title: Self-rated breast cancer risk among women reporting a first-degree family history of breast cancer on office screening questionnaires in routine medical care: the role of physician-delivered risk feedback.
abstract: OBJECTIVE
  We investigated whether risk-related feedback delivered by one's primary care physician is associated with self-ratings of risk among women found to have a first-degree family history of breast cancer on office screening questionnaires.
  
  
  METHODS
  
  
  
  METHODS
  Mailed survey of women registered with the Cancer Genetics Network having a first-degree family history of breast cancer. Eligibility: Completion of primary care-based family history screening within the past year.
  
  
  METHODS
  presence of physician feedback about breast cancer risk. Dependent variable: self-rated breast cancer risk. Modifying variable: trust in one's doctor.
  
  
  RESULTS
  Three hundred one women met eligibility criteria (73% minimum response rate); feedback was associated with rating one's risk to be "high" in both crude and multivariate analysis. (ORadj = 2.38; 95% CI = 1.30, 4.38). Higher levels of trust in the physician were associated in a dose-dependent fashion with the strength of association between feedback and self-rating one's risk to be high.
  
  
  CONCLUSIONS
  Physician feedback following the identification of a first-degree family history of breast cancer appears to influence whether or not women categorize themselves to be at high risk and trust is an important modifier of this association.
authors.affiliation: Brown Medical School, Providence, Rhode Island, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Gramling
authors.forename: David
authors.initials: D
authors.lastname: Anthony
authors.forename: Emma
authors.initials: E
authors.lastname: Simmons
authors.forename: Deborah
authors.initials: D
authors.lastname: Bowen
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000453:epidemiology* / Q000517:prevention & control; D003695:Delivery of Health Care; D005246:Feedback; D005260:Female; D006801:Humans; D008403:Mass Screening; D008487:Medical History Taking; D008875:Middle Aged; D010375:Pedigree; D010820:Physicians; D012306:Risk; D011795:Surveys and Questionnaires