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Health Education & Behavior
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Enhanced Counseling for Women Undergoing BRCA1/2 Testing: Impact on Subsequent Decision Making About Risk Reduction Behaviors

Suzanne M. Miller, PhD

Fox Chase Cancer Center, Philadelphia, Pennsylvania

Pagona Roussi, PhD

Psychology Department, Aristotle University of Thessaloniki, Greece

Mary B. Daly, MD, PhD

Fox Chase Cancer Center, Philadelphia, Pennsylvania

Joanne S. Buzaglo, PhD

Fox Chase Cancer Center, Philadelphia, Pennsylvania

Kerry Sherman, PhD

Fox Chase Cancer Center, Philadelphia, Pennsylvania

Andrew K. Godwin, PhD

Clinical Molecular Genetics Laboratory, Fox Chase Cancer Center, Philadelphia, Pennsylvania

Andrew Balshem, BA

Population Studies Facility, Fox Chase Cancer Center, Philadelphia, Pennsylvania

Margaret E. Atchison, BA

Fox Chase Cancer Center, Philadelphia, Pennsylvania

The authors evaluated the impact of an enhanced counseling intervention, designed to promote well-informed decision making for follow-up risk reduction options for ovarian cancer, among high-risk women undergoing BRCA1/2 testing (N = 77). Following standard genetic counseling, participants received either an enhanced counseling session—designed to help participants anticipate their reactions to possible test outcomes and plan for postresult consequences—or a general health information control session. One week after disclosure of test results, women in the enhanced counseling group experienced a greater reduction in avoidant ideation, suggesting more complete processing of risk feedback. At the 6-monthfollow-up, intervention respondents reported seeking out more information about prophylactic oophorectomy and were more likely to have actually undergone preventive surgery. The results indicate that the use of enhanced counseling can play an important role in decision making about risk reduction behaviors following BRCA1/2 testing.

Key Words: BRCA1/2 genetic risk • prophylactic ovarian surgery • enhanced counseling intervention

Health Education & Behavior, Vol. 32, No. 5, 654-667 (2005)
DOI: 10.1177/1090198105278758
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The Lawrence W. Green Paper of the Year Award
Health Educ Behav, April 1, 2006; 33(2): 272 - 272.
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