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Comparing genetic counseling with non-genetic health care interactions: Two of a kind?

Smets, E; Van Zwieten, M; Michie, S; (2007) Comparing genetic counseling with non-genetic health care interactions: Two of a kind? PATIENT EDUC COUNS , 68 (3) 225 - 234. 10.1016/j.pec.2007.05.015.

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Abstract

Objective: Increasingly clinicians other than genetic counselors will advise people with genetic risks. Although some express concerns about this development because of the need for non-genetic clinicians to have additional training, we argue that genetic counseling has more in common with other health care interactions than is generally assumed.Methods: In this narrative review we investigate the health communication literature taking the perspective that all provider-patient/client interactions share the following goals: forming a relationship, the exchange of information, decision making, promoting health-related behavior and providing support.Results: We found that both non-genetic and genetic 'disciplines' endorse an egalitarian relationship, based on a patient-centered approach and both have difficulties with attuning to the patients' agendas and enhancing patient understanding. Shared decision making is increasingly the preferred model for geneticists and non-geneticists alike, and both need skills to constructively discuss patients' risk-reducing behavior and provide emotional support.Conclusion: Rather than developing separate vocabularies and research traditions, the discipline of genetic counseling may benefit by drawing on non-genetic patient-provider interaction research. Practice implications: Since geneticists face the same challenges as non-geneticists, medical training should continue to improve basic consultation skills, regardless of whether the consultation involves genetic information. (c) 2007 Elsevier Ireland Ltd. All rights reserved.

Type: Article
Title: Comparing genetic counseling with non-genetic health care interactions: Two of a kind?
DOI: 10.1016/j.pec.2007.05.015
Keywords: genetic counseling, patient-provider communication, relationship, information, decision making, health behavior, emotional support, review, DOCTOR-PATIENT COMMUNICATION, SHARED DECISION-MAKING, FUTURE-DIRECTIONS, BREAST-CANCER, PSYCHOLOGICAL-ASPECTS, MEDICAL ENCOUNTER, CENTERED BEHAVIOR, INFORMATION NEEDS, RISK, PHYSICIANS
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: http://discovery.ucl.ac.uk/id/eprint/15529
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