Correction: Intrafamilial communication of hereditary breast and ovarian cancer genetic information in Italian women: towards a personalised approach

Pietro, María Luisa Di; Zace, D; Orfino, Alessia; Raimo, Francesca Romana Di; Poscia, Andrea; Matteis, Elisabetta De; Turchetti, Daniela; Godino, Lea; Bertonazzi, Benedetta; Franiuk, Marzena; Bruzzone, Carla; Varesco, Liliana; Lucci-Cordisco, Emanuela; Genuardi, Maurizio

doi:10.1038/s41431-020-00733-5

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“…Most of the participants were members of the Clavis Arcus which was not widely known to Japanese HBOC patients and medical staffs. Compared to previous studies (Arning et al, 2015;Di Pietro et al, 2020;Ellington et al, 2005;Griswold et al, 2011;Guan et al, 2017Guan et al, , 2018Hodgson et al, 2010;Ibisler et al, 2017), our study had a larger sample of HBOC patients who attended genetic counseling alone. We identified that many participants who attended the initial genetic counseling alone confidently understood and accepted things and were able to make decisions on their own (Table 4); that is, they were easily able to act without the support of a companion.…”

Section: Participants Characteristicsmentioning

confidence: 99%

“…Previous studies have found that geriatric patients, patients with Alzheimer's, and emergency care patients generally took companions, as a medium of support for physical and psychosocial problems (Cené et al, 2015;Schilling et al, 2002;Sharp & Hobson, 2016;Wolff & Roter, 2008). Di Pietro reported that for some patients the reasons for being accompanied were to not be alone, to feel supported, or because the accompanying person was also getting BRCA1/2 testing (Di Pietro et al, 2020). However, some participants brought family members, 'Because I wanted my family to understand my disease' and 'Because I was worried that he/she might get the disease' (Table 4).…”

Section: Companion Roles In Genetic Counselingmentioning

confidence: 99%

“…However, some participants brought family members, 'Because I wanted my family to understand my disease' and 'Because I was worried that he/she might get the disease' (Table 4). It is reported that companions are often the key persons who discuss cascade testing with other family members (Di Pietro et al, 2020) and are typically the next to be tested (Gilbar & Barnoy, 2018;Kosugi, 2019;Petersen et al, 2016;Veyseh et al, 2018). Therefore, it is very important to point out that genetic counseling companions are more likely to promote family communication and become future clients than companions attending consultations in other clinical departments.…”

Section: Companion Roles In Genetic Counselingmentioning

confidence: 99%

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Japanese women's reasons for accompaniment status to hereditary breast and ovarian cancer‐focused genetic counseling

Matsukawa

Torishima

Satoh

et al. 2021

Journal of Genetic Counseling

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Genetic counselors routinely assess and understand clients’ needs at the beginning of a session. Attending a genetic counseling session with or without companions is an objective sign that genetic counselors can easily notice. This study focused on clients’ reasons for their accompaniment status for genetic counseling, which we categorize into attending with or without a companion(s). A questionnaire survey and interviews were conducted using snowball sampling, starting with the chief executive officer (CEO) of the Japanese hereditary breast and ovarian cancer (HBOC) support group. Of 32 participants, 19 continued with an in‐depth interview after answering the questionnaire. Five themes were identified from the interview: (1) personal confidence, (2) decision‐making style, (3) family members’ habits and time availability, (4) considerations and conflicts with family members, and (5) healthcare provider's suggestion. Our data suggested that the clients expected their companion(s) to play certain roles. This indicates that the reasons of accompaniment status will be helpful for genetic counselors to understand both clients’ and their families’ motivations, personalities, habits, and psychosocial backgrounds. In a high‐context culture such as that of Japan, accompaniment status may be a helpful sign to understand clients’ true worries. In addition, some companions may be future clients in genetic counseling, due to the genetic nature of the disease. In conclusion, our study indicated that it is important for genetic counselors to record accompaniment status before the initial genetic counseling and to pay attention to its reasons at the beginning of the session, which may lead them to understand the client's psychosocial background to facilitate better client‐centered genetic counseling.

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