Exploring genetic counseling communication patterns: The role of teaching and counseling approaches

Lee Ellington, Bonnie J. Baty, Jamie McDonald, Vickie Venne, Adrian Musters, Debra Roter, William Dudley, Robert T. Croyle

Research output: Contribution to journalArticle

Abstract

The educational and counseling models are often touted as the two primary professional approaches to genetic counseling practice. Yet, research has not been conducted to examine how these approaches are used in practice. In the present study, we conducted quantitative communication analyses of BRCA1 genetic counseling sessions. We measured communication variables that represent content (e.g., a biomedical focus) and process (e.g., passive listening) to explore whether genetic counselor approaches are consistent with prevailing professional models. The Roter Interaction Analysis System (RIAS) was used to code 167 pre-test genetic counseling sessions of members of a large kindred with an identified BRCA1 mutation. Three experienced genetic counselors conducted the sessions. Creating composite categories from the RIAS codes, we found the sessions to be largely educational in nature with the counselors and clients devoting the majority of their dialogue to providing biomedical information (62 and 40%, respectively). We used cluster analytic techniques, entering the composite communication variables and identified four patterns of session communication: Client-focused psychosocial, biomedical question and answer, counselor-driven psychosocial, and client-focused biomedical. Moreover, we found that the counselors had unique styles in which they combined the use of education and counseling approaches. We discuss the importance of understanding the variation in counselor communication to advance the field and expand prevailing assumptions.

Original languageEnglish (US)
Pages (from-to)179-189
Number of pages11
JournalJournal of Genetic Counseling
Volume15
Issue number3
DOIs
StatePublished - Jun 2006

Fingerprint

Genetic Counseling
Counseling
Teaching
Communication
Educational Models
Counselors
Education
Mutation
Research

Keywords

  • BRCA1
  • Cluster analysis
  • Communication
  • Genetic counseling
  • Patterns

ASJC Scopus subject areas

  • Genetics(clinical)

Cite this

Exploring genetic counseling communication patterns : The role of teaching and counseling approaches. / Ellington, Lee; Baty, Bonnie J.; McDonald, Jamie; Venne, Vickie; Musters, Adrian; Roter, Debra; Dudley, William; Croyle, Robert T.

In: Journal of Genetic Counseling, Vol. 15, No. 3, 06.2006, p. 179-189.

Research output: Contribution to journalArticle

Ellington, L, Baty, BJ, McDonald, J, Venne, V, Musters, A, Roter, D, Dudley, W & Croyle, RT 2006, 'Exploring genetic counseling communication patterns: The role of teaching and counseling approaches', Journal of Genetic Counseling, vol. 15, no. 3, pp. 179-189. https://doi.org/10.1007/s10897-005-9011-6
Ellington, Lee ; Baty, Bonnie J. ; McDonald, Jamie ; Venne, Vickie ; Musters, Adrian ; Roter, Debra ; Dudley, William ; Croyle, Robert T. / Exploring genetic counseling communication patterns : The role of teaching and counseling approaches. In: Journal of Genetic Counseling. 2006 ; Vol. 15, No. 3. pp. 179-189.
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