Document Detail


Exploring genetic counseling communication patterns: the role of teaching and counseling approaches.
MedLine Citation:
PMID:  16770706     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The educational and counseling models are often touted as the two primary professional approaches to genetic counseling practice. Yet, research has not been conducted to examine how these approaches are used in practice. In the present study, we conducted quantitative communication analyses of BRCA1 genetic counseling sessions. We measured communication variables that represent content (e.g., a biomedical focus) and process (e.g., passive listening) to explore whether genetic counselor approaches are consistent with prevailing professional models. The Roter Interaction Analysis System (RIAS) was used to code 167 pre-test genetic counseling sessions of members of a large kindred with an identified BRCA1 mutation. Three experienced genetic counselors conducted the sessions. Creating composite categories from the RIAS codes, we found the sessions to be largely educational in nature with the counselors and clients devoting the majority of their dialogue to providing biomedical information (62 and 40%, respectively). We used cluster analytic techniques, entering the composite communication variables and identified four patterns of session communication: Client-focused psychosocial, biomedical question and answer, counselor-driven psychosocial, and client-focused biomedical. Moreover, we found that the counselors had unique styles in which they combined the use of education and counseling approaches. We discuss the importance of understanding the variation in counselor communication to advance the field and expand prevailing assumptions.
Authors:
Lee Ellington; Bonnie J Baty; Jamie McDonald; Vickie Venne; Adrian Musters; Debra Roter; William Dudley; Robert T Croyle
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural    
Journal Detail:
Title:  Journal of genetic counseling     Volume:  15     ISSN:  1059-7700     ISO Abbreviation:  J Genet Couns     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-29     Completed Date:  2006-11-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9206865     Medline TA:  J Genet Couns     Country:  United States    
Other Details:
Languages:  eng     Pagination:  179-89     Citation Subset:  IM    
Affiliation:
University of Utah College of Nursing, 10 South 2000 East, Salt Lake City, Utah 84112, USA. lee.ellington@nurs.utah.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Breast Neoplasms / genetics
Communication
Counseling
Female
Genes, BRCA1
Genetic Counseling / trends*
Humans
Mutation
Ovarian Neoplasms / genetics
Patient Education as Topic*
Professional-Patient Relations*
Utah
Grant Support
ID/Acronym/Agency:
R03HG002359/HG/NHGRI NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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