Skip to main content
Top
Published in: Journal of Genetic Counseling 5/2010

01-10-2010 | Original Research

Women’s Experience of Telehealth Cancer Genetic Counseling

Authors: Elvira M. Zilliacus, Bettina Meiser, Elizabeth A. Lobb, Judy Kirk, Linda Warwick, Katherine Tucker

Published in: Journal of Genetic Counseling | Issue 5/2010

Login to get access

Abstract

Telegenetics offers an alternative model of delivering genetic counseling to rural and outreach areas; however there is a dearth of qualitative research into the patient’s experience. Twelve women who had received telemedicine genetic counseling for hereditary breast and/or ovarian cancer (HBOC) within the previous 12 months participated in a semi-structured telephone interview. The interview explored women’s experience with telegenetics, satisfaction, perceived advantages and disadvantages and quality of the interaction with their genetic professionals. Overall women were highly satisfied with telegenetics. Telegenetics offered them convenience and reduced travel and associated costs. The majority of women described feeling a high degree of social presence, or rapport, with the off-site genetic clinician. One woman with a recent cancer diagnosis, reported that telemedicine was unable to meet her needs for psychosocial support. This finding highlights the need to be mindful of the psychosocial support needs of women with a recent diagnosis being seen via telegenetics. Patients attending for HBOC genetic counseling are generally highly satisfied with the technology and the interaction. Care should be taken, however, with patients with more complex psychosocial needs.
Appendix
Available only for authorised users
Literature
go back to reference Abrams, D., & Geier, M. (2006). A comparison of patient satisfaction with telehealth and on-site consultations: a pilot study for prenatal genetic counseling. Journal of Genetic Counseling, 15(3), 199–205.PubMedCrossRef Abrams, D., & Geier, M. (2006). A comparison of patient satisfaction with telehealth and on-site consultations: a pilot study for prenatal genetic counseling. Journal of Genetic Counseling, 15(3), 199–205.PubMedCrossRef
go back to reference Allen, A., & Hayes, J. (1995). Patient satisfaction with teleoncology: A pilot study. Telemedicine Journal, 1(1), 41–46.PubMedCrossRef Allen, A., & Hayes, J. (1995). Patient satisfaction with teleoncology: A pilot study. Telemedicine Journal, 1(1), 41–46.PubMedCrossRef
go back to reference Armstrong, D., Mickie, S., et al. (1998). Revealed Identity: A study of the process of genetic counselling. Social Science and Medicine, 47(1), 1653–1658.PubMedCrossRef Armstrong, D., Mickie, S., et al. (1998). Revealed Identity: A study of the process of genetic counselling. Social Science and Medicine, 47(1), 1653–1658.PubMedCrossRef
go back to reference Baumanis, L., Evans, J., et al. (2009). Telephoned BRCA1/2 genetic test results: prevalence, practice and patient satisfaction. Journal of Genetic Counseling, 18, 447–463.PubMedCrossRef Baumanis, L., Evans, J., et al. (2009). Telephoned BRCA1/2 genetic test results: prevalence, practice and patient satisfaction. Journal of Genetic Counseling, 18, 447–463.PubMedCrossRef
go back to reference Beeson, D. (1997). Nuance, complexity, and context: qualitative methods in genetic counseling research. Journal of Genetic Counseling, 6(1), 21–43.PubMedCrossRef Beeson, D. (1997). Nuance, complexity, and context: qualitative methods in genetic counseling research. Journal of Genetic Counseling, 6(1), 21–43.PubMedCrossRef
go back to reference Bishop, J. E., Reilly, R. L., et al. (2002). Client satisfaction in a feasibility study comparing face-to-face interviews with telepsychiatry. Journal of Telemedicine and Telecare, 8, 217–221.PubMedCrossRef Bishop, J. E., Reilly, R. L., et al. (2002). Client satisfaction in a feasibility study comparing face-to-face interviews with telepsychiatry. Journal of Telemedicine and Telecare, 8, 217–221.PubMedCrossRef
go back to reference Bjorvatn, C., Eide, G. E., et al. (2007). Risk perception, worry and satisfaction related to genetic counseling for hereditary cancer. Journal of Genetic Counseling, 16(2), 211–222.PubMedCrossRef Bjorvatn, C., Eide, G. E., et al. (2007). Risk perception, worry and satisfaction related to genetic counseling for hereditary cancer. Journal of Genetic Counseling, 16(2), 211–222.PubMedCrossRef
go back to reference Bloor, M. (1997). Addressing social problems through qualitative research. Qualitative research: Theory, method and practice. D. Silverman. London, Sage. Bloor, M. (1997). Addressing social problems through qualitative research. Qualitative research: Theory, method and practice. D. Silverman. London, Sage.
go back to reference Bulik, R. (2008). Human factors in primary care telemedicine encounters. Journal of Telemedicine and Telecare, 14, 169–172.PubMedCrossRef Bulik, R. (2008). Human factors in primary care telemedicine encounters. Journal of Telemedicine and Telecare, 14, 169–172.PubMedCrossRef
go back to reference Callahan, E., Hilty, D., et al. (1998). Patient satisfaction with telemedicine consultation in primary care: comparison of ratings of medical and mentalhealth applications. Telemedicine Journal, 4, 363–369.PubMedCrossRef Callahan, E., Hilty, D., et al. (1998). Patient satisfaction with telemedicine consultation in primary care: comparison of ratings of medical and mentalhealth applications. Telemedicine Journal, 4, 363–369.PubMedCrossRef
go back to reference Clark, S., Bluman, L. G., et al. (2000). Patient motivation, satisfaction, and coping in genetic counseling and testing for BRCA1 and BRCA2. Journal of Genetic Counseling, 9(3), 219–235.PubMedCrossRef Clark, S., Bluman, L. G., et al. (2000). Patient motivation, satisfaction, and coping in genetic counseling and testing for BRCA1 and BRCA2. Journal of Genetic Counseling, 9(3), 219–235.PubMedCrossRef
go back to reference Coelho, J., Arnold, A., et al. (2005). An assessment of the efficacy of cancer genetic counselling using real-time videoconferencing technology (telemedicine) compared to face-to-face consultations. European Journal of Cancer, 41, 2257–2261.PubMedCrossRef Coelho, J., Arnold, A., et al. (2005). An assessment of the efficacy of cancer genetic counselling using real-time videoconferencing technology (telemedicine) compared to face-to-face consultations. European Journal of Cancer, 41, 2257–2261.PubMedCrossRef
go back to reference Collins, K., Nicolson, P., et al. (2000). Patient satisfaction in telemedicine. Health Informatics Journal, 6, 81–85.CrossRef Collins, K., Nicolson, P., et al. (2000). Patient satisfaction in telemedicine. Health Informatics Journal, 6, 81–85.CrossRef
go back to reference Collins, K., Walters, S., et al. (2004). Patient satisfaction with teledermatology: Quantitative and qualitative results from a randomized controlled trial. Journal of Telemedicine and Telecare, 10(1), 29–33.PubMedCrossRef Collins, K., Walters, S., et al. (2004). Patient satisfaction with teledermatology: Quantitative and qualitative results from a randomized controlled trial. Journal of Telemedicine and Telecare, 10(1), 29–33.PubMedCrossRef
go back to reference Connors, H. R. (2002). Telehealth technologies enhance children’s health care. Journal of Professional Nursing, 18(6), 311–312.PubMedCrossRef Connors, H. R. (2002). Telehealth technologies enhance children’s health care. Journal of Professional Nursing, 18(6), 311–312.PubMedCrossRef
go back to reference Craig, J., Russell, C., et al. (1999). User satisfaction with realtime teleneurology. Journal of Telemedicine and Telecare, 5, 237–241.PubMedCrossRef Craig, J., Russell, C., et al. (1999). User satisfaction with realtime teleneurology. Journal of Telemedicine and Telecare, 5, 237–241.PubMedCrossRef
go back to reference Davey, A., Rostant, K., et al. (2005). Evaluating genetic counseling: Client expectations, psychological adjustment and satisfaction with service. Journal of Genetic Counseling, 14(3), 197–206.PubMedCrossRef Davey, A., Rostant, K., et al. (2005). Evaluating genetic counseling: Client expectations, psychological adjustment and satisfaction with service. Journal of Genetic Counseling, 14(3), 197–206.PubMedCrossRef
go back to reference DeMarco, T. A., Smith, K. L., et al. (2007). Practical aspects of delivering hereditary cancer risk counseling. Seminars in Oncology, 34(5), 369–378.PubMedCrossRef DeMarco, T. A., Smith, K. L., et al. (2007). Practical aspects of delivering hereditary cancer risk counseling. Seminars in Oncology, 34(5), 369–378.PubMedCrossRef
go back to reference Dongier, M., Tempier, R., et al. (1986). Telepsychiatry: Psychiatric consultation through two-way television. A controlled study. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 31, 32–34.PubMedCrossRef Dongier, M., Tempier, R., et al. (1986). Telepsychiatry: Psychiatric consultation through two-way television. A controlled study. Canadian Journal of Psychiatry. Revue Canadienne de Psychiatrie, 31, 32–34.PubMedCrossRef
go back to reference Doolittle, G., & Allen, A. (1997). Practising oncology via telemedicine. Journal of Telemedicine and Telecare, 3, 63–70.PubMedCrossRef Doolittle, G., & Allen, A. (1997). Practising oncology via telemedicine. Journal of Telemedicine and Telecare, 3, 63–70.PubMedCrossRef
go back to reference Elford, R., White, H., et al. (2000). A randomised, controlled trial of child psychiatric assessemnts conducted using videoconferencing. Journal of Telemedicine and Telecare, 6, 73–82.PubMedCrossRef Elford, R., White, H., et al. (2000). A randomised, controlled trial of child psychiatric assessemnts conducted using videoconferencing. Journal of Telemedicine and Telecare, 6, 73–82.PubMedCrossRef
go back to reference Fitzpatrick, R., & White, D. (1997). Public participation in the evaluation of health care. Health & Social Care in the Community, 5, 3–8.CrossRef Fitzpatrick, R., & White, D. (1997). Public participation in the evaluation of health care. Health & Social Care in the Community, 5, 3–8.CrossRef
go back to reference Gattas, M., MacMillan, J., et al. (2001). Telemedicine and clinical genetics: Establishing a successful service. Journal of Telemedicine and Telecare, 7(supp 2), 68–70.PubMedCrossRef Gattas, M., MacMillan, J., et al. (2001). Telemedicine and clinical genetics: Establishing a successful service. Journal of Telemedicine and Telecare, 7(supp 2), 68–70.PubMedCrossRef
go back to reference Gray, J. (2000). A pilot study of telegenetics. Journal of Telemedicine and Telecare, 6, 245–247.PubMedCrossRef Gray, J. (2000). A pilot study of telegenetics. Journal of Telemedicine and Telecare, 6, 245–247.PubMedCrossRef
go back to reference Green, M. J., Peterson, S. K., et al. (2004). Effect of a computer-based decision aid on knowledge, perceptions, and intentions about genetic testing for breast cancer susceptibility: A randomized controlled trial. JAMA, 292(4), 442–452.PubMedPubMedCentralCrossRef Green, M. J., Peterson, S. K., et al. (2004). Effect of a computer-based decision aid on knowledge, perceptions, and intentions about genetic testing for breast cancer susceptibility: A randomized controlled trial. JAMA, 292(4), 442–452.PubMedPubMedCentralCrossRef
go back to reference Hudnall Stamm, B., & Perednia, D. A. (2000). Evaluating psychosocial aspects of telemedicine and telehealth systems. [Miscellaneous article]. Professional Psychology, Research and Practice, 31(2), 184–189.CrossRef Hudnall Stamm, B., & Perednia, D. A. (2000). Evaluating psychosocial aspects of telemedicine and telehealth systems. [Miscellaneous article]. Professional Psychology, Research and Practice, 31(2), 184–189.CrossRef
go back to reference Hughes Halbert, C., Schwartz, M., et al. (2004). Predictors of cognitive appraisals following genetic testing for BRCA1 and BRCA2 mutations. Journal of Behavioral Medicine, 27(4), 373–392.CrossRef Hughes Halbert, C., Schwartz, M., et al. (2004). Predictors of cognitive appraisals following genetic testing for BRCA1 and BRCA2 mutations. Journal of Behavioral Medicine, 27(4), 373–392.CrossRef
go back to reference Hunter, A., Cappelli, M., et al. (2005). A randomized trial comparing alternative approaches to prenatal diagnosis counseling in advanced maternal age patients. Clinical Genetics, 67(4), 303–313.PubMedCrossRef Hunter, A., Cappelli, M., et al. (2005). A randomized trial comparing alternative approaches to prenatal diagnosis counseling in advanced maternal age patients. Clinical Genetics, 67(4), 303–313.PubMedCrossRef
go back to reference Iredale, R., Gray, J., et al. (2002). Telegenetics: A pilot study of video-mediated genetic consultations in Wales. International Journal of Medical Marketing, 2(2), 130–135.CrossRef Iredale, R., Gray, J., et al. (2002). Telegenetics: A pilot study of video-mediated genetic consultations in Wales. International Journal of Medical Marketing, 2(2), 130–135.CrossRef
go back to reference Karp, W. B., Grisby, K., et al. (2000). Use of Telemedicine for children with special health care needs. Pediatrics, 105, 843–847.PubMedCrossRef Karp, W. B., Grisby, K., et al. (2000). Use of Telemedicine for children with special health care needs. Pediatrics, 105, 843–847.PubMedCrossRef
go back to reference Knudsen, C. (2002). Video mediated communication: producing a sense of presence between individuals in shared virtual reality. Educational conferencing: Video and text traditions. Proceedings of the First International Simposium on Educational Conferencing (ISEC). J. Baggaley, P. Fahy and C. O’Hagan. Banff, Alberta, Athabasca University and the Social Sciences and humanities Research Council of Canada. Knudsen, C. (2002). Video mediated communication: producing a sense of presence between individuals in shared virtual reality. Educational conferencing: Video and text traditions. Proceedings of the First International Simposium on Educational Conferencing (ISEC). J. Baggaley, P. Fahy and C. O’Hagan. Banff, Alberta, Athabasca University and the Social Sciences and humanities Research Council of Canada.
go back to reference Lea, D. H., Johnson, J., et al. (2005). Telegenetics in Maine: Successful clinical and educational service delivery model developed from a 3-year pilot project. Genetics in Medicine, 7(1), 21–27.PubMedCrossRef Lea, D. H., Johnson, J., et al. (2005). Telegenetics in Maine: Successful clinical and educational service delivery model developed from a 3-year pilot project. Genetics in Medicine, 7(1), 21–27.PubMedCrossRef
go back to reference Loane, M. A., Bloomer, S. E., et al. (1998). Patient satisfaction with realtime teledermatology in Northern Ireland. Journal of Telemedicine and Telecare, 4(1), 36–40.PubMedCrossRef Loane, M. A., Bloomer, S. E., et al. (1998). Patient satisfaction with realtime teledermatology in Northern Ireland. Journal of Telemedicine and Telecare, 4(1), 36–40.PubMedCrossRef
go back to reference Lowitt, M., Kessler, I., et al. (1998). Teledermatology and in-person examinations: A comparison of patient and physician perceptions and diagnostic agreement. Archives of Dermatology, 134, 471–476.PubMedCrossRef Lowitt, M., Kessler, I., et al. (1998). Teledermatology and in-person examinations: A comparison of patient and physician perceptions and diagnostic agreement. Archives of Dermatology, 134, 471–476.PubMedCrossRef
go back to reference Mair, F., Whitten, P., et al. (1997). Interpersonal and organizational issues in telemedicine. Health & Social Care in the Community, 5, 55–62. Mair, F., Whitten, P., et al. (1997). Interpersonal and organizational issues in telemedicine. Health & Social Care in the Community, 5, 55–62.
go back to reference Mair, F., Whitten, P., et al. (2000). Patients’ perceptions of a telemedicine specialty clinic. Journal of Telemedicine and Telecare, 6(1), 36–40.PubMedCrossRef Mair, F., Whitten, P., et al. (2000). Patients’ perceptions of a telemedicine specialty clinic. Journal of Telemedicine and Telecare, 6(1), 36–40.PubMedCrossRef
go back to reference May, C., Mort, M., et al. (2000). Evaluation of new technologies in ehalth care systems: What’s the context? Health Informatics Journal, 6, 67–70.CrossRef May, C., Mort, M., et al. (2000). Evaluation of new technologies in ehalth care systems: What’s the context? Health Informatics Journal, 6, 67–70.CrossRef
go back to reference McLaren, P., Mohammedali, A., et al. (1999). Integrating interactive television-based psychiatric consultation into an urban community mental health service. Journal of Telemedicine and Telecare, 5, 100–102.CrossRef McLaren, P., Mohammedali, A., et al. (1999). Integrating interactive television-based psychiatric consultation into an urban community mental health service. Journal of Telemedicine and Telecare, 5, 100–102.CrossRef
go back to reference Miles, M., & Huberman, M. (1984). Qualitative data analysis: A sourcebook for new methods. Beverly Hills: Sage. Miles, M., & Huberman, M. (1984). Qualitative data analysis: A sourcebook for new methods. Beverly Hills: Sage.
go back to reference Olver, I., Shepherd, L., et al. (2007). Beyond the bush telegraph: Telehealth for remote cancer control and support. Cancer Forum, 31(2), 77–80. Olver, I., Shepherd, L., et al. (2007). Beyond the bush telegraph: Telehealth for remote cancer control and support. Cancer Forum, 31(2), 77–80.
go back to reference Patton, M. (2002). Qualitative research & evaluation methods. London: Sage Publications. Patton, M. (2002). Qualitative research & evaluation methods. London: Sage Publications.
go back to reference Peshkin, B., DeMarco, T., et al. (2008). Telephone genetic counseling for high-risk women undergoing BRCA1 and BRCA2 testing: Rationale and development of a randomized controlled trial. Genetic Testing, 12(1), 37–52.PubMedCrossRef Peshkin, B., DeMarco, T., et al. (2008). Telephone genetic counseling for high-risk women undergoing BRCA1 and BRCA2 testing: Rationale and development of a randomized controlled trial. Genetic Testing, 12(1), 37–52.PubMedCrossRef
go back to reference Sangha, K., Dircks, A., et al. (2003). Assessement of the effectiveness of genetic counseling by telephone compared to a clinic visit. Journal of Genetic Counseling, 12(2), 171–184.PubMedCrossRef Sangha, K., Dircks, A., et al. (2003). Assessement of the effectiveness of genetic counseling by telephone compared to a clinic visit. Journal of Genetic Counseling, 12(2), 171–184.PubMedCrossRef
go back to reference Savenstedt, S., Zingmark, K., et al. (2004). Being present in a distant room: Aspects of teleconsultations with older people in a nursing home. Qualitative Health Research, 14(8), 1046–1057.PubMedCrossRef Savenstedt, S., Zingmark, K., et al. (2004). Being present in a distant room: Aspects of teleconsultations with older people in a nursing home. Qualitative Health Research, 14(8), 1046–1057.PubMedCrossRef
go back to reference Schwartz, M. D., Valdimarsdottr, H., et al. (2009). Randomized trial of a decision aid for BRCA1/BRCA2 mutation carriers: Impact on measures of decision making and satisfaction. Health Psychology, 28(1), 11–19.PubMedPubMedCentralCrossRef Schwartz, M. D., Valdimarsdottr, H., et al. (2009). Randomized trial of a decision aid for BRCA1/BRCA2 mutation carriers: Impact on measures of decision making and satisfaction. Health Psychology, 28(1), 11–19.PubMedPubMedCentralCrossRef
go back to reference Short, J., E. Williams, et al. (1976). The social psychology of telecommunications, Wiley Short, J., E. Williams, et al. (1976). The social psychology of telecommunications, Wiley
go back to reference Simpson, J., Doze, S., et al. (2001). Telepsychiatry as a routine service—the perspective of the patient. Journal of Telemedicine and Telecare, 7, 155–160.PubMedCrossRef Simpson, J., Doze, S., et al. (2001). Telepsychiatry as a routine service—the perspective of the patient. Journal of Telemedicine and Telecare, 7, 155–160.PubMedCrossRef
go back to reference Tachakra, S., & Rajani, R. (2002). Social presence in telemedicine. Journal of Telemedicine and Telecare, 8, 226–230.PubMedCrossRef Tachakra, S., & Rajani, R. (2002). Social presence in telemedicine. Journal of Telemedicine and Telecare, 8, 226–230.PubMedCrossRef
go back to reference Tercyak, K., DeMarco, T., et al. (2004). Women’s satisfaction with genetic counseling for hereditary breast-ovarian cancer. American Journal of Medical Genetics, 131A, 36–41.CrossRef Tercyak, K., DeMarco, T., et al. (2004). Women’s satisfaction with genetic counseling for hereditary breast-ovarian cancer. American Journal of Medical Genetics, 131A, 36–41.CrossRef
go back to reference Wang, C., Gonzalez, R., et al. (2005). Genetic counseling for BRCA1/2: A randomized controlled trial of two strategies to facilitate the education and counseling process. American Journal of Medical Genetics, 134A(1), 66–73.PubMedCrossRef Wang, C., Gonzalez, R., et al. (2005). Genetic counseling for BRCA1/2: A randomized controlled trial of two strategies to facilitate the education and counseling process. American Journal of Medical Genetics, 134A(1), 66–73.PubMedCrossRef
go back to reference Whitten, P., & Love, B. (2005). Patient and provider satisfaction with the use of telemedicine: Overview and rationale for cautious enthusiasm. Journal of Postgraduate Medical, 51(4), 294–300. Whitten, P., & Love, B. (2005). Patient and provider satisfaction with the use of telemedicine: Overview and rationale for cautious enthusiasm. Journal of Postgraduate Medical, 51(4), 294–300.
go back to reference Woods, K. F., Johnson, J. A., et al. (2000). Sickle cell disease telemedicine network for rural outreach. Journal of Telemedicine and Telecare, 6(5), 285–290.PubMedCrossRef Woods, K. F., Johnson, J. A., et al. (2000). Sickle cell disease telemedicine network for rural outreach. Journal of Telemedicine and Telecare, 6(5), 285–290.PubMedCrossRef
go back to reference Wootton, R., Bloomer, S. E., et al. (2000). Multicentre ramdomised control trial comparing real time teledermatology with conventional outpatient dermatological care: Societal cost-benefit analysis. British Medical Journal, 320, 1252–1256.PubMedCrossRefPubMedCentral Wootton, R., Bloomer, S. E., et al. (2000). Multicentre ramdomised control trial comparing real time teledermatology with conventional outpatient dermatological care: Societal cost-benefit analysis. British Medical Journal, 320, 1252–1256.PubMedCrossRefPubMedCentral
go back to reference Zilliacus, E., Meiser, B. et al. (2009). A balancing act–telehealth cancer genetics and practitioners’ experiences of a triadic consultation. Journal of Genetic Counseling, 18(6), 598–605.PubMedCrossRef Zilliacus, E., Meiser, B. et al. (2009). A balancing act–telehealth cancer genetics and practitioners’ experiences of a triadic consultation. Journal of Genetic Counseling, 18(6), 598–605.PubMedCrossRef
go back to reference Zilliacus, E., Meiser. B., et al. (2010). The virtual consultation: Practitioners’ experiences of genetic counseling by videoconferencing in Australia. Telemedicine Journal and e-Health, 16(3), (in press).PubMedCrossRef Zilliacus, E., Meiser. B., et al. (2010). The virtual consultation: Practitioners’ experiences of genetic counseling by videoconferencing in Australia. Telemedicine Journal and e-Health, 16(3), (in press).PubMedCrossRef
go back to reference Zilliacus, E., Meiser, B., et al. (2008). A balancing act—practitioners’ experiences of telehealth cancer genetic counselling. Psychooncology, 17(6), S157. Zilliacus, E., Meiser, B., et al. (2008). A balancing act—practitioners’ experiences of telehealth cancer genetic counselling. Psychooncology, 17(6), S157.
Metadata
Title
Women’s Experience of Telehealth Cancer Genetic Counseling
Authors
Elvira M. Zilliacus
Bettina Meiser
Elizabeth A. Lobb
Judy Kirk
Linda Warwick
Katherine Tucker
Publication date
01-10-2010
Publisher
Springer US
Published in
Journal of Genetic Counseling / Issue 5/2010
Print ISSN: 1059-7700
Electronic ISSN: 1573-3599
DOI
https://doi.org/10.1007/s10897-010-9301-5

Other articles of this Issue 5/2010

Journal of Genetic Counseling 5/2010 Go to the issue