Abstract
The purpose of the current study was to examine changes in frequency of discussion about melanoma preventive behaviors among adults who received melanoma genetic test reporting and counseling and their children and grandchildren, correspondence of frequency of discussion with intentions, and content of discussions. Participants received CDKN2A/p16 testing and counseling (N = 24, 46 % p16-positive). Discussions about preventive behaviors were assessed before testing and 1 and 6 months post-testing. Intentions to discuss preventive behaviors and perceived preparedness to discuss risk were assessed post-testing. Open-ended questions assessed content of reported discussions. Discussion of preventive behaviors declined following test reporting, with more rapid decline reported by noncarriers. There was a large gap between the percentage of participants who intended to discuss preventive behaviors and who then reported discussions 1 and 6 months after counseling. Participants felt prepared to discuss melanoma risk but also suggested resources to facilitate discussions. Genetic test reporting and counseling alone did not sustain discussions about preventive behaviors for a hereditary cancer with children and grandchildren. The gap between intentions to have discussions and reported discussions has implications for augmentation of counseling to support at-risk families’ discussions about preventive behaviors.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 21-31 |
| Number of pages | 11 |
| Journal | Journal of Community Genetics |
| Volume | 7 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2016 |
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Keywords
- CDKN2A/p16
- Family communication
- Genetic testing
- Melanoma
- Prevention
ASJC Scopus subject areas
- Genetics(clinical)
- Public Health, Environmental and Occupational Health
- Epidemiology
Cite this
Discussion of photoprotection, screening, and risk behaviors with children and grandchildren after melanoma genetic testing. / Wu, Yelena P.; Aspinwall, Lisa G.; Michaelis, Timothy C.; Stump, Tammy; Kohlmann, Wendy G.; Leachman, Sancy.
In: Journal of Community Genetics, Vol. 7, No. 1, 01.01.2016, p. 21-31.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Discussion of photoprotection, screening, and risk behaviors with children and grandchildren after melanoma genetic testing
AU - Wu, Yelena P.
AU - Aspinwall, Lisa G.
AU - Michaelis, Timothy C.
AU - Stump, Tammy
AU - Kohlmann, Wendy G.
AU - Leachman, Sancy
PY - 2016/1/1
Y1 - 2016/1/1
N2 - The purpose of the current study was to examine changes in frequency of discussion about melanoma preventive behaviors among adults who received melanoma genetic test reporting and counseling and their children and grandchildren, correspondence of frequency of discussion with intentions, and content of discussions. Participants received CDKN2A/p16 testing and counseling (N = 24, 46 % p16-positive). Discussions about preventive behaviors were assessed before testing and 1 and 6 months post-testing. Intentions to discuss preventive behaviors and perceived preparedness to discuss risk were assessed post-testing. Open-ended questions assessed content of reported discussions. Discussion of preventive behaviors declined following test reporting, with more rapid decline reported by noncarriers. There was a large gap between the percentage of participants who intended to discuss preventive behaviors and who then reported discussions 1 and 6 months after counseling. Participants felt prepared to discuss melanoma risk but also suggested resources to facilitate discussions. Genetic test reporting and counseling alone did not sustain discussions about preventive behaviors for a hereditary cancer with children and grandchildren. The gap between intentions to have discussions and reported discussions has implications for augmentation of counseling to support at-risk families’ discussions about preventive behaviors.
AB - The purpose of the current study was to examine changes in frequency of discussion about melanoma preventive behaviors among adults who received melanoma genetic test reporting and counseling and their children and grandchildren, correspondence of frequency of discussion with intentions, and content of discussions. Participants received CDKN2A/p16 testing and counseling (N = 24, 46 % p16-positive). Discussions about preventive behaviors were assessed before testing and 1 and 6 months post-testing. Intentions to discuss preventive behaviors and perceived preparedness to discuss risk were assessed post-testing. Open-ended questions assessed content of reported discussions. Discussion of preventive behaviors declined following test reporting, with more rapid decline reported by noncarriers. There was a large gap between the percentage of participants who intended to discuss preventive behaviors and who then reported discussions 1 and 6 months after counseling. Participants felt prepared to discuss melanoma risk but also suggested resources to facilitate discussions. Genetic test reporting and counseling alone did not sustain discussions about preventive behaviors for a hereditary cancer with children and grandchildren. The gap between intentions to have discussions and reported discussions has implications for augmentation of counseling to support at-risk families’ discussions about preventive behaviors.
KW - CDKN2A/p16
KW - Family communication
KW - Genetic testing
KW - Melanoma
KW - Prevention
UR - http://www.scopus.com/inward/record.url?scp=84955177709&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84955177709&partnerID=8YFLogxK
U2 - 10.1007/s12687-015-0243-3
DO - 10.1007/s12687-015-0243-3
M3 - Article
VL - 7
SP - 21
EP - 31
JO - Journal of Community Genetics
JF - Journal of Community Genetics
SN - 1868-310X
IS - 1
ER -