Follow-up effects of a tailored pre-counseling website with question prompt in breast cancer genetic counseling

Akke Albada; Sandra van Dulmen; Peter Spreeuwenberg; Margreet G E M Ausems

doi:10.1016/j.pec.2014.10.005

Follow-up effects of a tailored pre-counseling website with question prompt in breast cancer genetic counseling

Akke Albada^*
, Sandra van Dulmen
, Peter Spreeuwenberg
, Margreet G E M Ausems

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Objective: Pre-counseling education helps counselees to prepare for breast cancer genetic counseling and might subsequently result in more positive experiences, improved cognitive outcomes and more experienced control. This study assessed the effects of a website with tailored information and a blank sheet to fill in questions (question prompt; QP), at 1 week and 1 year post-counseling.

Methods: Consecutive counselees were randomized to the usual care group (UC) or the intervention group (UC. +. website. +. QP). Counselees completed questionnaires pre- and post-counseling and 1 year follow-up. We conducted multilevel regression analyses corrected for time.

Results: Intervention group counselees (n (103) were more satisfied about their final visit (β (.35; CI: .06-.65; P (.02; n (156) than UC group counselees (n (94). Intervention group counselees also reported more positive experiences with the counseling (β (.32; CI: .06-.59; P (.02; n (188) and higher perceived personal control 1 year post-counseling (β (.51; CI: .18-.84; P (.002; n (193). No significant effects were found on recall, knowledge, anxiety, cancer worry, risk perception alignment and adherence to breast surveillance advice.

Conclusion: This study shows that pre-counseling education providing tailored information and QP, might lead to improvements in experiences with the counseling and perceived personal control 1 year post-counseling. Practice implications: Online pre-visit information is a feasible tool to enhance counselees' experiences.

Original language	English
Pages (from-to)	69-76
Number of pages	8
Journal	Patient Education and Counseling
Volume	98
Issue number	1
DOIs	https://doi.org/10.1016/j.pec.2014.10.005
Publication status	Published - Jan 2015

Keywords

Genetic counseling
Breast cancer
Patient information
Internet
Longitudinal
Website
RANDOMIZED CONTROLLED-TRIAL
PSYCHOLOGICAL IMPACT
MEDICAL INFORMATION
RISK PERCEPTION
WOMEN
SUSCEPTIBILITY
INTERVENTIONS
BRCA1/2
CONSULTATION
METAANALYSIS

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10.1016/j.pec.2014.10.005

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@article{0044f038d09a4694bcd0084a33e70a37,

title = "Follow-up effects of a tailored pre-counseling website with question prompt in breast cancer genetic counseling",

abstract = "Objective: Pre-counseling education helps counselees to prepare for breast cancer genetic counseling and might subsequently result in more positive experiences, improved cognitive outcomes and more experienced control. This study assessed the effects of a website with tailored information and a blank sheet to fill in questions (question prompt; QP), at 1 week and 1 year post-counseling. Methods: Consecutive counselees were randomized to the usual care group (UC) or the intervention group (UC. +. website. +. QP). Counselees completed questionnaires pre- and post-counseling and 1 year follow-up. We conducted multilevel regression analyses corrected for time. Results: Intervention group counselees (n (103) were more satisfied about their final visit (β (.35; CI: .06-.65; P (.02; n (156) than UC group counselees (n (94). Intervention group counselees also reported more positive experiences with the counseling (β (.32; CI: .06-.59; P (.02; n (188) and higher perceived personal control 1 year post-counseling (β (.51; CI: .18-.84; P (.002; n (193). No significant effects were found on recall, knowledge, anxiety, cancer worry, risk perception alignment and adherence to breast surveillance advice. Conclusion: This study shows that pre-counseling education providing tailored information and QP, might lead to improvements in experiences with the counseling and perceived personal control 1 year post-counseling. Practice implications: Online pre-visit information is a feasible tool to enhance counselees' experiences.",

keywords = "Genetic counseling, Breast cancer, Patient information, Internet, Longitudinal, Website, RANDOMIZED CONTROLLED-TRIAL, PSYCHOLOGICAL IMPACT, MEDICAL INFORMATION, RISK PERCEPTION, WOMEN, SUSCEPTIBILITY, INTERVENTIONS, BRCA1/2, CONSULTATION, METAANALYSIS",

author = "Akke Albada and \{van Dulmen\}, Sandra and Peter Spreeuwenberg and Ausems, \{Margreet G E M\}",

year = "2015",

month = jan,

doi = "10.1016/j.pec.2014.10.005",

language = "English",

volume = "98",

pages = "69--76",

journal = "Patient Education and Counseling",

issn = "0738-3991",

publisher = "Elsevier Ireland Ltd",

number = "1",

}

TY - JOUR

T1 - Follow-up effects of a tailored pre-counseling website with question prompt in breast cancer genetic counseling

AU - Albada, Akke

AU - van Dulmen, Sandra

AU - Spreeuwenberg, Peter

AU - Ausems, Margreet G E M

PY - 2015/1

Y1 - 2015/1

N2 - Objective: Pre-counseling education helps counselees to prepare for breast cancer genetic counseling and might subsequently result in more positive experiences, improved cognitive outcomes and more experienced control. This study assessed the effects of a website with tailored information and a blank sheet to fill in questions (question prompt; QP), at 1 week and 1 year post-counseling. Methods: Consecutive counselees were randomized to the usual care group (UC) or the intervention group (UC. +. website. +. QP). Counselees completed questionnaires pre- and post-counseling and 1 year follow-up. We conducted multilevel regression analyses corrected for time. Results: Intervention group counselees (n (103) were more satisfied about their final visit (β (.35; CI: .06-.65; P (.02; n (156) than UC group counselees (n (94). Intervention group counselees also reported more positive experiences with the counseling (β (.32; CI: .06-.59; P (.02; n (188) and higher perceived personal control 1 year post-counseling (β (.51; CI: .18-.84; P (.002; n (193). No significant effects were found on recall, knowledge, anxiety, cancer worry, risk perception alignment and adherence to breast surveillance advice. Conclusion: This study shows that pre-counseling education providing tailored information and QP, might lead to improvements in experiences with the counseling and perceived personal control 1 year post-counseling. Practice implications: Online pre-visit information is a feasible tool to enhance counselees' experiences.

AB - Objective: Pre-counseling education helps counselees to prepare for breast cancer genetic counseling and might subsequently result in more positive experiences, improved cognitive outcomes and more experienced control. This study assessed the effects of a website with tailored information and a blank sheet to fill in questions (question prompt; QP), at 1 week and 1 year post-counseling. Methods: Consecutive counselees were randomized to the usual care group (UC) or the intervention group (UC. +. website. +. QP). Counselees completed questionnaires pre- and post-counseling and 1 year follow-up. We conducted multilevel regression analyses corrected for time. Results: Intervention group counselees (n (103) were more satisfied about their final visit (β (.35; CI: .06-.65; P (.02; n (156) than UC group counselees (n (94). Intervention group counselees also reported more positive experiences with the counseling (β (.32; CI: .06-.59; P (.02; n (188) and higher perceived personal control 1 year post-counseling (β (.51; CI: .18-.84; P (.002; n (193). No significant effects were found on recall, knowledge, anxiety, cancer worry, risk perception alignment and adherence to breast surveillance advice. Conclusion: This study shows that pre-counseling education providing tailored information and QP, might lead to improvements in experiences with the counseling and perceived personal control 1 year post-counseling. Practice implications: Online pre-visit information is a feasible tool to enhance counselees' experiences.

KW - Genetic counseling

KW - Breast cancer

KW - Patient information

KW - Internet

KW - Longitudinal

KW - Website

KW - RANDOMIZED CONTROLLED-TRIAL

KW - PSYCHOLOGICAL IMPACT

KW - MEDICAL INFORMATION

KW - RISK PERCEPTION

KW - WOMEN

KW - SUSCEPTIBILITY

KW - INTERVENTIONS

KW - BRCA1/2

KW - CONSULTATION

KW - METAANALYSIS

UR - https://www.scopus.com/pages/publications/84920019464

U2 - 10.1016/j.pec.2014.10.005

DO - 10.1016/j.pec.2014.10.005

M3 - Article

C2 - 25455796

AN - SCOPUS:84920019464

SN - 0738-3991

VL - 98

SP - 69

EP - 76

JO - Patient Education and Counseling

JF - Patient Education and Counseling

IS - 1

ER -

Follow-up effects of a tailored pre-counseling website with question prompt in breast cancer genetic counseling

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