Parker, D., & Walker, A. (2005). Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care, 14, 26–33.PubMedCrossRef Michie, S., Johnston, M., Abraham, C., Lawton, R., Parker, D., & Walker, A. (2005). Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care, 14, 26–33.PubMedCrossRef
go back to reference National Health and Medical Research Council [NHMRC]. (1999). Familial aspects of cancer: a guide to clinical practice: NHMRC. National Health and Medical Research Council [NHMRC]. (1999). Familial aspects of cancer: a guide to clinical practice: NHMRC.
go back to reference Pichert, G., Bolliger, B., Buser, K., & Pagani, O. (2003). Evidence-based management options for women at increased breast/ovarian cancer risk. Ann Oncol, 14, 9–19.PubMedCrossRef Pichert, G., Bolliger, B., Buser, K., & Pagani, O. (2003). Evidence-based management options for women at increased breast/ovarian cancer risk. Ann Oncol, 14, 9–19.PubMedCrossRef
go back to reference Rice, P. L., & Ezzy, D. (1999). Qualitative research methods: A health focus. New York: Oxford University Press. Rice, P. L., & Ezzy, D. (1999). Qualitative research methods: A health focus. New York: Oxford University Press.
go back to reference Trepanier, A., Ahrens, M., McKinnon, W., Peters, J., Stopfer, J., Grumet, S., et al. (2004). Genetic Cancer Risk Assessment and Counseling: Recommendations of the National Society of Genetic Counselors. J Genet Couns, 13(2), 83–114.PubMedCrossRef Trepanier, A., Ahrens, M., McKinnon, W., Peters, J., Stopfer, J., Grumet, S., et al. (2004). Genetic Cancer Risk Assessment and Counseling: Recommendations of the National Society of Genetic Counselors. J Genet Couns, 13(2), 83–114.PubMedCrossRef
go back to reference Vachon, C. M., Cerhan, J. R., Vierkant, R. A., & Sellers, T. A. (2001). Investigation of an interaction of alcohol intake and family history of breast cancer risk in the Minnesota Breast Cancer Family Study. Cancer Epidemiol Biomarkers Prev, 92(2), 240–248. Vachon, C. M., Cerhan, J. R., Vierkant, R. A., & Sellers, T. A. (2001). Investigation of an interaction of alcohol intake and family history of breast cancer risk in the Minnesota Breast Cancer Family Study. Cancer Epidemiol Biomarkers Prev, 92(2), 240–248.
go back to reference Vaughn, S., Schumm, J. S., & Sinagub, J. (1996). Focus group interviews in education and psychology. California: Sage. Vaughn, S., Schumm, J. S., & Sinagub, J. (1996). Focus group interviews in education and psychology. California: Sage.
go back to reference Wang, C., Gonzalez, R., & Merajver, S. D. (2004). Assessment of genetic testing and related counseling services: current research and future directions. Soc Sci Med, 58(7), 1427–1442.PubMedCrossRef Wang, C., Gonzalez, R., & Merajver, S. D. (2004). Assessment of genetic testing and related counseling services: current research and future directions. Soc Sci Med, 58(7), 1427–1442.PubMedCrossRef
go back to reference Weil, J. (2003). Psychosocial genetic counselling in the post-nondirective era: A point of view. J Genet Couns, 12(3), 199–211.PubMedCrossRef Weil, J. (2003). Psychosocial genetic counselling in the post-nondirective era: A point of view. J Genet Couns, 12(3), 199–211.PubMedCrossRef
Metadata
Title
A Qualitative Study of Health Professionals' Views Regarding Provision of Information About Health-Protective Behaviors During Genetic Consultation for Breast Cancer
Authors
Gwyneth Rees
Mary-Anne Young
Clara Gaff
Paul R. Martin
Publication date
01-04-2006
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 2/2006
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-005-9009-0

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