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Pho, Kevin; Geller, Alan C.; Schroy, Paul C.

doi:10.1023/a:1008932417421

Cited by 20 publications

(2 citation statements)

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“…This result has been found in several studies, be it targeted [6,8,9] or generalized mass screening, and it is potentially at this level that interventions designed to increase screening participation should be implemented [24,25]. In the context of targeted screening, the relationships within the family have a very specific impact and are equally predictive of the behaviour of FDRs [6,9].…”

Section: Discussionmentioning

confidence: 69%

“…In the context of targeted screening, the relationships within the family have a very specific impact and are equally predictive of the behaviour of FDRs [6,9]. Discussion about screening amongst siblings involves the index patient divulging his illness and being educated to play the role of passing on medical information about the increased risk and about screening, two aspects that are difficult to address [12,25] since as for other hereditary pathologies (familial hypercholesterolaemia [26], breast cancer, melanoma ...), physicians are not authorized to contact their patients' FDRs directly. In order to prevent under-diagnosis in their relatives, index patients, assuming that they themselves have been adequately informed of the risks by their physicians, must first of all pass on this information to their FDRs.…”

Section: Discussionmentioning

confidence: 99%

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Determinants of participation in colonoscopic screening by siblings of colorectal cancer patients in France

et al. 2010

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BackgroundTargeted colonosocopic screening is recommended for first-degree relatives of colorectal cancer patients diagnosed before the age of 60 and offers the possibility of reducing morbidity and mortality, but participation remains too low. The objective of this study was to determine in a French population the factors that affect siblings' participation in screening, notably those relating to the individuals, their medical care, their family and their social network.MethodsA cross sectional survey was conducted in siblings of index patients having undergone surgery for colorectal cancer between 1999 and 2002 in two French counties. Siblings were contacted during 2007 and 2008 through the index patient. The factors affecting participation in colonoscopic screening were studied by logistic regression taking into account family cluster effect.Results172 siblings of 74 index cases were included. The declared rate of undergoing at least one colonoscopy among siblings was 66%; 95%CI 59-73%. Five variables were independently associated with colonoscopic screening: perceiving fewer barriers to screening (OR = 3.2; 95%CI 1.2-8.5), having received the recommendation to undergo screening from a physician (OR = 4.9; 1.7-13.7), perceiving centres practising colonoscopy as more accessible (OR = 3.2, 1.3-7.8), having discussed screening with all siblings (OR = 3.9; 1.6-9.6) and being a member of an association (OR = 2.6; 1.0-6.6).ConclusionsThe factors independently associated with participation in CRC screening by an individual at increased risk belonged to each of four dimensions relating to his individual psychosocial characteristics, to his relationship with a physician, within the family and social environment. The relevance of these results to clinical practice may help to improve compliance to recommendations in a global preventive strategy including all stages of the information pathway from the physician to the index patient and his relatives.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Determinants of participation in colonoscopic screening by siblings of colorectal cancer patients in France

et al. 2010

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Using a family systems approach to investigate cancer risk communication within melanoma families

et al. 2010

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OBJECTIVE The family provides an important communication nexus for information and support exchange about family cancer history, and adoption of family-wide cancer risk reduction strategies. The goals of this study were to: 1) use the family systems theory to identify characteristics of this sample of families at increased risk of developing melanoma and 2) to relate familial characteristics to the frequency and style of familial risk communication. METHODS Participants were first-degree relatives (n=313) of melanoma patients, recruited into a family web-based intervention study. We used multivariable logistic regression models to analyze the association between family functioning and family communication. RESULTS Most participants were female (60%), with an average age of 51 years. Fifty percent of participants reported that they spoke to their relatives about melanoma risk and people were more likely to speak to their female family members. Familial adaptation, cohesion, coping, and health beliefs were strongly associated with an open style of risk communication within families. None were associated with a blocked style of risk communication. Only cohesion and adaptation were associated with the amount of risk communication that occurred within families. CONCLUSIONS Overall, individuals who came from families that were more highly cohesive, adaptable, and shared strong beliefs about melanoma risk were more likely to communicate openly about melanoma. The fact that this association was not consistent across blocked communication and communication frequency highlights the multifaceted nature of this process. Future research should focus on the interplay between different facets of communication.

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All in the family? Communication of cancer survivors with their families

et al. 2017

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Purpose Families often bear the burden of communication about cancer risk, as well as support during and after treatment for cancer in family members. These activities are left up to survivors and their families, with little support or knowledge of useful methods. We present data on aspects of family that are most relevant to risk of cancer-related communication and health promotion among family members. Methods Families (a survivor, one first-degree relative and one parent; n=313 families) were enrolled in the survey-based study. We assessed multiple aspects of family communication about risk for melanoma among family participants. Results Families communicate less frequently than desired about cancer risk. Most families do identify a “Family Health Provider” who keeps family data and serves a resource for family members. The reasons given for lack of family communication are diverse but many can be addressed as part of a family communication intervention. Conclusion Families are poised to improve their family communication about cancer risk and so can play a role in increasing the health of their members.

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Abstract: This survey demonstrates poor communication about familial colorectal cancer risk associated with colorectal adenomas, and highlights the need for novel strategies to both promote awareness and facilitate screening of at-risk relatives.

Cited by 20 publications

References 10 publications

Determinants of participation in colonoscopic screening by siblings of colorectal cancer patients in France

Determinants of participation in colonoscopic screening by siblings of colorectal cancer patients in France

Using a family systems approach to investigate cancer risk communication within melanoma families

All in the family? Communication of cancer survivors with their families

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