Connecting patients, researchers and clinical genetics services: the experiences of participants in the Australian Ovarian Cancer Study (AOCS).
Population-based genetic research may produce information that has clinical implications for participants and their family. Researchers notify participants or their next of kin (NoK) about the availability of genetic information via a notification letter; however, many subsequently do not contact a family cancer centre (FCC) to clarify their genetic status. Therefore, the purpose of this study was to examine research participants' experience of receiving a notification letter and the factors that influenced contact with an FCC. Twenty-five semi-structured interviews were conducted with research participants (n=10) or their NoK (n=15) who had received a notification letter following participation in the Australian Ovarian Cancer Study. There were a number of factors which impacted participants' access to genetic counselling at an FCC. Some participants had unmet information and support needs, which were addressed by their participation in this psychosocial interview study. Recruitment and participation in this study therefore inadvertently increased a number of participants' intention to contact an FCC. For others, participation in this study facilitated access to an FCC. Recommendations are proposed regarding future notification as well as implications for clinical practice. An approach that also provides opportunity to address research participants' support and informational needs before contacting a clinical genetics service as well as practical guidance for accessing genetic services would facilitate timely and smooth access for research participants who are interested in following up clinically relevant genetic test results.
1] Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia [2] Royal North Shore Hospital, St Leonards, New South Wales, Australia.
Ashley
A
Crook
1] Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia [2] Victorian Clinical Genetics Service, Royal Children's Hospital, Parkville, Victoria, Australia.
Loren
L
Plunkett
Peter MacCallum Cancer Centre, East Melbourne, Victoria, Australia.
Laura E
LE
Forrest
1] Centre for Health and Society, University of Melbourne, Parkville, Victoria, Australia [2] PHG Foundation, Strangeways Research Laboratories, Cambridge, UK.
Nina
N
Hallowell
1] Department of Paediatrics, University of Melbourne, Parkville, Victoria, Australia [2] Victorian Clinical Genetics Service, Royal Children's Hospital, Parkville, Victoria, Australia.
Samantha
S
Wake
1] Peter MacCallum Cancer Centre, East Melbourne, Victoria, Australia [2] Department of Biochemistry and Molecular Biology, University of Melbourne, Parkville, Victoria, Australia.
Kathryn
K
Alsop
Hunter Genetics, Newcastle, New South Wales, Australia.
Margaret
M
Gleeson
1] Peter MacCallum Cancer Centre, East Melbourne, Victoria, Australia [2] Department of Biochemistry and Molecular Biology, University of Melbourne, Parkville, Victoria, Australia [3] Sir Peter MacCallum Department of Oncology, University of Melbourne, East Melbourne, Victoria, Australia [4] Department of Pathology, University of Melbourne, Parkville, Victoria, Australia.
David
D
Bowtell
1] Peter MacCallum Cancer Centre, East Melbourne, Victoria, Australia [2] Sir Peter MacCallum Department of Oncology, University of Melbourne, East Melbourne, Victoria, Australia.
Gillian
G
Mitchell
Peter MacCallum Cancer Centre, East Melbourne, Victoria, Australia.
Mary-Anne
MA
Young
D001315:Australia; D005190:Family; D005260:Female; D005817:Genetic Counseling / Q000379:methods / Q000458:organization & administration*; D005820:Genetic Testing / Q000379:methods; D006801:Humans; D008297:Male; D010051:Ovarian Neoplasms / Q000235:genetics* / Q000523:psychology; D010353:Patient Education as Topic / Q000379:methods* / Q000458:organization & administration; D011369:Professional-Patient Relations