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Information Processing in the Context of Genetic Risk: Implications for Genetic-Risk Communication
Authors:Holly Etchegary  Colin Perrier
Institution:(1) Department of Epidemiology & Community Medicine, School of Psychology, University of Ottawa, Ottawa, ON, Canada;(2) Department of Psychology, Brock University, St. Catherines, ON, Canada;(3) Holly Etchegary, Epidemiology & Community Medicine, Faculty of Medicine, GeneSens research group; and School of Psychology, Faculty of Social Sciences, GAP-Santé Research Group, University of Ottawa, 451 Smyth Rd., Rm. 3227, Ottawa, ON, K1H 8M5, Canada
Abstract:Communicating genetic-risk information is fraught with difficulties, and there are no universally accepted guidelines for clinical practice. In this paper, we suggest that information-processing models may offer some guidance for the communication of genetic risk. The paper reviews selected literature from health and social psychology, including defensive reactions to threatening health information, the Extended Parallel Process Model (EPPM) and Self Affirmation Theory. Ultimately, it presents the Heuristic-Systematic Model (HSM) of information processing as a useful perspective from which to view genetic-risk communication. Through our review of this literature, we identify some of the variables found to influence the systematic or heuristic processing of risk information and note their relevance to genetic counseling contexts. We suggest that systematic information processing is conducive to informed decision-making, as well as improved understanding of risk information. Clinical practice implications derived from our review of these literatures are noted.
Keywords:genetic-risk communication  information-processing  heuristic  systematic  risk perception  genetic testing
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