Evidence map›Paper›PMID 17949286›Full record

ArticleGenetic testing2007

Information needs of mothers regarding communicating BRCA1/2 cancer genetic test results to their children.

Kenneth P Tercyak, Beth N Peshkin, Tiffani A Demarco, Andrea Farkas Patenaude, Katherine A Schneider, Judy E Garber, Heiddis B Valdimarsdottir, Marc D Schwartz

Open access · greenAbstract read
In one paragraph

Article in Genetic testing, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
2.9field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 58 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
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  6. Development of a Tool to Guide Parents Carrying a BRCA1/2 Mutation Share Genetic Results with Underage Children.Journal of cancer education : the official journal of the American Association for Cancer Education · 2018
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  7. Article
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  10. Review
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  13. Distress and the parenting dynamic among BRCA1/2 tested mothers and their partners.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2014
    Article
  14. Review
  15. Decisional outcomes of maternal disclosure of BRCA1/2 genetic test results to children.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2013
    Article
  16. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Kenneth P TercyakLombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC 20007-2401, USA. tercyakk@georgetown.edu
Beth N Peshkin
Tiffani A Demarco
Andrea Farkas Patenaude
Katherine A Schneider
Judy E Garber
Heiddis B Valdimarsdottir
Marc D Schwartz
Vince Lombardi Cancer Clinic · USDana-Farber Cancer Institute · USIcahn School of Medicine at Mount Sinai · US

Funding

Parent Communication of BRCA1/2 Test Results to ChildrenR01HG002686 · NHGRI · GEORGETOWN UNIVERSITY · PI TERCYAK, KENNETH · 2003 to 2009
$3.1M
Telephone-Based Genetic Counseling: An Equivalence TrialR01CA108933 · NCI · GEORGETOWN UNIVERSITY · PI SCHWARTZ, MARC D · 2004 to 2008
$2.3M
INTERACTIVE DECISION AID FOR BRCA 1/2 MUTATION CARRIERSR01CA082346 · NCI · GEORGETOWN UNIVERSITY · PI SCHWARTZ, MARC D · 1999 to 2003
$2.1M
Pediatric Cancer Prevention and ControlK07CA091831 · NCI · GEORGETOWN UNIVERSITY · PI TERCYAK, KENNETH · 2002 to 2006
$663k
NCI NIH HHS CA082346NCI NIH HHS CA091831NCI NIH HHS CA108933NCI NIH HHS K07 CA091831NCI NIH HHS R01 CA082346NCI NIH HHS R01 CA108933NHGRI NIH HHS HG002686NHGRI NIH HHS R01 HG002686
6 · The paper itself

Abstract

Mothers who participate in genetic testing for hereditary breast/ovarian cancer risk must decide if, when, and how to ultimately share their BRCA1 and BRCA2 (BRCA1/2) test results with their minor-age children. One of the primary aides for mothers in making this decision is cancer genetic counseling. However, counseling is limited in how well it can educate mothers about such decisions without the availability of resources that are specific to family communication and genetic testing per se. In an effort to fill this gap and identify mothers most likely to benefit from such resources, surveys were conducted with 187 mothers undergoing BRCA1/2 testing who had children 8-21 years old. Data were collected weeks after genetic testing but prior to mothers' learning of their test results; quantitative assessments of informational resource needs (i.e., speaking with previous BRCA1/2 testing participants who are parents regarding their experiences, reading educational literature about options and what to expect, speaking with a family counselor, attending a family support group, and self-nominated other resources), testing motivations, decision making vigilance, and decisional conflict regarding communicating test results to children were included. Mothers' most-to-least frequently cited information resource needs were: literature (93.4%), family counseling (85.8%), prior participants (79.0%), support groups (53.9%), and other (28.9%; e.g., pediatricians and psychologists). Seventy-eight percent of mothers were interested in accessing three or more resources. In multivariate regression analyses, testing motivations (beta = 0.35, p = 0.03), decision-making vigilance (beta = 0.16, p = 0.00), and decisional conflict (beta = 0.10, p = 0.00) were associated with mothers' need level; mothers with a greater interest in testing to learn about their children's risks, those with more vigilant decision-making styles, and those with higher decisional conflict had the greatest need. In conjunction with enhanced genetic counseling focusing on family disclosure, educational literature, and psychosocial support may promote improved outcomes.

Indexed as

Genes, BRCA1Genes, BRCA2Genetic CounselingGenetic Predisposition to DiseaseAdolescentAdultBRCA1 ProteinBRCA2 ProteinBreast NeoplasmsChildDecision MakingDemographyFemaleGenetic TestingHumansInformed ConsentBRCA1 ProteinBRCA2 Protein

Identifiers

PMID17949286
PMCPMC2495765
OpenAlexW2058838280

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.