Health beliefs associated with readiness for genetic counseling among high risk breast cancer survivors

Maija Reblin, Monica L. Kasting, Kelli Nam, Courtney L. Scherr, Jongphil Kim, Ram Thapa, Cathy D. Meade, M. Catherine Lee, Tuya Pal, Gwendolyn P. Quinn, Susan T. Vadaparampil*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

2 Scopus citations

Abstract

We used the Health Belief Model (HBM) to explore factors associated with readiness for genetic counseling among breast cancer survivors. Breast cancer survivors meeting NCCN genetic counseling referral criteria completed questionnaires capturing demographic and clinical information and factors guided by the HBM, including health beliefs, psychosocial variables, and cues to action. Using logistic regression, we examined whether the above variables differed based on readiness group (pre-contemplators, who did not plan to make a genetic counseling appointment, and contemplators, who planned to make a genetic counseling appointment in the next 1-6 months). Of 111 participants, 57% were pre-contemplators and 43% were contemplators. Higher cancer worry was associated with increased odds of being a contemplator (OR = 2.99; 95% CI = 1.37-6.54) and higher perceived barriers to genetic counseling were associated with decreased odds of being a contemplator (OR = 0.31; 95% CI = 0.11-0.85). Those who reported a family member encouraged them to get tested were more likely to be contemplators (OR = 3.57; 95% CI = 1.19-10.70). Our results suggest key factors for predicting genetic counseling readiness include cancer worry, perceived barriers, and family influence. There is need for increased genetic counseling awareness. Better understanding of factors related to survivors' decisions about counseling can inform tailored interventions to improve uptake and ultimately reduce cancer recurrence risk.

Original languageEnglish (US)
Pages (from-to)117-123
Number of pages7
JournalBreast Journal
Volume25
Issue number1
DOIs
StatePublished - Jan 1 2019

Keywords

  • breast cancer
  • genetic counseling
  • health behavior
  • health belief model
  • stages of change

ASJC Scopus subject areas

  • Internal Medicine
  • Surgery
  • Oncology

Fingerprint Dive into the research topics of 'Health beliefs associated with readiness for genetic counseling among high risk breast cancer survivors'. Together they form a unique fingerprint.

Cite this