Evidence map›Paper›PMID 24322567›Full record

ArticleJournal of genetic counseling2014

Perceived risk following melanoma genetic testing: a 2-year prospective study distinguishing subjective estimates from recall.

Lisa G Aspinwall, Jennifer M Taber, Wendy Kohlmann, Samantha L Leaf, Sancy A Leachman

Abstract read
In one paragraph

Article in Journal of genetic counseling, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

23 citing papers in PubMed, 31 citations in OpenAlex.

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  4. Testing Explanations for Skepticism of Personalized Risk Information.Medical decision making : an international journal of the Society for Medical Decision Making · 2023
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  7. A primer in genomics for social and behavioral investigators.Translational behavioral medicine · 2020
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  17. Genomic Information may Inhibit Weight-Related Behavior Change Inclinations Among Individuals in a Fear State.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016
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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

5 authors at 2 institutions in 1 country.

Lisa G AspinwallDepartment of Psychology, University of Utah, 380 South 1530 East, Room 502, Salt Lake City, UT, 84112-0251, USA, lisa.aspinwall@psych.utah.edu.
Jennifer M Taber
Wendy Kohlmann
Samantha L Leaf
Sancy A Leachman
University of Utah · USHuntsman Cancer Institute · US

Funding

UTAH REGIONAL CANCER CENTERP30CA042014 · NCI · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI CORNELIA M ULRICH · 1986 to 2026
$72.6M
Impact of Melanoma Genetic Testing on Health Cognitions and Prevention BehaviorsR01CA158322 · NCI · UNIVERSITY OF UTAH · PI ASPINWALL, LISA G, LEACHMAN, SANCY ANN · 2011 to 2016
$2.5M
University of Utah Center for Clinical and Translational Science-KL2KL2RR025763 · NCRR · UNIVERSITY OF UTAH · PI MCCLAIN, DONALD A. · 2008 to 2011
$972k
NCI NIH HHS 5P30CA420-14NCI NIH HHS N01 PC035141NCI NIH HHS N01-PC-35141NCI NIH HHS P30 CA042014NCI NIH HHS R01 CA158322NCI NIH HHS R01 CA158322-01NCRR NIH HHS 1KL2RR025763-01NCRR NIH HHS KL2 RR025763
6 · The paper itself

Abstract

A major goal of predictive genetic testing is to alert people to their risk before illness onset; however, little is known about how risk perceptions change following genetic testing and whether information is recalled accurately over time. In the United States, a CDKN2A/p16 mutation confers 76 % lifetime risk of melanoma. Following genetic counseling and test reporting, subjective risk estimates and recall of counselor-provided risk estimates were assessed 5 times over the next 2 years among 60 adult members of 2 extended CDKN2A/p16 kindreds. No sustained changes from baseline in risk perceptions were reported. Unaffected carriers (n = 15) consistently reported significantly lower subjective risk estimates (46 %) than they were actually given (76 %, p < 0.001) or recalled having been given (60 %, p < 0.001). Noncarriers' (n = 27) risk estimates decreased following results disclosure, but rebounded, with both subjective and recalled estimates subsequently exceeding what they were told by the counselor (both ps < 0.001). Affected carriers' (n = 18) risk estimates for developing a new melanoma corresponded well to counselor-provided information (p = 0.362). For all 3 patient groups, results were consistent across multiple risk measures and remained similar when demographic, phenotypic, and baseline behavioral contributors to melanoma risk were statistically controlled. These findings are consistent with other studies of risk perception, but additional studies of more diverse populations are needed to understand the reasons behind both the persistence of initial risk estimates and their divergence from information provided by the counselor during genetic counseling. Additionally, determining whether holding subjective risk perceptions that differ from counselor-provided information ultimately affects adherence to management recommendations will help guide the presentation of risk information in genetic counseling practice.

Indexed as

Genetic Predisposition to DiseaseGenetic TestingMemoryHumansMelanomaProspective StudiesRisk Factors

Identifiers

PMID24322567
PMCPMC4028391
OpenAlexW2058420600

What OpenQuestion holds

Textmetadata
LicenceTDM
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.