Evidence map›Paper›PMID 38962909›Full record

ArticleJournal of genetic counseling2025

Investigating genetic counselors' communication with Lynch syndrome patients about cascade testing: Barriers, facilitators, and strategies.

Lingzi Zhong, Yanete Rodriguez, Whitney Espinel, Elissa M Ozanne, Kimberly A Kaphingst

Abstract read
In one paragraph

Article in Journal of genetic counseling, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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.

Lingzi ZhongHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.ORCID 0000-0002-1168-890X
Yanete RodriguezGraduate Program in Genetic Counseling, Department of Human Genetics, University of Utah, Salt Lake City, Utah, USA.
Whitney EspinelHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.
Elissa M OzanneDepartment of Population Health Sciences, University of Utah, Salt Lake City, Utah, USA.
Kimberly A KaphingstHuntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.

Funding

Utah Center of Excellence in ELSI Research: UCEERRM1HG009037 · NHGRI · UNIVERSITY OF UTAH · PI ROTHWELL, ERIN, TABERY, JAMES · 2016 to 2024
$8.0M
NHGRI NIH HHS RM1 HG009037NHGRI NIH HHS RM1HG009037
6 · The paper itself

Abstract

Cascade testing is an imperative process to engage Lynch syndrome patients' at-risk relatives in early cancer risk reduction interventions. How genetic counselors communicate about cascade testing is crucial to patients' intentions of and actual involvement in family communication. Based on data from 20 interviews with genetic counselors, this qualitative study examined their perceptions of barriers and facilitators of offering cascade testing to at-risk relatives and the specific communication strategies they use to discuss cascade testing with patients. We identified patient-level, genetic counselor-level, and system-level barriers and facilitators of having discussions with Lynch syndrome patients about cascade testing. The qualitative data also revealed four prominent communication strategies that genetic counselors use for such discussions: build rapport, reframe the benefits of family communication, adapt communication, and provide various resources. These findings highlight genetic counselors' needs of practical and structural support to facilitate their communication about cascade testing, especially when patients are hesitant or lack resources or skills to notify at-risk relatives about cascade testing.

Indexed as

Colorectal Neoplasms, Hereditary NonpolyposisCommunication BarriersGenetic CounselingGenetic TestingAdultFemaleHumansInterviews as TopicMiddle AgedQualitative Researchbarrierscascade testingcommunicationcounseling techniquesfacilitatorsfamilyLynch syndrome

Identifiers

PMID38962909
PMCPMC11698949

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Registered trials

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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.