Elizabeth Lobb|Phyllis Butow|Bettina Meiser|Alexandra Barratt|Clara Gaff|Mary?Anne Young|Judy Kirk|Graeme Suthers|Kathy Tucker
Tailoring communication in consultations with women from high risk breast cancer families
University of Sydney|University of Sydney|Royal North Shore Hospital|University of Sydney|Victorian Clinical Genetics Services|Royal Children's Hospital|Peter MacCallum Cancer Centre|Westmead Hospital|Women's and Children's Hospital|Prince of Wales Hospital
multicentre study examined influence patient demographic disease status psychological variables clinical geneticistsgenetic counsellors consultants behaviours initial consultations women highrisk breast cancer families one hundred fiftyeight women completed preclinic selfreport questionnaire consultations audiotaped transcribed verbatim coded consultants vary behaviour according womens expectations however significantly aspects genetic testing discussed women affected breast cancer p0001 screening management unaffected women p001 breast cancer prevention younger women p001 prophylactic mastectomy discussed frequently women medical allied health training p002 prophylactic oophorectomy women affected breast cancer p003 nonprofessional occupations p004 family history breast ovarian cancer p0001 consultants used significantly behaviours facilitate understanding women nonprofessional occupations p004 facilitated active patient involvement women affected breast cancer p0001 used supportive counselling behaviours affected women p002 study showed patient demographics likely predict consultants communication behaviours womans psychological status methods facilitate assessment psychological morbidity needed allow tailored communication