Using patient perspectives to inform communication training materials for health care professionals discussing BRCA mutation testing

Shilling, Valerie, Catt, Susan, Jenkins, Valerie and Fallowfield, Lesley (2020) Using patient perspectives to inform communication training materials for health care professionals discussing BRCA mutation testing. Breast Cancer Research and Treatment. ISSN 0167-6806

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Abstract

Purpose
As demand for genetic testing grows and a wide range of health care professionals (HCPs) are potentially involved in discussions about testing and delivering results, we developed an educational package to help HCPs with these conversations.

Methods
To inform the content of training materials, we conducted interviews with 11 women four of whom had BRCA1 and seven with BRCA2 mutations. Five women had or were currently receiving breast cancer treatment. Ages ranged from 38 to 77 years. Interviews were audio-recorded, transcribed verbatim and analysed using the Framework approach to thematic analysis.

Results
We identified 18 themes and 12 subthemes across the interviews, encompassed by six overarching themes: risk, decision-making, information and understanding, communication and improvement, accessing the system: process and frustration, emotional and social drivers.

Conclusions
The findings informed the didactic components of an educational communication workshop and a summary document for attendees. Qualitative interviews provide an important way of incorporating the patient perspective into communication training materials for HCPs by highlighting key issues that matter most to the patient.

Item Type: Article
Keywords: BRCA, Breast cancer, Communication, Genetic testing, Qualitative
Schools and Departments: Brighton and Sussex Medical School > Sussex Health Outcomes Research & Education in Cancer (SHORE-C)
SWORD Depositor: Mx Elements Account
Depositing User: Mx Elements Account
Date Deposited: 26 Aug 2020 08:03
Last Modified: 26 Aug 2020 08:15
URI: http://sro.sussex.ac.uk/id/eprint/93279

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