Skip to main content

Advertisement

Springer Nature is making SARS-CoV-2 and COVID-19 research free. View research | View latest news | Sign up for updates

Table 2 Genetic susceptibility testing for BRCA1/2

From: A Counselling Model for BRCA1/2 Genetic Susceptibility Testing

First counselling session with a genetic counsellor
   - Assessment of a priori knowledge concerning BRCA1/2 mutations and genetic testing and provision of risk Information
   - Assessment of impact of the test result
   - Assessment of need to refer to a psychosocial worker
   - Decision counseling
   - Blood sampling
No blood sampling but a second counselling session with a genetic counsellor or psychosocial worker if:
   - counselee experiences provided information as very unfamiliar or shocking or decision making was not thorough
   - other 'unfinished business' comes up such as relational conflicts, communication problems with relatives, worries about (future) children
   - anticipation of inadequate coping with the test result
   - the counselee is younger than 25
Disclosure session
   - Disclosure of the test result by the genetic counsellor
   - Assessment of need to refer to a psychosocial worker
   - Referral to a specialist (for carriers)
Formal follow-up for mutation carriers:
   - Follow-up interview by phone after 2-3 weeks
   - Optional information seminar with experts (geneticist, oncologist, surgeon, gynaecologist) once a year
   - Optional mutation carrier support group