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A systematic review of communication interventions to help healthcare professionals discuss genetic testing for breast cancer
PURPOSE: This systematic review examined educational training interventions for healthcare professionals (HCPs) discussing genetic testing and risk for hereditary breast cancer. There was a particular focus on the presence, and content, of communication elements within these packages. METHODS: Searc...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7376076/ https://www.ncbi.nlm.nih.gov/pubmed/32577939 http://dx.doi.org/10.1007/s10549-020-05741-z |
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author | Starkings, Rachel Shilling, Valerie Jenkins, Valerie Fallowfield, Lesley |
author_facet | Starkings, Rachel Shilling, Valerie Jenkins, Valerie Fallowfield, Lesley |
author_sort | Starkings, Rachel |
collection | PubMed |
description | PURPOSE: This systematic review examined educational training interventions for healthcare professionals (HCPs) discussing genetic testing and risk for hereditary breast cancer. There was a particular focus on the presence, and content, of communication elements within these packages. METHODS: Searches were run via CINAHL, EMBASE, PUBMED, and PsychInfo in February 2019 to identify training interventions available to HCPs with reference to communication skills. Studies were assessed for quality, with relevant intervention and outcome data extracted and synthesized. This review followed the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) statement and was registered on the PROSPERO database (CRD42019124010). RESULTS: Of 3,988 items, seven papers, two of which were linked, were eligible for inclusion. There was a mix of randomized and single arm studies with web-based and face-to-face interventions. Content included an overview of genetics, hereditary and familial background, and recommended practice techniques. Outcomes focused on communication, self-efficacy, knowledge, and satisfaction. Interventions were designed for genetic counselors, physicians, primary care physicians (PCPs), medical students, and nurses. None of the papers featured oncologists or surgeons. CONCLUSIONS: This review revealed an overall lack of publications which evaluated interventions to assist HCPs discussing hereditary breast cancer risk and testing. Studies failed to operationalize which ‘communication skills’ they included, nor did they consistently report randomization, outcome measures, or analysis. Discussing the need for, and management of, genetic testing for inherited cancer risk with individuals and their families can be challenging. As genetic testing in breast cancer becomes more common, the provision of specific communication-based training programs, with reference to genetic testing, risk assessments, and counseling skills is warranted. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10549-020-05741-z) contains supplementary material, which is available to authorized users. |
format | Online Article Text |
id | pubmed-7376076 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-73760762020-07-27 A systematic review of communication interventions to help healthcare professionals discuss genetic testing for breast cancer Starkings, Rachel Shilling, Valerie Jenkins, Valerie Fallowfield, Lesley Breast Cancer Res Treat Review PURPOSE: This systematic review examined educational training interventions for healthcare professionals (HCPs) discussing genetic testing and risk for hereditary breast cancer. There was a particular focus on the presence, and content, of communication elements within these packages. METHODS: Searches were run via CINAHL, EMBASE, PUBMED, and PsychInfo in February 2019 to identify training interventions available to HCPs with reference to communication skills. Studies were assessed for quality, with relevant intervention and outcome data extracted and synthesized. This review followed the Preferred Reporting Items for Systematic Review and Meta-analyses (PRISMA) statement and was registered on the PROSPERO database (CRD42019124010). RESULTS: Of 3,988 items, seven papers, two of which were linked, were eligible for inclusion. There was a mix of randomized and single arm studies with web-based and face-to-face interventions. Content included an overview of genetics, hereditary and familial background, and recommended practice techniques. Outcomes focused on communication, self-efficacy, knowledge, and satisfaction. Interventions were designed for genetic counselors, physicians, primary care physicians (PCPs), medical students, and nurses. None of the papers featured oncologists or surgeons. CONCLUSIONS: This review revealed an overall lack of publications which evaluated interventions to assist HCPs discussing hereditary breast cancer risk and testing. Studies failed to operationalize which ‘communication skills’ they included, nor did they consistently report randomization, outcome measures, or analysis. Discussing the need for, and management of, genetic testing for inherited cancer risk with individuals and their families can be challenging. As genetic testing in breast cancer becomes more common, the provision of specific communication-based training programs, with reference to genetic testing, risk assessments, and counseling skills is warranted. ELECTRONIC SUPPLEMENTARY MATERIAL: The online version of this article (10.1007/s10549-020-05741-z) contains supplementary material, which is available to authorized users. Springer US 2020-06-23 2020 /pmc/articles/PMC7376076/ /pubmed/32577939 http://dx.doi.org/10.1007/s10549-020-05741-z Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Review Starkings, Rachel Shilling, Valerie Jenkins, Valerie Fallowfield, Lesley A systematic review of communication interventions to help healthcare professionals discuss genetic testing for breast cancer |
title | A systematic review of communication interventions to help healthcare professionals discuss genetic testing for breast cancer |
title_full | A systematic review of communication interventions to help healthcare professionals discuss genetic testing for breast cancer |
title_fullStr | A systematic review of communication interventions to help healthcare professionals discuss genetic testing for breast cancer |
title_full_unstemmed | A systematic review of communication interventions to help healthcare professionals discuss genetic testing for breast cancer |
title_short | A systematic review of communication interventions to help healthcare professionals discuss genetic testing for breast cancer |
title_sort | systematic review of communication interventions to help healthcare professionals discuss genetic testing for breast cancer |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7376076/ https://www.ncbi.nlm.nih.gov/pubmed/32577939 http://dx.doi.org/10.1007/s10549-020-05741-z |
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