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BRCA1 Testing: Genetic Counseling Protocol Development and Counseling Issues
Authors:Bonnie Jeanne Baty  Vickie L. Venne  Jamie McDonald  Robert T. Croyle  Corinne Halls  Jean E. Nash  Jeffrey R. Botkin
Affiliation:(1) Department of Pediatrics, University of Utah, Salt Lake City, Utah;(2) Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah;(3) Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, Utah;(4) Department of Psychology, University of Utah, Salt Lake City, Utah;(5) Department of Psychiatry, University of Utah, Salt Lake City, Utah;(6) Department of Human Genetics, University of Utah, Salt Lake City, Utah
Abstract:This article discusses the genetic counseling protocols which were developed and counseling issues that have arisen in the first 2 years of evaluating a large kindred with a BRCA1 mutation. The rationale for the development of the genetic counseling protocols and specific genetic counseling visual aids are presented and discussed. The protocols and counseling aids can serve as models for other programs offering cancer susceptibility testing. The observations of study counselors about study subject concerns and responses to genetic testing at the time of the pretest and posttest counseling sessions are presented.
Keywords:cancer susceptibility testing  BRCA1  genetic counseling  cancer predisposition
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