Evidence map›Paper›PMID 27761849›Full record

ArticleJournal of genetic counseling2017

A Relational Approach to Genetic Counseling for Hereditary Breast and Ovarian Cancer.

Rowan Forbes Shepherd, Tamara Kayali Browne, Linda Warwick

Open access · bronzeAbstract read
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In one paragraph

Article in Journal of genetic counseling, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.5field-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

13 citing papers in PubMed, 27 citations in OpenAlex.

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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

3 authors at 2 institutions in 1 country.

Rowan Forbes ShepherdResearch School of Biology, Australian National University, Canberra, ACT, Australia. rowan.forbesshepherd@petermac.org.ORCID http://orcid.org/0000-0003-4510-0542
Tamara Kayali BrowneResearch School of Biology, Australian National University, Canberra, ACT, Australia. t.kayali.05@cantab.net.
Linda WarwickACT Genetic Service, ACT Health, Canberra, ACT, Australia.
Australian National University · AUAct Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ethical issues arise for genetic counselors when a client fails to disclose a genetic diagnosis of hereditary disease to family: they must consider the rights of the individual client to privacy and confidentiality as well as the rights of the family to know their genetic risk. Although considerable work has addressed issues of non-disclosure from the client's perspective, there is a lack of qualitative research into how genetic counselors address this issue in practice. In this study, a qualitative approach was taken to investigate whether genetic counselors in Australia use a relational approach to encourage the disclosure of genetic information from hereditary breast and ovarian cancer (HBOC) clients among family members; and if so, how they use it. Semi-structured qualitative interviews were conducted with 16 genetic counselors from selected states across Australia. Data collection and analysis were guided by a basic iterative approach incorporating a hybrid methodology to thematic analysis. The findings provide indicative evidence of genetic counselors employing a relational approach in three escalating stages--covert, overt and authoritative--to encourage the disclosure of genetic information. The findings lend credence to the notion that genetic counselors envision a form of relational autonomy for their clients in the context of sharing genetic information, and they depart from individualistic conceptions of care/solely client-centered counseling when addressing the needs of other family members to know their genetic status.

Indexed as

DisclosureAdultAustraliaBreast NeoplasmsFamilyFemaleGenetic CounselingGenetic Predisposition to DiseaseHumansMaleMiddle AgedOvarian NeoplasmsQualitative ResearchDisclosureEthical dutyFamilial responsibilityGenetic counseling practice and theoryGenetic informationRelational approach

Identifiers

PMID27761849
OpenAlexW2537866368

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.