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



Fry, A and Cull, A and Appleton, Sally and Rush, Robert and Holloway, Susan and Gorman, Dermot and Cetnarskyj, Roseanne and Thomas, R and Campbell, J and Anderson, E and Steel, M and Porteous, Mary and Campbell, Harry (2003) A randomised controlled trial of breast cancer genetics services in South East Scotland: psychological impact. British Journal of Cancer, 89 (4). pp. 653-659. ISSN 00070920

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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 (n¼373), 4 weeks (n¼276) and 6 months (n¼263) 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.

Item Type: Article
Date Deposited: 29 Mar 2009 15:32
Last Modified: 19 Mar 2014 12:55
URI: http://eresearch.qmu.ac.uk/id/eprint/459

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