Disparities in uptake of BRCA1/2 genetic testing in a randomized trial of telephone counseling

Purpose: As genetic counseling and testing become more fully integrated into clinical care, alternative delivery models are increasingly prominent. This study examines predictors of genetic testing for hereditary breast/ovarian cancer among high-risk women in a randomized trial of in-person versus t...

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Published inGenetics in medicine Vol. 17; no. 6; pp. 467 - 475
Main Authors Butrick, Morgan, Kelly, Scott, Peshkin, Beth N., Luta, George, Nusbaum, Rachel, Hooker, Gillian W., Graves, Kristi, Feeley, Lisa, Isaacs, Claudine, Valdimarsdottir, Heiddis B., Jandorf, Lina, DeMarco, Tiffani, Wood, Marie, McKinnon, Wendy, Garber, Judy, McCormick, Shelley R., Schwartz, Marc D.
Format Journal Article
LanguageEnglish
Published New York Nature Publishing Group US 01.06.2015
Elsevier Limited
Subjects
692/699/67/1347
692/699/67/1517/1709
692/700/139/1512
692/700/228/2050/1510
Adult
Biomedicine
Female
Genes, BRCA1
Genes, BRCA2
Genetic Counseling
Genetic Testing
Healthcare Disparities
Hereditary Breast and Ovarian Cancer Syndrome - diagnosis
Hereditary Breast and Ovarian Cancer Syndrome - epidemiology
Hereditary Breast and Ovarian Cancer Syndrome - genetics
Human Genetics
Humans
Laboratory Medicine
Middle Aged
Odds Ratio
original-research-article
Risk Factors
Telephone
genetic counseling
psychosocial predictors
cancer
genetic testing
telephone counseling
Online AccessGet full text

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Abstract Purpose: As genetic counseling and testing become more fully integrated into clinical care, alternative delivery models are increasingly prominent. This study examines predictors of genetic testing for hereditary breast/ovarian cancer among high-risk women in a randomized trial of in-person versus telephone-based genetic counseling. Methods: Methods include multivariable logistic regression and interaction analyses. Results: Of the 669 participants, 600 completed counseling and 523 received test results. As previously reported, participants randomized to telephone counseling were significantly less likely to be tested. In intention-to-treat analyses, completion of counseling and testing was associated with: race/ethnicity (odds ratio (OR) = 1.96, 95% confidence interval (CI): 1.20–3.20), perceived stress (OR = 0.89, 95% CI: 0.81–0.98), knowledge (OR = 1.12, 95% CI: 1.02–1.23), and randomization group (OR = 1.48, 95% CI: 1.01–2.16). Further, race/ethnicity moderated the association between randomization group and testing; minority women receiving telephone counseling were least likely to complete testing. Conclusion: Evidence for logistical and communication-based explanations for this interaction is presented. The overall increased access made possible with telephone genetic counseling should be considered in light of the possibility that this may also lead to lower rates of testing among high-risk minority women. Additional care should be taken to assess and address potential barriers when services are delivered by telephone. Genet Med 17 6, 467–475.
AbstractList As genetic counseling and testing become more fully integrated into clinical care, alternative delivery models are increasingly prominent. This study examines predictors of genetic testing for hereditary breast/ovarian cancer among high-risk women in a randomized trial of in-person versus telephone-based genetic counseling.PURPOSEAs genetic counseling and testing become more fully integrated into clinical care, alternative delivery models are increasingly prominent. This study examines predictors of genetic testing for hereditary breast/ovarian cancer among high-risk women in a randomized trial of in-person versus telephone-based genetic counseling.Methods include multivariable logistic regression and interaction analyses.METHODSMethods include multivariable logistic regression and interaction analyses.Of the 669 participants, 600 completed counseling and 523 received test results. As previously reported, participants randomized to telephone counseling were significantly less likely to be tested. In intention-to-treat analyses, completion of counseling and testing was associated with: race/ethnicity (odds ratio (OR) = 1.96, 95% confidence interval (CI): 1.20-3.20), perceived stress (OR = 0.89, 95% CI: 0.81-0.98), knowledge (OR = 1.12, 95% CI: 1.02-1.23), and randomization group (OR = 1.48, 95% CI: 1.01-2.16). Further, race/ethnicity moderated the association between randomization group and testing; minority women receiving telephone counseling were least likely to complete testing.RESULTSOf the 669 participants, 600 completed counseling and 523 received test results. As previously reported, participants randomized to telephone counseling were significantly less likely to be tested. In intention-to-treat analyses, completion of counseling and testing was associated with: race/ethnicity (odds ratio (OR) = 1.96, 95% confidence interval (CI): 1.20-3.20), perceived stress (OR = 0.89, 95% CI: 0.81-0.98), knowledge (OR = 1.12, 95% CI: 1.02-1.23), and randomization group (OR = 1.48, 95% CI: 1.01-2.16). Further, race/ethnicity moderated the association between randomization group and testing; minority women receiving telephone counseling were least likely to complete testing.Evidence for logistical and communication-based explanations for this interaction is presented. The overall increased access made possible with telephone genetic counseling should be considered in light of the possibility that this may also lead to lower rates of testing among high-risk minority women. Additional care should be taken to assess and address potential barriers when services are delivered by telephone.Genet Med 17 6, 467-475.CONCLUSIONEvidence for logistical and communication-based explanations for this interaction is presented. The overall increased access made possible with telephone genetic counseling should be considered in light of the possibility that this may also lead to lower rates of testing among high-risk minority women. Additional care should be taken to assess and address potential barriers when services are delivered by telephone.Genet Med 17 6, 467-475.
As genetic counseling and testing become more fully integrated into clinical care, alternative delivery models are increasingly prominent. This study examines predictors of genetic testing for hereditary breast/ovarian cancer among high-risk women in a randomized trial of in-person versus telephone-based genetic counseling. Methods include multivariable logistic regression and interaction analyses. Of the 669 participants, 600 completed counseling and 523 received test results. As previously reported, participants randomized to telephone counseling were significantly less likely to be tested. In intention-to-treat analyses, completion of counseling and testing was associated with: race/ethnicity (odds ratio (OR) = 1.96, 95% confidence interval (CI): 1.20-3.20), perceived stress (OR = 0.89, 95% CI: 0.81-0.98), knowledge (OR = 1.12, 95% CI: 1.02-1.23), and randomization group (OR = 1.48, 95% CI: 1.01-2.16). Further, race/ethnicity moderated the association between randomization group and testing; minority women receiving telephone counseling were least likely to complete testing. Evidence for logistical and communication-based explanations for this interaction is presented. The overall increased access made possible with telephone genetic counseling should be considered in light of the possibility that this may also lead to lower rates of testing among high-risk minority women. Additional care should be taken to assess and address potential barriers when services are delivered by telephone.Genet Med 17 6, 467-475.
Purpose: As genetic counseling and testing become more fully integrated into clinical care, alternative delivery models are increasingly prominent. This study examines predictors of genetic testing for hereditary breast/ovarian cancer among high-risk women in a randomized trial of in-person versus telephone-based genetic counseling. Methods: Methods include multivariable logistic regression and interaction analyses. Results: Of the 669 participants, 600 completed counseling and 523 received test results. As previously reported, participants randomized to telephone counseling were significantly less likely to be tested. In intention-to-treat analyses, completion of counseling and testing was associated with: race/ethnicity (odds ratio (OR) = 1.96, 95% confidence interval (CI): 1.20-3.20), perceived stress (OR = 0.89, 95% CI: 0.81-0.98), knowledge (OR = 1.12, 95% CI: 1.02-1.23), and randomization group (OR = 1.48, 95% CI: 1.01-2.16). Further, race/ ethnicity moderated the association between randomization group and testing; minority women receiving telephone counseling were least likely to complete testing. Conclusion: Evidence for logistical and communication-based explanations for this interaction is presented. The overall increased access made possible with telephone genetic counseling should be considered in light of the possibility that this may also lead to lower rates of testing among high-risk minority women. Additional care should be taken to assess and address potential barriers when services are delivered by telephone.
Purpose:As genetic counseling and testing become more fully integrated into clinical care, alternative delivery models are increasingly prominent. This study examines predictors of genetic testing for hereditary breast/ovarian cancer among high-risk women in a randomized trial of in-person versus telephone-based genetic counseling.Methods:Methods include multivariable logistic regression and interaction analyses.Results:Of the 669 participants, 600 completed counseling and 523 received test results. As previously reported, participants randomized to telephone counseling were significantly less likely to be tested. In intention-to-treat analyses, completion of counseling and testing was associated with: race/ethnicity (odds ratio (OR) = 1.96, 95% confidence interval (CI): 1.20-3.20), perceived stress (OR = 0.89, 95% CI: 0.81-0.98), knowledge (OR = 1.12, 95% CI: 1.02-1.23), and randomization group (OR = 1.48, 95% CI: 1.01-2.16). Further, race/ethnicity moderated the association between randomization group and testing; minority women receiving telephone counseling were least likely to complete testing.Conclusion:Evidence for logistical and communication-based explanations for this interaction is presented. The overall increased access made possible with telephone genetic counseling should be considered in light of the possibility that this may also lead to lower rates of testing among high-risk minority women. Additional care should be taken to assess and address potential barriers when services are delivered by telephone.Genet Med 17 6, 467-475.
Purpose: As genetic counseling and testing become more fully integrated into clinical care, alternative delivery models are increasingly prominent. This study examines predictors of genetic testing for hereditary breast/ovarian cancer among high-risk women in a randomized trial of in-person versus telephone-based genetic counseling. Methods: Methods include multivariable logistic regression and interaction analyses. Results: Of the 669 participants, 600 completed counseling and 523 received test results. As previously reported, participants randomized to telephone counseling were significantly less likely to be tested. In intention-to-treat analyses, completion of counseling and testing was associated with: race/ethnicity (odds ratio (OR) = 1.96, 95% confidence interval (CI): 1.20–3.20), perceived stress (OR = 0.89, 95% CI: 0.81–0.98), knowledge (OR = 1.12, 95% CI: 1.02–1.23), and randomization group (OR = 1.48, 95% CI: 1.01–2.16). Further, race/ethnicity moderated the association between randomization group and testing; minority women receiving telephone counseling were least likely to complete testing. Conclusion: Evidence for logistical and communication-based explanations for this interaction is presented. The overall increased access made possible with telephone genetic counseling should be considered in light of the possibility that this may also lead to lower rates of testing among high-risk minority women. Additional care should be taken to assess and address potential barriers when services are delivered by telephone. Genet Med 17 6, 467–475.
Author Peshkin, Beth N.
McKinnon, Wendy
Hooker, Gillian W.
Garber, Judy
Schwartz, Marc D.
Valdimarsdottir, Heiddis B.
Nusbaum, Rachel
Isaacs, Claudine
Kelly, Scott
Butrick, Morgan
Feeley, Lisa
Graves, Kristi
Wood, Marie
Jandorf, Lina
Luta, George
DeMarco, Tiffani
McCormick, Shelley R.
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  organization: Familial Cancer Program of the Vermont Cancer Center, University of Vermont College of Medicine
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  email: schwartm@georgetown.edu
  organization: Department of Oncology, Cancer Prevention and Control Program and Fisher Center for Familial Cancer Research, Lombardi Comprehensive Cancer Center, Georgetown University
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Issue 6
Keywords genetic counseling
psychosocial predictors
cancer
genetic testing
telephone counseling
Language English
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OpenAccessLink https://www.nature.com/articles/gim.2014.125
PMID 25232856
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PublicationDate 2015-06-01
PublicationDateYYYYMMDD 2015-06-01
PublicationDate_xml – month: 06
  year: 2015
  text: 2015-06-01
  day: 01
PublicationDecade 2010
PublicationPlace New York
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PublicationSubtitle Official journal of the American College of Medical Genetics and Genomics
PublicationTitle Genetics in medicine
PublicationTitleAbbrev Genet Med
PublicationTitleAlternate Genet Med
PublicationYear 2015
Publisher Nature Publishing Group US
Elsevier Limited
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References VigHSWangCThe evolution of personalized cancer genetic counseling in the era of personalized medicineFam Cancer20121153954410.1007/s10689-012-9524-8
LevyDEByfieldSDComstockCBUnderutilization of BRCA1/2 testing to guide breast cancer treatment: black and Hispanic women particularly at riskGenet Med20111334935510.1097/GIM.0b013e3182091ba4
HoskinsLMWerner-LinAA multi-case report of the pathways to and through genetic testing and cancer risk management for BRCA mutation-positive women aged 18-25J Genet Couns201322273810.1007/s10897-012-9521-y
BusijaLPausenbergerEHainesTPHaymesSBuchbinderROsborneRHAdult measures of general health and health-related quality of life: Medical Outcomes Study Short Form 36-Item (SF-36) and Short Form 12-Item (SF-12) Health Surveys, Nottingham Health Profile (NHP), Sickness Impact Profile (SIP), Medical Outcomes Study Short Form 6D (SF-6D), Health Utilities Index Mark 3 (HUI3), Quality of Well-Being Scale (QWB), and Assessment of Quality of Life (AQoL)Arthritis Care Res (Hoboken)201163suppl 11S383S41210.1002/acr.20541
HoskinsLMGreeneMHAnticipatory loss and early mastectomy for young female BRCA1/2 mutation carriersQual Health Res2012221633164610.1177/1049732312458182
StreetRLJrO’MalleyKJCooperLAHaidetPUnderstanding concordance in patient-physician relationships: personal and ethnic dimensions of shared identityAnn Fam Med2008619820510.1370/afm.821
US Preventive Services Task Force. Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: Draft Recommendation Statement. April 2013. AHRQ Publication No. 12-05164-EF-2. http://www.uspreventiveservicestaskforce.org/uspstf12/brcatest/draftrecbrcatest.htm.
BaumanisLEvansJPCallananNSussweinLRTelephoned BRCA1/2 genetic test results: prevalence, practice, and patient satisfactionJ Genet Couns2009184474631:STN:280:DC%2BD1MnmtlyntQ%3D%3D10.1007/s10897-009-9238-8
ErblichJBrownKKimYValdimarsdottirHBLivingstonBEBovbjergDHDevelopment and validation of a Breast Cancer Genetic Counseling Knowledge QuestionnairePatient Educ Couns20055618219110.1016/j.pec.2004.02.007
National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology. Genetic/Familial High-Risk Assessment: Breast and Ovarian. V.1.2014. http://www.nccn.org/professionals/physician_gls/pdf/genetics_screening.pdf.
McKinstryBHammersleyVBurtonCThe quality, safety and content of telephone and face-to-face consultations: a comparative studyQual Saf Health Care2010192983031:STN:280:DC%2BC3cjjtVWmtA%3D%3D10.1136/qshc.2008.027763
BrierleyKLBlouchECogswellWAdverse events in cancer genetic testing: medical, ethical, legal, and financial implicationsCancer J20121830330910.1097/PPO.0b013e3182609490
McKinstryBSheikhAUnresolved questions in telephone consultingJ R Soc Med2006992310.1258/jrsm.99.1.2
O’ConnorAMValidation of a decisional conflict scaleMed Decis Making199515253010.1177/0272989X9501500105
FormanADHallMJInfluence of race/ethnicity on genetic counseling and testing for hereditary breast and ovarian cancerBreast J200915suppl 1S56S6210.1111/j.1524-4741.2009.00798.x
CohenSKamarckTMermelsteinRA global measure of perceived stressJ Health Soc Behav1983243853961:STN:280:DyaL2c7js12iug%3D%3D10.2307/2136404
GravesKDChristopherJHarrisonTMPeshkinBNIsaacsCSheppardVBProviders’ perceptions and practices regarding BRCA1/2 genetic counseling and testing in African American womenJ Genet Couns20112067468910.1007/s10897-011-9396-3
BealACChouSCPalmerRHTestaMANewmanCEzhuthachanSThe changing face of race: risk factors for neonatal hyperbilirubinemiaPediatrics20061171618162510.1542/peds.2005-1203
BradburyARPatrick-MillerLFetzerDGenetic counselor opinions of, and experiences with telephone communication of BRCA1/2 test resultsClin Genet2011791251311:STN:280:DC%2BC3M%2FpsVamtw%3D%3D10.1111/j.1399-0004.2010.01540.x
MackenzieAPatrick-MillerLBradburyARControversies in communication of genetic risk for hereditary breast cancerBreast J200915suppl 1S25S3210.1111/j.1524-4741.2009.00800.x
CukierYRThompsonHSSussnerKFactors associated with psychological distress among women of African descent at high risk for BRCA mutationsJ Genet Couns20132210110710.1007/s10897-012-9510-1
WhamDVuTChan-SmutkoGKobelkaCUrbauerDHealdBAssessment of clinical practices among cancer genetic counselorsFam Cancer2010945946810.1007/s10689-010-9326-9
GordonHSStreetRLJrSharfBFSouchekJRacial differences in doctors’ information-giving and patients’ participationCancer20061071313132010.1002/cncr.22122
DougallALSmithAWSomersTJPoslusznyDMRubinsteinWSBaumACoping with genetic testing for breast cancer susceptibilityPsychosom Med200971981051:CAS:528:DC%2BD1MXitlajtg%3D%3D10.1097/PSY.0b013e318190d7b4
HelmesAWCulverJOBowenDJResults of a randomized study of telephone versus in-person breast cancer risk counselingPatient Educ Couns2006649610310.1016/j.pec.2005.12.002
Kinney AY, Butler KM, Boucher KM, et al. Telephone vs. in-person genetic counseling for hereditary breast and ovarian cancer in urban and rural women: a cluster randomized trial. J Natl Cancer Inst, in press.
HorowitzMWilnerNAlvarezWImpact of Event Scale: a measure of subjective stressPsychosom Med1979412092181:STN:280:DyaE1M3kslGjug%3D%3D10.1097/00006842-197905000-00004
ThorntonRLPoweNRRoterDCooperLAPatient-physician social concordance, medical visit communication and patients’ perceptions of health care qualityPatient Educ Couns201185e201e20810.1016/j.pec.2011.07.015
National Society of Genetic Counselors. 2012 Professional Status Survey: Executive Summary. http://nsgc.org/p/cm/ld/fid=68.
AghaZRoterDLSchapiraRMAn evaluation of patient-physician communication style during telemedicine consultationsJ Med Internet Res200911e3610.2196/jmir.1193
BerryDAIversenESJrGudbjartssonDFBRCAPRO validation, sensitivity of genetic testing of BRCA1/BRCA2, and prevalence of other breast cancer susceptibility genesJ Clin Oncol200220270127121:CAS:528:DC%2BD38XkvF2mtrs%3D10.1200/JCO.2002.05.121
CohenSAMarvinMLRileyBDVigHSRousseauJAGustafsonSLIdentification of genetic counseling service delivery models in practice: a report from the NSGC Service Delivery Model Task ForceJ Genet Couns20132241142110.1007/s10897-013-9588-0
SmedleyBDStithAYNelsonARUnequal Treatment: Confronting Racial and Ethnic Disparities in Health Care.2003National Academies Press
SchwartzMDValdimarsdottirHBPeshkinBNRandomized noninferiority trial of telephone versus in-person genetic counseling for hereditary breast and ovarian cancerJ Clin Oncol20143261862610.1200/JCO.2013.51.3226
PeshkinBNDemarcoTAGravesKDTelephone genetic counseling for high-risk women undergoing BRCA1 and BRCA2 testing: rationale and development of a randomized controlled trialGenet Test200812375210.1089/gte.2006.0525
ArmstrongKMiccoECarneyAStopferJPuttMRacial differences in the use of BRCA1/2 testing among women with a family history of breast or ovarian cancerJAMA2005293172917361:CAS:528:DC%2BD2MXjtlWmtLc%3D10.1001/jama.293.14.1729
LipkusIMKleinWMRimerBKCommunicating breast cancer risks to women using different formatsCancer Epidemiol Biomarkers Prev2001108958981:STN:280:DC%2BD3MvktlahtQ%3D%3D11489757
CooperLARoterDLJohnsonRLFordDESteinwachsDMPoweNRPatient-centered communication, ratings of care, and concordance of patient and physician raceAnn Intern Med200313990791510.7326/0003-4819-139-11-200312020-00009
JohnsonRLRoterDPoweNRCooperLAPatient race/ethnicity and quality of patient-physician communication during medical visitsAm J Public Health2004942084209010.2105/AJPH.94.12.2084
WareJJrKosinskiMKellerSDA 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validityMed Care19963422023310.1097/00005650-199603000-00003
Street (10.1038/gim.2014.125_bb0190)
Cukier (10.1038/gim.2014.125_bb0165)
Levy (10.1038/gim.2014.125_bb0155)
Agha (10.1038/gim.2014.125_bb0200)
Busija (10.1038/gim.2014.125_bb0130)
Helmes (10.1038/gim.2014.125_bb0065)
Lipkus (10.1038/gim.2014.125_bb0105)
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Dougall (10.1038/gim.2014.125_bb0135)
Cooper (10.1038/gim.2014.125_bb0170)
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Baumanis (10.1038/gim.2014.125_bb0035)
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Berry (10.1038/gim.2014.125_bb0095)
Hoskins (10.1038/gim.2014.125_bb0145)
Horowitz (10.1038/gim.2014.125_bb0115)
Bradbury (10.1038/gim.2014.125_bb0040)
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Vig (10.1038/gim.2014.125_bb0030)
Graves (10.1038/gim.2014.125_bb0150)
Cohen (10.1038/gim.2014.125_bb0120)
Johnson (10.1038/gim.2014.125_bb0180)
Armstrong (10.1038/gim.2014.125_bb0080)
Wham (10.1038/gim.2014.125_bb0045)
McKinstry (10.1038/gim.2014.125_bb0060)
Cohen (10.1038/gim.2014.125_bb0205)
Erblich (10.1038/gim.2014.125_bb0100)
McKinstry (10.1038/gim.2014.125_bb0055)
Forman (10.1038/gim.2014.125_bb0085)
Ware (10.1038/gim.2014.125_bb0125)
Gordon (10.1038/gim.2014.125_bb0175)
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Beal (10.1038/gim.2014.125_bb0160)
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O’Connor (10.1038/gim.2014.125_bb0110)
Schwartz (10.1038/gim.2014.125_bb0050)
References_xml – reference: BerryDAIversenESJrGudbjartssonDFBRCAPRO validation, sensitivity of genetic testing of BRCA1/BRCA2, and prevalence of other breast cancer susceptibility genesJ Clin Oncol200220270127121:CAS:528:DC%2BD38XkvF2mtrs%3D10.1200/JCO.2002.05.121
– reference: ErblichJBrownKKimYValdimarsdottirHBLivingstonBEBovbjergDHDevelopment and validation of a Breast Cancer Genetic Counseling Knowledge QuestionnairePatient Educ Couns20055618219110.1016/j.pec.2004.02.007
– reference: ThorntonRLPoweNRRoterDCooperLAPatient-physician social concordance, medical visit communication and patients’ perceptions of health care qualityPatient Educ Couns201185e201e20810.1016/j.pec.2011.07.015
– reference: CooperLARoterDLJohnsonRLFordDESteinwachsDMPoweNRPatient-centered communication, ratings of care, and concordance of patient and physician raceAnn Intern Med200313990791510.7326/0003-4819-139-11-200312020-00009
– reference: SchwartzMDValdimarsdottirHBPeshkinBNRandomized noninferiority trial of telephone versus in-person genetic counseling for hereditary breast and ovarian cancerJ Clin Oncol20143261862610.1200/JCO.2013.51.3226
– reference: WareJJrKosinskiMKellerSDA 12-Item Short-Form Health Survey: construction of scales and preliminary tests of reliability and validityMed Care19963422023310.1097/00005650-199603000-00003
– reference: HoskinsLMGreeneMHAnticipatory loss and early mastectomy for young female BRCA1/2 mutation carriersQual Health Res2012221633164610.1177/1049732312458182
– reference: StreetRLJrO’MalleyKJCooperLAHaidetPUnderstanding concordance in patient-physician relationships: personal and ethnic dimensions of shared identityAnn Fam Med2008619820510.1370/afm.821
– reference: BrierleyKLBlouchECogswellWAdverse events in cancer genetic testing: medical, ethical, legal, and financial implicationsCancer J20121830330910.1097/PPO.0b013e3182609490
– reference: PeshkinBNDemarcoTAGravesKDTelephone genetic counseling for high-risk women undergoing BRCA1 and BRCA2 testing: rationale and development of a randomized controlled trialGenet Test200812375210.1089/gte.2006.0525
– reference: GravesKDChristopherJHarrisonTMPeshkinBNIsaacsCSheppardVBProviders’ perceptions and practices regarding BRCA1/2 genetic counseling and testing in African American womenJ Genet Couns20112067468910.1007/s10897-011-9396-3
– reference: SmedleyBDStithAYNelsonARUnequal Treatment: Confronting Racial and Ethnic Disparities in Health Care.2003National Academies Press
– reference: LipkusIMKleinWMRimerBKCommunicating breast cancer risks to women using different formatsCancer Epidemiol Biomarkers Prev2001108958981:STN:280:DC%2BD3MvktlahtQ%3D%3D11489757
– reference: JohnsonRLRoterDPoweNRCooperLAPatient race/ethnicity and quality of patient-physician communication during medical visitsAm J Public Health2004942084209010.2105/AJPH.94.12.2084
– reference: McKinstryBHammersleyVBurtonCThe quality, safety and content of telephone and face-to-face consultations: a comparative studyQual Saf Health Care2010192983031:STN:280:DC%2BC3cjjtVWmtA%3D%3D10.1136/qshc.2008.027763
– reference: MackenzieAPatrick-MillerLBradburyARControversies in communication of genetic risk for hereditary breast cancerBreast J200915suppl 1S25S3210.1111/j.1524-4741.2009.00800.x
– reference: National Society of Genetic Counselors. 2012 Professional Status Survey: Executive Summary. http://nsgc.org/p/cm/ld/fid=68.
– reference: Kinney AY, Butler KM, Boucher KM, et al. Telephone vs. in-person genetic counseling for hereditary breast and ovarian cancer in urban and rural women: a cluster randomized trial. J Natl Cancer Inst, in press.
– reference: ArmstrongKMiccoECarneyAStopferJPuttMRacial differences in the use of BRCA1/2 testing among women with a family history of breast or ovarian cancerJAMA2005293172917361:CAS:528:DC%2BD2MXjtlWmtLc%3D10.1001/jama.293.14.1729
– reference: LevyDEByfieldSDComstockCBUnderutilization of BRCA1/2 testing to guide breast cancer treatment: black and Hispanic women particularly at riskGenet Med20111334935510.1097/GIM.0b013e3182091ba4
– reference: DougallALSmithAWSomersTJPoslusznyDMRubinsteinWSBaumACoping with genetic testing for breast cancer susceptibilityPsychosom Med200971981051:CAS:528:DC%2BD1MXitlajtg%3D%3D10.1097/PSY.0b013e318190d7b4
– reference: FormanADHallMJInfluence of race/ethnicity on genetic counseling and testing for hereditary breast and ovarian cancerBreast J200915suppl 1S56S6210.1111/j.1524-4741.2009.00798.x
– reference: WhamDVuTChan-SmutkoGKobelkaCUrbauerDHealdBAssessment of clinical practices among cancer genetic counselorsFam Cancer2010945946810.1007/s10689-010-9326-9
– reference: McKinstryBSheikhAUnresolved questions in telephone consultingJ R Soc Med2006992310.1258/jrsm.99.1.2
– reference: BradburyARPatrick-MillerLFetzerDGenetic counselor opinions of, and experiences with telephone communication of BRCA1/2 test resultsClin Genet2011791251311:STN:280:DC%2BC3M%2FpsVamtw%3D%3D10.1111/j.1399-0004.2010.01540.x
– reference: HelmesAWCulverJOBowenDJResults of a randomized study of telephone versus in-person breast cancer risk counselingPatient Educ Couns2006649610310.1016/j.pec.2005.12.002
– reference: National Comprehensive Cancer Network. NCCN Clinical Practice Guidelines in Oncology. Genetic/Familial High-Risk Assessment: Breast and Ovarian. V.1.2014. http://www.nccn.org/professionals/physician_gls/pdf/genetics_screening.pdf.
– reference: US Preventive Services Task Force. Risk Assessment, Genetic Counseling, and Genetic Testing for BRCA-Related Cancer: Draft Recommendation Statement. April 2013. AHRQ Publication No. 12-05164-EF-2. http://www.uspreventiveservicestaskforce.org/uspstf12/brcatest/draftrecbrcatest.htm.
– reference: VigHSWangCThe evolution of personalized cancer genetic counseling in the era of personalized medicineFam Cancer20121153954410.1007/s10689-012-9524-8
– reference: O’ConnorAMValidation of a decisional conflict scaleMed Decis Making199515253010.1177/0272989X9501500105
– reference: BealACChouSCPalmerRHTestaMANewmanCEzhuthachanSThe changing face of race: risk factors for neonatal hyperbilirubinemiaPediatrics20061171618162510.1542/peds.2005-1203
– reference: HorowitzMWilnerNAlvarezWImpact of Event Scale: a measure of subjective stressPsychosom Med1979412092181:STN:280:DyaE1M3kslGjug%3D%3D10.1097/00006842-197905000-00004
– reference: BusijaLPausenbergerEHainesTPHaymesSBuchbinderROsborneRHAdult measures of general health and health-related quality of life: Medical Outcomes Study Short Form 36-Item (SF-36) and Short Form 12-Item (SF-12) Health Surveys, Nottingham Health Profile (NHP), Sickness Impact Profile (SIP), Medical Outcomes Study Short Form 6D (SF-6D), Health Utilities Index Mark 3 (HUI3), Quality of Well-Being Scale (QWB), and Assessment of Quality of Life (AQoL)Arthritis Care Res (Hoboken)201163suppl 11S383S41210.1002/acr.20541
– reference: HoskinsLMWerner-LinAA multi-case report of the pathways to and through genetic testing and cancer risk management for BRCA mutation-positive women aged 18-25J Genet Couns201322273810.1007/s10897-012-9521-y
– reference: CohenSAMarvinMLRileyBDVigHSRousseauJAGustafsonSLIdentification of genetic counseling service delivery models in practice: a report from the NSGC Service Delivery Model Task ForceJ Genet Couns20132241142110.1007/s10897-013-9588-0
– reference: AghaZRoterDLSchapiraRMAn evaluation of patient-physician communication style during telemedicine consultationsJ Med Internet Res200911e3610.2196/jmir.1193
– reference: BaumanisLEvansJPCallananNSussweinLRTelephoned BRCA1/2 genetic test results: prevalence, practice, and patient satisfactionJ Genet Couns2009184474631:STN:280:DC%2BD1MnmtlyntQ%3D%3D10.1007/s10897-009-9238-8
– reference: GordonHSStreetRLJrSharfBFSouchekJRacial differences in doctors’ information-giving and patients’ participationCancer20061071313132010.1002/cncr.22122
– reference: CohenSKamarckTMermelsteinRA global measure of perceived stressJ Health Soc Behav1983243853961:STN:280:DyaL2c7js12iug%3D%3D10.2307/2136404
– reference: CukierYRThompsonHSSussnerKFactors associated with psychological distress among women of African descent at high risk for BRCA mutationsJ Genet Couns20132210110710.1007/s10897-012-9510-1
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Snippet Purpose: As genetic counseling and testing become more fully integrated into clinical care, alternative delivery models are increasingly prominent. This study...
As genetic counseling and testing become more fully integrated into clinical care, alternative delivery models are increasingly prominent. This study examines...
Purpose:As genetic counseling and testing become more fully integrated into clinical care, alternative delivery models are increasingly prominent. This study...
Purpose: As genetic counseling and testing become more fully integrated into clinical care, alternative delivery models are increasingly prominent. This study...
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StartPage 467
SubjectTerms 692/699/67/1347
692/699/67/1517/1709
692/700/139/1512
692/700/228/2050/1510
Adult
Biomedicine
Female
Genes, BRCA1
Genes, BRCA2
Genetic Counseling
Genetic Testing
Healthcare Disparities
Hereditary Breast and Ovarian Cancer Syndrome - diagnosis
Hereditary Breast and Ovarian Cancer Syndrome - epidemiology
Hereditary Breast and Ovarian Cancer Syndrome - genetics
Human Genetics
Humans
Laboratory Medicine
Middle Aged
Odds Ratio
original-research-article
Risk Factors
Telephone
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Title Disparities in uptake of BRCA1/2 genetic testing in a randomized trial of telephone counseling
URI https://link.springer.com/article/10.1038/gim.2014.125
https://www.ncbi.nlm.nih.gov/pubmed/25232856
https://www.proquest.com/docview/1844715459
https://www.proquest.com/docview/1686065848
https://www.proquest.com/docview/1712556604
Volume 17
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