A randomised controlled trial of breast cancer genetics services in South East Scotland

Psychological impact

A. Fry, A. Cull, S. Appleton, R. Rush, S. Holloway, D. Gorman, R. Cetnarskyj, R. Thomas, J. Campbell, E. Anderson, M. Steel, M. Porteous, H. Campbell (Lead / Corresponding author)

Research output: Contribution to journalArticle

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Abstract

This study compared the psychological impact of two models of breast cancer genetics services in South East Scotland. One hundred and seventy general practices were randomised to refer patients to the existing standard regional service or the novel community-based service. Participants completed postal questionnaires at baseline (n = 373), 4 weeks (n = 276) and 6 months (n = 263) to assess perceived risk of breast cancer, subjective and objective understanding of genetics and screening issues, general psychological distress, cancer worry and health behaviours. For participants in both arms of the trial, there were improvements in subjective and objective understanding up to 4 weeks which were generally sustained up to 6 months. However, improvements in subjective understanding for the women at low risk of breast cancer (i.e. not at significantly increased risk) in the standard service arm did not reach statistical significance. Cancer worry was significantly reduced at 6 months for participants in both arms of the trial. The two models of cancer genetics services tested were generally comparable in terms of the participants' psychological outcomes. Therefore, decisions regarding the implementation of the novel community-based service should be based on the resources required and client satisfaction with the service.

Original languageEnglish
Pages (from-to)653-659
Number of pages7
JournalBritish Journal of Cancer
Volume89
Issue number4
Early online date12 Aug 2003
DOIs
Publication statusPublished - 18 Aug 2003

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Genetic Services
Scotland
Randomized Controlled Trials
Social Welfare
Breast Neoplasms
Psychology
Neoplasms
Health Behavior
Genetic Testing
General Practice

Keywords

  • Breast cancer genetic risk counselling
  • Psychological impact
  • Service delivery

Cite this

Fry, A. ; Cull, A. ; Appleton, S. ; Rush, R. ; Holloway, S. ; Gorman, D. ; Cetnarskyj, R. ; Thomas, R. ; Campbell, J. ; Anderson, E. ; Steel, M. ; Porteous, M. ; Campbell, H. / A randomised controlled trial of breast cancer genetics services in South East Scotland : Psychological impact. In: British Journal of Cancer. 2003 ; Vol. 89, No. 4. pp. 653-659.
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Fry, A, Cull, A, Appleton, S, Rush, R, Holloway, S, Gorman, D, Cetnarskyj, R, Thomas, R, Campbell, J, Anderson, E, Steel, M, Porteous, M & Campbell, H 2003, 'A randomised controlled trial of breast cancer genetics services in South East Scotland: Psychological impact', British Journal of Cancer, vol. 89, no. 4, pp. 653-659. https://doi.org/10.1038/sj.bjc.6601170

A randomised controlled trial of breast cancer genetics services in South East Scotland : Psychological impact. / Fry, A.; Cull, A.; Appleton, S.; Rush, R.; Holloway, S.; Gorman, D.; Cetnarskyj, R.; Thomas, R.; Campbell, J.; Anderson, E.; Steel, M.; Porteous, M.; Campbell, H. (Lead / Corresponding author).

In: British Journal of Cancer, Vol. 89, No. 4, 18.08.2003, p. 653-659.

Research output: Contribution to journalArticle

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