Perceptions of genetic risk assessment and education among first-degree relatives of colorectal cancer patients and implications for physicians

Helen M S Todora, Celette Sugg Skinner, Linda Gidday, Jennifer L. Ivanovich, Susan Rawl, Alison J. Whelan

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background. Genetic risk assessment and education is a clinical service that provides an opportunity for individuals with a strong family history of cancer to understand their risk better, identify a screening regimen and discuss benefits and limitations of genetic testing. Objectives. The aim of this study was to assess knowledge of and attitudes to genetic risk assessment and education among first-degree relatives of patients with colorectal cancer. Methods. We conducted focus groups among first-degree relatives of patients with colorectal cancer to assess perceptions of genetic risk assessment and education. In the groups, we elicited reactions using two definitions of genetic risk assessment and education-one brief and one more detailed-that might be used by a health practitioner during the referral process. Results. Findings revealed a number of misconceptions and concerns including: (i) what is required to prepare for a session and a lack of desire to collect a family history; (ii) what is involved in a session (including assuming that genetic testing is always included in a session); (iii) distrust over accuracy and possible subjectivity of information provided; and (iv) fear of the effect that participation in a session might have on insurance status. Conclusions. The findings suggest that health practitioners should educate individuals about genetic risk assessment and education during the initial referral process. Further studies should explore how best to do this.

Original languageEnglish
Pages (from-to)367-372
Number of pages6
JournalFamily Practice
Volume18
Issue number4
StatePublished - 2001

Fingerprint

Colorectal Neoplasms
Physicians
Education
Genetic Testing
Referral and Consultation
Insurance Coverage
Health
Focus Groups
Fear
Neoplasms

Keywords

  • Colorectal cancer
  • Education
  • Genetics
  • Risk communication

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Perceptions of genetic risk assessment and education among first-degree relatives of colorectal cancer patients and implications for physicians. / Todora, Helen M S; Skinner, Celette Sugg; Gidday, Linda; Ivanovich, Jennifer L.; Rawl, Susan; Whelan, Alison J.

In: Family Practice, Vol. 18, No. 4, 2001, p. 367-372.

Research output: Contribution to journalArticle

Todora, Helen M S ; Skinner, Celette Sugg ; Gidday, Linda ; Ivanovich, Jennifer L. ; Rawl, Susan ; Whelan, Alison J. / Perceptions of genetic risk assessment and education among first-degree relatives of colorectal cancer patients and implications for physicians. In: Family Practice. 2001 ; Vol. 18, No. 4. pp. 367-372.
@article{e251ee9272354d4b96c38a5fd0fa2787,
title = "Perceptions of genetic risk assessment and education among first-degree relatives of colorectal cancer patients and implications for physicians",
abstract = "Background. Genetic risk assessment and education is a clinical service that provides an opportunity for individuals with a strong family history of cancer to understand their risk better, identify a screening regimen and discuss benefits and limitations of genetic testing. Objectives. The aim of this study was to assess knowledge of and attitudes to genetic risk assessment and education among first-degree relatives of patients with colorectal cancer. Methods. We conducted focus groups among first-degree relatives of patients with colorectal cancer to assess perceptions of genetic risk assessment and education. In the groups, we elicited reactions using two definitions of genetic risk assessment and education-one brief and one more detailed-that might be used by a health practitioner during the referral process. Results. Findings revealed a number of misconceptions and concerns including: (i) what is required to prepare for a session and a lack of desire to collect a family history; (ii) what is involved in a session (including assuming that genetic testing is always included in a session); (iii) distrust over accuracy and possible subjectivity of information provided; and (iv) fear of the effect that participation in a session might have on insurance status. Conclusions. The findings suggest that health practitioners should educate individuals about genetic risk assessment and education during the initial referral process. Further studies should explore how best to do this.",
keywords = "Colorectal cancer, Education, Genetics, Risk communication",
author = "Todora, {Helen M S} and Skinner, {Celette Sugg} and Linda Gidday and Ivanovich, {Jennifer L.} and Susan Rawl and Whelan, {Alison J.}",
year = "2001",
language = "English",
volume = "18",
pages = "367--372",
journal = "Family Practice",
issn = "0263-2136",
publisher = "Oxford University Press",
number = "4",

}

TY - JOUR

T1 - Perceptions of genetic risk assessment and education among first-degree relatives of colorectal cancer patients and implications for physicians

AU - Todora, Helen M S

AU - Skinner, Celette Sugg

AU - Gidday, Linda

AU - Ivanovich, Jennifer L.

AU - Rawl, Susan

AU - Whelan, Alison J.

PY - 2001

Y1 - 2001

N2 - Background. Genetic risk assessment and education is a clinical service that provides an opportunity for individuals with a strong family history of cancer to understand their risk better, identify a screening regimen and discuss benefits and limitations of genetic testing. Objectives. The aim of this study was to assess knowledge of and attitudes to genetic risk assessment and education among first-degree relatives of patients with colorectal cancer. Methods. We conducted focus groups among first-degree relatives of patients with colorectal cancer to assess perceptions of genetic risk assessment and education. In the groups, we elicited reactions using two definitions of genetic risk assessment and education-one brief and one more detailed-that might be used by a health practitioner during the referral process. Results. Findings revealed a number of misconceptions and concerns including: (i) what is required to prepare for a session and a lack of desire to collect a family history; (ii) what is involved in a session (including assuming that genetic testing is always included in a session); (iii) distrust over accuracy and possible subjectivity of information provided; and (iv) fear of the effect that participation in a session might have on insurance status. Conclusions. The findings suggest that health practitioners should educate individuals about genetic risk assessment and education during the initial referral process. Further studies should explore how best to do this.

AB - Background. Genetic risk assessment and education is a clinical service that provides an opportunity for individuals with a strong family history of cancer to understand their risk better, identify a screening regimen and discuss benefits and limitations of genetic testing. Objectives. The aim of this study was to assess knowledge of and attitudes to genetic risk assessment and education among first-degree relatives of patients with colorectal cancer. Methods. We conducted focus groups among first-degree relatives of patients with colorectal cancer to assess perceptions of genetic risk assessment and education. In the groups, we elicited reactions using two definitions of genetic risk assessment and education-one brief and one more detailed-that might be used by a health practitioner during the referral process. Results. Findings revealed a number of misconceptions and concerns including: (i) what is required to prepare for a session and a lack of desire to collect a family history; (ii) what is involved in a session (including assuming that genetic testing is always included in a session); (iii) distrust over accuracy and possible subjectivity of information provided; and (iv) fear of the effect that participation in a session might have on insurance status. Conclusions. The findings suggest that health practitioners should educate individuals about genetic risk assessment and education during the initial referral process. Further studies should explore how best to do this.

KW - Colorectal cancer

KW - Education

KW - Genetics

KW - Risk communication

UR - http://www.scopus.com/inward/record.url?scp=0034889093&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0034889093&partnerID=8YFLogxK

M3 - Article

C2 - 11477043

AN - SCOPUS:0034889093

VL - 18

SP - 367

EP - 372

JO - Family Practice

JF - Family Practice

SN - 0263-2136

IS - 4

ER -