+ Site Statistics
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Communication and information-giving in high-risk breast cancer consultations: influence on patient outcomes

Communication and information-giving in high-risk breast cancer consultations: influence on patient outcomes

British Journal of Cancer 90(2): 321-327

This longitudinal study aimed to document (i) the information-giving and patient-communication styles of clinical geneticists and genetic counsellors (consultants) in familial breast cancer clinics and (ii) assess the effect of these styles on women's knowledge, whether their expectations were met, satisfaction, risk perception and psychological status. A total of 158 women from high-risk breast cancer families completed self-report questionnaires at 2 weeks preconsultation and 4 weeks postconsultation. The consultations were audiotaped, transcribed and coded. Multivariate logistic regressions showed that discussing prophylactic mastectomy (P=0.00) and oophorectomy (P=0.01) led to women having significantly more expectations met; discussing genetic testing significantly decreased anxiety (P=0.03) and facilitating understanding significantly decreased depression (P=0.05). Receiving a summary letter of the consultation significantly lowered anxiety (P=0.01) and significantly increased the accuracy of perceived risk (P=0.02). Women whose consultant used more supportive communications experienced significantly more anxiety about breast cancer at the 4 weeks follow-up (P=0.00). These women were not significantly more anxious before genetic counselling. In conclusion, this study found that consultants vary in the amount of information they give and the way they communicate; and this variation can result in better or worse psychosocial outcomes. Greater use of supportive and counselling communications appeared to increase anxiety about breast cancer. Identifying methods to assist consultants to address emotional issues effectively may be helpful.

Accession: 011876923

Download citation: RISBibTeXText

PMID: 14735171

DOI: 10.1038/sj.bjc.6601502

Related references

The influence of consultants communication and information-giving behaviours on patient outcomes A multi centre study of genetic counselling with women from high risk breast cancer families. European Journal of Human Genetics 10(Supplement 1): 312-313, 2002

Women's preferences and consultants' communication of risk in consultations about familial breast cancer: impact on patient outcomes. Journal of Medical Genetics 40(5): E56, 2003

Development of a communication aid to facilitate risk communication in consultations with unaffected women from high risk breast cancer families: a pilot study. Journal of Genetic Counseling 15(5): 393-405, 2006

Communication of information risk of familial breast cancer A controlled randomised trial of audiotaped consultations. Journal of Medical Genetics 34(SUPPL 1): S62, 1997

Tailoring communication in consultations with women from high risk breast cancer families. British Journal of Cancer 87(5): 502-508, 27 August, 2002

Cancer communication patterns and the influence of patient characteristics: disparities in information-giving and affective behaviors. Patient Education and Counseling 62(3): 355-360, 2006

Breast cancer prevention: patient decision making and risk communication in the high risk setting. Breast Journal 16(1): 38-47, 2010

Consultations between patients with breast cancer and surgeons: a pathway from patient-centered communication to reduced hopelessness. Journal of Clinical Oncology 31(3): 351-358, 2013

Information-giving in medical consultations: the influence of patients' communicative styles and personal characteristics. Social Science and Medicine 32(5): 541-548, 1991

The interaction between physician and patient communication behaviors in Japanese cancer consultations and the influence of personal and consultation characteristics. Patient Education and Counseling 46(4): 277-285, 2002

Outcomes following a patient education session in women at high risk for breast cancer. Proceedings of the American Association for Cancer Research Annual Meeting 42: 740, 2001

Effects of information-giving and communication during orthodontic consultation and treatment. Part 3: Optimized orthodontist-patient communication. Journal of Orofacial Orthopedics 57(3): 154-167, 1996

Identifying patients at high risk of breast cancer recurrence: strategies to improve patient outcomes. Breast Cancer 7: 337-343, 2015

The use of audiotapes in consultations with women from high risk breast cancer families: a randomised trial. Journal of Medical Genetics 39(9): 697-703, 2002

The nurse and the patient: communication skills. Getting it across (information giving--part 2). Nursing Times 77(35): Suppl 29-32, 1981