A randomized trial of a breast/ovarian cancer genetic testing decision aid used as a communication aid during genetic counseling
Article first published online: 9 JUL 2008
Copyright © 2008 John Wiley & Sons, Ltd.
Special Issue: Genetic Testing and Psychosocial Research
Volume 17, Issue 8, pages 844–854, August 2008
How to Cite
Wakefield, C. E., Meiser, B., Homewood, J., Taylor, A., Gleeson, M., Williams, R., the AGenDA Collaborative Group and Tucker, K. (2008), A randomized trial of a breast/ovarian cancer genetic testing decision aid used as a communication aid during genetic counseling. Psycho-Oncology, 17: 844–854. doi: 10.1002/pon.1353
- Issue published online: 7 AUG 2008
- Article first published online: 9 JUL 2008
- Manuscript Accepted: 12 FEB 2008
- Manuscript Revised: 25 JAN 2008
- Manuscript Received: 15 MAY 2007
- decision aid;
- genetic testing;
- hereditary breast/ovarian cancer
Objectives: To evaluate the impact of a decision aid for women considering genetic testing for breast/ovarian cancer risk given during genetic counseling.
Methods: One hundred and forty-eight women were randomized to receive the decision aid or a control pamphlet at the beginning of their first consultation with a genetic counselor. When the patient received the decision aid, it was used to complement consultation discussions about genetic testing. One hundred and ten (74.3%) women completed the first questionnaire designed to elicit information about women's levels of decisional conflict and knowledge about genetic testing. Of these, 105 (70.9%) completed a second questionnaire to assess longer-term outcomes, 6 months postconsultation.
Results: Results showed that women who received the decision aid felt more informed about genetic testing (χ2(1)=8.69; P=0.003), had clearer values (χ2(1)=6.90; P=0.009) and had higher knowledge levels (χ2(2)=6.49; P=0.039) than women who received the control pamphlet.
Conclusions: The developed decision aid improved patient outcomes better than a control pamphlet when implemented during genetic counseling and given to the patient to take home. Copyright © 2008 John Wiley & Sons, Ltd.