School of Psychiatry, University of New South Wales, Randwick, Australia.
Genet Med. 2011 Nov;13(11):933-41. doi: 10.1097/GIM.0b013e3182217a19.
Videoconferencing is increasingly used to deliver family cancer services for hereditary breast and ovarian cancer to outreach areas. This study compared the effectiveness and acceptability of genetic counseling for hereditary breast and ovarian cancer through videoconferencing (hereafter referred to as "telegenetics").
One hundred six women seen by telegenetics and 89 women seen face-to-face completed self-administered questionnaires before, and 1 month after, genetic counseling. Telegenetics consultations involved a genetic clinician via telegenetics in addition to a local genetic counselor present with the patient.
No significant differences were found between telegenetics and face-to-face genetic counseling in terms of knowledge gained (P = 0.55), satisfaction with the genetic counseling service (P = 0.76), cancer-specific anxiety (P = 0.13), generalized anxiety (P = 0.42), depression (P = 0.96), perceived empathy of the genetic clinician (P = 0.13), and perceived empathy of the genetic counselor (P = 0.12). Telegenetics performed significantly better than face-to-face counseling in meeting patients' expectations (P = 0.009) and promoting perceived personal control (P = 0.031).
Telegenetics seems to be an acceptable and effective method of delivering genetic counseling services for hereditary breast and ovarian cancer to underserved areas.
视频会议越来越多地用于向偏远地区提供遗传性乳腺癌和卵巢癌的家庭癌症服务。本研究比较了通过视频会议（以下简称“远程遗传学”）进行遗传性乳腺癌和卵巢癌遗传咨询的效果和可接受性。
通过远程遗传学接受咨询的 106 名妇女和面对面接受咨询的 89 名妇女在遗传咨询前后分别完成了自我管理的问卷调查。远程遗传学咨询涉及通过远程遗传学的遗传临床医生，以及与患者一起在场的当地遗传顾问。
在获得的知识方面（P = 0.55）、对遗传咨询服务的满意度（P = 0.76）、癌症特异性焦虑（P = 0.13）、广泛性焦虑（P = 0.42）、抑郁（P = 0.96）、遗传临床医生的感知同理心（P = 0.13）和遗传顾问的感知同理心（P = 0.12）方面，远程遗传学和面对面遗传咨询之间没有显著差异。远程遗传学在满足患者期望方面（P = 0.009）和促进感知个人控制方面（P = 0.031）明显优于面对面咨询。
远程遗传学似乎是向服务不足地区提供遗传性乳腺癌和卵巢癌遗传咨询服务的一种可接受且有效的方法。
