title: Interventions to improve patient access to and utilisation of genetic and genomic counselling services.
abstract: This is the protocol for a review and there is no abstract. The objectives are as follows.
  
  
  OBJECTIVE
  The primary objective is to assess the effectiveness of interventions to improve patient identification, access to and utilisation of genetic and genomic counselling services when compared to: No intervention;Usual or current practice; andOther active intervention.
  
  
  OBJECTIVE
  The secondary objective is to explore the resource use and costs associated with interventions aimed at improving patient identification, access to and utilisation of genetic and genomic counselling services from studies meeting the eligibility criteria. We will report on factors that may explain variation in the effectiveness of interventions aimed at improving patient identification, access to and utilisation of genetic and genomic counselling services from studies meeting the eligibility criteria. Another secondary objective is to explore how interventions which target improved patient identification, access to and utilisation of genetic and genomic counselling services affect the subsequent appropriate use of health services for the prevention or early detection of disease. It is also possible that the genetic counselling interaction itself will contribute to the possible use of preventative services.
authors.affiliation: School of Health, University of Central Lancashire, Preston, UK; Department of Clinical Genetics, Liverpool Women's NHS Foundation Trust, Liverpool, UK.
authors.forename: Caroline M
authors.initials: CM
authors.lastname: Benjamin
authors.affiliation: School of Health, University of Central Lancashire, Preston, UK.
authors.forename: Lois H
authors.initials: LH
authors.lastname: Thomas
authors.affiliation: Faculty of Health and Human Sciences, University of Plymouth, Plymouth, UK.
authors.forename: Heather
authors.initials: H
authors.lastname: Skirton
authors.affiliation: InformedDNA, Saint Petersburg, Florida, USA.
authors.forename: Shanna
authors.initials: S
authors.lastname: Gustafson
authors.affiliation: School of Health, University of Central Lancashire, Preston, UK.
authors.forename: Jacqueline
authors.initials: J
authors.lastname: Coupe
authors.affiliation: Department of Clinical Genetics, Guys and St Thomas' NHS Foundation Trust, London, UK.
authors.forename: Christine
authors.initials: C
authors.lastname: Patch
authors.affiliation: Manchester Centre for Genomic Medicine, St Mary's Hospital, Manchester, UK.
authors.forename: Rachel
authors.initials: R
authors.lastname: Belk
authors.affiliation: School of Health, University of Central Lancashire, Preston, UK.
authors.forename: Svetlana
authors.initials: S
authors.lastname: Tishkovskaya
authors.affiliation: Centre for Cancer Research, Genetics Branch, National Cancer Institute, Bethesda, Maryland, USA.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Calzone
authors.affiliation: Manchester Centre for Health Economics, The University of Manchester, Manchester, UK.
authors.forename: Katherine
authors.initials: K
authors.lastname: Payne