Experience and perceptions of a family health history risk assessment tool among multi-ethnic asian breast cancer patients
A family health history-based risk assessment is particularly valuable for guiding cancer screening and treatment strategies, yet an optimal implementation depends upon end-users' values and needs. This is not only true prior to disease development, but also for those already affected. The aim...
| Main Authors: | , , , , , , , , |
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| Format: | Journal Article |
| Language: | English |
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2022
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| Online Access: | https://hdl.handle.net/10356/153902 |
| _version_ | 1826114503814676480 |
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| author | Yoon, Sungwon Goh, Hendra Fung, Si Ming Tang, Shihui Matchar, David Ginsburg, Geoffrey S Orlando, Lori A. Ngeow, Joanne Yuen Yie Wu, Rebekah Ryanne |
| author2 | Lee Kong Chian School of Medicine (LKCMedicine) |
| author_facet | Lee Kong Chian School of Medicine (LKCMedicine) Yoon, Sungwon Goh, Hendra Fung, Si Ming Tang, Shihui Matchar, David Ginsburg, Geoffrey S Orlando, Lori A. Ngeow, Joanne Yuen Yie Wu, Rebekah Ryanne |
| author_sort | Yoon, Sungwon |
| collection | NTU |
| description | A family health history-based risk assessment is particularly valuable for guiding cancer screening and treatment strategies, yet an optimal implementation depends upon end-users' values and needs. This is not only true prior to disease development, but also for those already affected. The aim of this study is to explore perceptions of the value of knowing one's family health history (FHH)-based risk, experience using a patient-facing FHH tool and the potential of the tool for wider implementation. Twenty multi-ethnic Asian patients undergoing breast cancer treatment in Singapore completed an FHH-based risk assessment. Semi-structured one-on-one interviews were conducted and data were thematically analyzed. All participants were female and slightly more than half were Chinese. The acceptance and usage of an FHH risk assessment tool for cancers and its broader implementation was affected by a perceived importance of personal control over early detection, patient concerns of anxiety for themselves and their families due to risk results, concerns for genetic discrimination, adequacy of follow-up care plans and Asian cultural beliefs toward disease and dying. This study uniquely sheds light on the factors affecting Asian breast cancer patients' perceptions about undergoing an FHH-based risk assessment, which should inform steps for a broader implementation in Asian healthcare systems. |
| first_indexed | 2024-10-01T03:40:33Z |
| format | Journal Article |
| id | ntu-10356/153902 |
| institution | Nanyang Technological University |
| language | English |
| last_indexed | 2024-10-01T03:40:33Z |
| publishDate | 2022 |
| record_format | dspace |
| spelling | ntu-10356/1539022023-03-05T16:42:57Z Experience and perceptions of a family health history risk assessment tool among multi-ethnic asian breast cancer patients Yoon, Sungwon Goh, Hendra Fung, Si Ming Tang, Shihui Matchar, David Ginsburg, Geoffrey S Orlando, Lori A. Ngeow, Joanne Yuen Yie Wu, Rebekah Ryanne Lee Kong Chian School of Medicine (LKCMedicine) Science::Medicine Family Health History Risk Assessment A family health history-based risk assessment is particularly valuable for guiding cancer screening and treatment strategies, yet an optimal implementation depends upon end-users' values and needs. This is not only true prior to disease development, but also for those already affected. The aim of this study is to explore perceptions of the value of knowing one's family health history (FHH)-based risk, experience using a patient-facing FHH tool and the potential of the tool for wider implementation. Twenty multi-ethnic Asian patients undergoing breast cancer treatment in Singapore completed an FHH-based risk assessment. Semi-structured one-on-one interviews were conducted and data were thematically analyzed. All participants were female and slightly more than half were Chinese. The acceptance and usage of an FHH risk assessment tool for cancers and its broader implementation was affected by a perceived importance of personal control over early detection, patient concerns of anxiety for themselves and their families due to risk results, concerns for genetic discrimination, adequacy of follow-up care plans and Asian cultural beliefs toward disease and dying. This study uniquely sheds light on the factors affecting Asian breast cancer patients' perceptions about undergoing an FHH-based risk assessment, which should inform steps for a broader implementation in Asian healthcare systems. Published version This research was funded by the Duke University School of Medicine and Duke-NUS Medical School, grant number Duke/Duke-NUS/RECA(Pilot)/2017/0033, and the APC was funded by the Duke University School of Medicine and Duke-NUS Medical School. 2022-01-07T02:46:45Z 2022-01-07T02:46:45Z 2021 Journal Article Yoon, S., Goh, H., Fung, S. M., Tang, S., Matchar, D., Ginsburg, G. S., Orlando, L. A., Ngeow, J. Y. Y. & Wu, R. R. (2021). Experience and perceptions of a family health history risk assessment tool among multi-ethnic asian breast cancer patients. Journal of Personalized Medicine, 11(10), 1046-. https://dx.doi.org/10.3390/jpm11101046 2075-4426 https://hdl.handle.net/10356/153902 10.3390/jpm11101046 34683187 2-s2.0-85118206422 10 11 1046 en Duke/Duke-NUS/RECA(Pilot)/2017/0033 Journal of Personalized Medicine © 2021 The Author(s). Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). application/pdf |
| spellingShingle | Science::Medicine Family Health History Risk Assessment Yoon, Sungwon Goh, Hendra Fung, Si Ming Tang, Shihui Matchar, David Ginsburg, Geoffrey S Orlando, Lori A. Ngeow, Joanne Yuen Yie Wu, Rebekah Ryanne Experience and perceptions of a family health history risk assessment tool among multi-ethnic asian breast cancer patients |
| title | Experience and perceptions of a family health history risk assessment tool among multi-ethnic asian breast cancer patients |
| title_full | Experience and perceptions of a family health history risk assessment tool among multi-ethnic asian breast cancer patients |
| title_fullStr | Experience and perceptions of a family health history risk assessment tool among multi-ethnic asian breast cancer patients |
| title_full_unstemmed | Experience and perceptions of a family health history risk assessment tool among multi-ethnic asian breast cancer patients |
| title_short | Experience and perceptions of a family health history risk assessment tool among multi-ethnic asian breast cancer patients |
| title_sort | experience and perceptions of a family health history risk assessment tool among multi ethnic asian breast cancer patients |
| topic | Science::Medicine Family Health History Risk Assessment |
| url | https://hdl.handle.net/10356/153902 |
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