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Tailoring communication in cancer genetic counseling through individual video-supported feedback: a controlled pretest-posttest design.
- Source :
-
Patient education and counseling [Patient Educ Couns] 2006 Mar; Vol. 60 (3), pp. 326-35. Date of Electronic Publication: 2005 Jul 15. - Publication Year :
- 2006
-
Abstract
- Objectives: To assess the influence of a 1-day individual video-feedback training for cancer genetic counselors on the interaction during initial visits. Feedback was intended to help counselors make counselees' needs more explicit and increase counselors' sensitivity to these.<br />Methods: In total 158 counselees, mainly referred for breast or colon cancer and visiting 1 of 10 counselors, received a pre- and post-visit questionnaire assessing needs (fulfillment). Visits were videotaped, counselor eye gaze was assessed, and verbal communication was analyzed by Roter Interaction Analysis System (RIAS) adapted to the genetic setting. Halfway the study, five counselors were trained.<br />Results: Trained counselors provided more psychosocial information, and with trained counselors emotional consequences of DNA-testing was more often discussed. Counselees seen by a trained counselor considered their need for explanations on (emotional) consequences of counseling as better fulfilled. Unexpectedly, counselees' contribution to the interaction was smaller with trained counselors.<br />Conclusion: Feedback appeared to result in greater emphasis on psychosocial issues, without lengthening the visit. However, counselors did not become more verbally supportive in other ways than by providing information.<br />Practice Implications: A 1 day individual training appears effective to some extend; increased opportunities for watching and practicing behavioral alternatives and arranging consolidating sessions may improve training results.
- Subjects :
- Adult
Attitude to Health
Clinical Competence standards
Feedback, Psychological
Female
Humans
Male
Needs Assessment
Neoplasms prevention & control
Netherlands
Nursing Assessment
Nursing Education Research
Professional-Patient Relations
Program Evaluation
Social Support
Surveys and Questionnaires
Teaching methods
Verbal Behavior
Communication
Education, Medical, Continuing methods
Education, Nursing, Continuing methods
Genetic Counseling methods
Genetic Counseling psychology
Neoplasms genetics
Videotape Recording methods
Subjects
Details
- Language :
- English
- ISSN :
- 0738-3991
- Volume :
- 60
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Patient education and counseling
- Publication Type :
- Academic Journal
- Accession number :
- 16024209
- Full Text :
- https://doi.org/10.1016/j.pec.2005.06.009