The effectiveness of a graphical presentation in addition to a frequency format in the context of familial breast cancer risk communication: a multicenter controlled trial

Lidewij Henneman; Jan C. Oosterwijk; Christi J. van Asperen; Fred H. Menko; Caroline F. Ockhuysen-Vermey; Piet J. Kostense; Liesbeth Claassen; Danielle R. M. Timmermans

doi:10.1186/1472-6947-13-55

The effectiveness of a graphical presentation in addition to a frequency format in the context of familial breast cancer risk communication: a multicenter controlled trial

Lidewij Henneman^*, Jan C. Oosterwijk, Christi J. van Asperen, Fred H. Menko, Caroline F. Ockhuysen-Vermey, Piet J. Kostense, Liesbeth Claassen, Danielle R. M. Timmermans

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

10 Citations (Scopus)

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Abstract

Background: Inadequate understanding of risk among counselees is a common problem in familial cancer clinics. It has been suggested that graphical displays can help counselees understand cancer risks and subsequent decision-making. We evaluated the effects of a graphical presentation in addition to a frequency format on counselees' understanding, psychological well-being, and preventive intentions.

Design: Multicenter controlled trial.

Setting: Three familial cancer clinics in the Netherlands.

Methods: Participants: Unaffected women with a breast cancer family history (first-time attendees).

Intervention: Immediately after standard genetic counseling, an additional consultation by a trained risk counselor took place where women were presented with their lifetime breast cancer risk in frequency format (X out of 100) (n = 63) or frequency format plus graphical display (10 x 10 human icons) (n = 91).

Main outcome measures: understanding of risk (risk accuracy, risk perception), psychological well-being, and intentions regarding cancer prevention. Measurements were assessed using questionnaires at baseline, 2-week and 6-month follow-up.

Results: Baseline participant characteristics did not differ between the two groups. In both groups there was an increase in women's risk accuracy from baseline to follow-up. No significant differences were found between women who received the frequency format and those who received an additional graphical display in terms of understanding, psychological well-being and intentions regarding cancer prevention. The groups did not differ in their evaluation of the process of counseling.

Conclusion: Women's personal risk estimation accuracy was generally high at baseline and the results suggest that an additional graphical display does not lead to a significant benefit in terms of increasing understanding of risk, psychological well-being and preventive intentions.

Original language	English
Article number	55
Number of pages	9
Journal	BMC Medical Informatics and Decision Making
Volume	13
DOIs	https://doi.org/10.1186/1472-6947-13-55
Publication status	Published - 29-Apr-2013

Keywords

Breast cancer
Genetic counseling
Risk communication
Risk perception
Cancer worry
Decision-making
Graphical display
BRCA1/2 MUTATION
PERCEPTION
DECISIONS
HEALTH
IMPACT
INFORMATION
PENETRANCE
AVOIDANCE
HISTORY
NUMBERS

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The effectiveness of a graphical presentation in addition to a frequency format in the context of familial breast cancer risk communicationFinal publisher's version, 389 KBLicence: CC BY

Cite this

Henneman, L., Oosterwijk, J. C., van Asperen, C. J., Menko, F. H., Ockhuysen-Vermey, C. F., Kostense, P. J., Claassen, L., & Timmermans, D. R. M. (2013). The effectiveness of a graphical presentation in addition to a frequency format in the context of familial breast cancer risk communication: a multicenter controlled trial. BMC Medical Informatics and Decision Making, 13, [55]. https://doi.org/10.1186/1472-6947-13-55

Henneman, Lidewij ; Oosterwijk, Jan C. ; van Asperen, Christi J. ; Menko, Fred H. ; Ockhuysen-Vermey, Caroline F. ; Kostense, Piet J. ; Claassen, Liesbeth ; Timmermans, Danielle R. M. / The effectiveness of a graphical presentation in addition to a frequency format in the context of familial breast cancer risk communication : a multicenter controlled trial. In: BMC Medical Informatics and Decision Making. 2013 ; Vol. 13.

@article{8be1ea56587c4b1092540f54487a798b,

title = "The effectiveness of a graphical presentation in addition to a frequency format in the context of familial breast cancer risk communication: a multicenter controlled trial",

abstract = "Background: Inadequate understanding of risk among counselees is a common problem in familial cancer clinics. It has been suggested that graphical displays can help counselees understand cancer risks and subsequent decision-making. We evaluated the effects of a graphical presentation in addition to a frequency format on counselees' understanding, psychological well-being, and preventive intentions.Design: Multicenter controlled trial.Setting: Three familial cancer clinics in the Netherlands.Methods: Participants: Unaffected women with a breast cancer family history (first-time attendees).Intervention: Immediately after standard genetic counseling, an additional consultation by a trained risk counselor took place where women were presented with their lifetime breast cancer risk in frequency format (X out of 100) (n = 63) or frequency format plus graphical display (10 x 10 human icons) (n = 91).Main outcome measures: understanding of risk (risk accuracy, risk perception), psychological well-being, and intentions regarding cancer prevention. Measurements were assessed using questionnaires at baseline, 2-week and 6-month follow-up.Results: Baseline participant characteristics did not differ between the two groups. In both groups there was an increase in women's risk accuracy from baseline to follow-up. No significant differences were found between women who received the frequency format and those who received an additional graphical display in terms of understanding, psychological well-being and intentions regarding cancer prevention. The groups did not differ in their evaluation of the process of counseling.Conclusion: Women's personal risk estimation accuracy was generally high at baseline and the results suggest that an additional graphical display does not lead to a significant benefit in terms of increasing understanding of risk, psychological well-being and preventive intentions.",

keywords = "Breast cancer, Genetic counseling, Risk communication, Risk perception, Cancer worry, Decision-making, Graphical display, BRCA1/2 MUTATION, PERCEPTION, DECISIONS, HEALTH, IMPACT, INFORMATION, PENETRANCE, AVOIDANCE, HISTORY, NUMBERS",

author = "Lidewij Henneman and Oosterwijk, {Jan C.} and {van Asperen}, {Christi J.} and Menko, {Fred H.} and Ockhuysen-Vermey, {Caroline F.} and Kostense, {Piet J.} and Liesbeth Claassen and Timmermans, {Danielle R. M.}",

year = "2013",

month = apr,

day = "29",

doi = "10.1186/1472-6947-13-55",

language = "English",

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journal = "BMC Medical Informatics and Decision Making",

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Henneman, L, Oosterwijk, JC, van Asperen, CJ, Menko, FH, Ockhuysen-Vermey, CF, Kostense, PJ, Claassen, L & Timmermans, DRM 2013, 'The effectiveness of a graphical presentation in addition to a frequency format in the context of familial breast cancer risk communication: a multicenter controlled trial', BMC Medical Informatics and Decision Making, vol. 13, 55. https://doi.org/10.1186/1472-6947-13-55

The effectiveness of a graphical presentation in addition to a frequency format in the context of familial breast cancer risk communication : a multicenter controlled trial. / Henneman, Lidewij; Oosterwijk, Jan C.; van Asperen, Christi J.; Menko, Fred H.; Ockhuysen-Vermey, Caroline F.; Kostense, Piet J.; Claassen, Liesbeth; Timmermans, Danielle R. M.

In: BMC Medical Informatics and Decision Making, Vol. 13, 55, 29.04.2013.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - The effectiveness of a graphical presentation in addition to a frequency format in the context of familial breast cancer risk communication

T2 - a multicenter controlled trial

AU - Henneman, Lidewij

AU - Oosterwijk, Jan C.

AU - van Asperen, Christi J.

AU - Menko, Fred H.

AU - Ockhuysen-Vermey, Caroline F.

AU - Kostense, Piet J.

AU - Claassen, Liesbeth

AU - Timmermans, Danielle R. M.

PY - 2013/4/29

Y1 - 2013/4/29

N2 - Background: Inadequate understanding of risk among counselees is a common problem in familial cancer clinics. It has been suggested that graphical displays can help counselees understand cancer risks and subsequent decision-making. We evaluated the effects of a graphical presentation in addition to a frequency format on counselees' understanding, psychological well-being, and preventive intentions.Design: Multicenter controlled trial.Setting: Three familial cancer clinics in the Netherlands.Methods: Participants: Unaffected women with a breast cancer family history (first-time attendees).Intervention: Immediately after standard genetic counseling, an additional consultation by a trained risk counselor took place where women were presented with their lifetime breast cancer risk in frequency format (X out of 100) (n = 63) or frequency format plus graphical display (10 x 10 human icons) (n = 91).Main outcome measures: understanding of risk (risk accuracy, risk perception), psychological well-being, and intentions regarding cancer prevention. Measurements were assessed using questionnaires at baseline, 2-week and 6-month follow-up.Results: Baseline participant characteristics did not differ between the two groups. In both groups there was an increase in women's risk accuracy from baseline to follow-up. No significant differences were found between women who received the frequency format and those who received an additional graphical display in terms of understanding, psychological well-being and intentions regarding cancer prevention. The groups did not differ in their evaluation of the process of counseling.Conclusion: Women's personal risk estimation accuracy was generally high at baseline and the results suggest that an additional graphical display does not lead to a significant benefit in terms of increasing understanding of risk, psychological well-being and preventive intentions.

AB - Background: Inadequate understanding of risk among counselees is a common problem in familial cancer clinics. It has been suggested that graphical displays can help counselees understand cancer risks and subsequent decision-making. We evaluated the effects of a graphical presentation in addition to a frequency format on counselees' understanding, psychological well-being, and preventive intentions.Design: Multicenter controlled trial.Setting: Three familial cancer clinics in the Netherlands.Methods: Participants: Unaffected women with a breast cancer family history (first-time attendees).Intervention: Immediately after standard genetic counseling, an additional consultation by a trained risk counselor took place where women were presented with their lifetime breast cancer risk in frequency format (X out of 100) (n = 63) or frequency format plus graphical display (10 x 10 human icons) (n = 91).Main outcome measures: understanding of risk (risk accuracy, risk perception), psychological well-being, and intentions regarding cancer prevention. Measurements were assessed using questionnaires at baseline, 2-week and 6-month follow-up.Results: Baseline participant characteristics did not differ between the two groups. In both groups there was an increase in women's risk accuracy from baseline to follow-up. No significant differences were found between women who received the frequency format and those who received an additional graphical display in terms of understanding, psychological well-being and intentions regarding cancer prevention. The groups did not differ in their evaluation of the process of counseling.Conclusion: Women's personal risk estimation accuracy was generally high at baseline and the results suggest that an additional graphical display does not lead to a significant benefit in terms of increasing understanding of risk, psychological well-being and preventive intentions.

KW - Breast cancer

KW - Genetic counseling

KW - Risk communication

KW - Risk perception

KW - Cancer worry

KW - Decision-making

KW - Graphical display

KW - BRCA1/2 MUTATION

KW - PERCEPTION

KW - DECISIONS

KW - HEALTH

KW - IMPACT

KW - INFORMATION

KW - PENETRANCE

KW - AVOIDANCE

KW - HISTORY

KW - NUMBERS

U2 - 10.1186/1472-6947-13-55

DO - 10.1186/1472-6947-13-55

M3 - Article

VL - 13

JO - BMC Medical Informatics and Decision Making

JF - BMC Medical Informatics and Decision Making

SN - 1472-6947

M1 - 55

ER -

Henneman L, Oosterwijk JC, van Asperen CJ, Menko FH, Ockhuysen-Vermey CF, Kostense PJ et al. The effectiveness of a graphical presentation in addition to a frequency format in the context of familial breast cancer risk communication: a multicenter controlled trial. BMC Medical Informatics and Decision Making. 2013 Apr 29;13. 55. https://doi.org/10.1186/1472-6947-13-55