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Cancer Epidemiology, Biomarkers & Prevention
Cancer Epidemiology, Biomarkers & Prevention
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Responses to Online GSTM1 Genetic Test Results among Smokers Related to Patients with Lung Cancer: A Pilot Study

Saskia C. Sanderson, Suzanne C. O'Neill, Della Brown White, Gerold Bepler, Lori Bastian, Isaac M. Lipkus and Colleen M. McBride
Saskia C. Sanderson
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Suzanne C. O'Neill
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Della Brown White
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Gerold Bepler
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Lori Bastian
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Isaac M. Lipkus
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Colleen M. McBride
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DOI: 10.1158/1055-9965.EPI-08-0620 Published July 2009
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    Figure 1.

    Perceived response efficacy (confidence that quitting smoking will reduce lung cancer risk) among smokers related to patients with lung cancer before and immediately after receiving genetic test results online.

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  • Table 1.

    Characteristics of smokers related to patients with lung cancer who took the GSTM1 genetic test and received their results

    VariablesWhole sample (n = 44)
    GSTM1 present (lower risk; n = 22)
    GSTM1 missing (higher risk; n = 22)
    Difference
    n%n%n%
    GenderMale1943.2418.21568.2χ2 = 11.21; df = 1; P = 0.001
    Female2556.81881.8731.8
    Age, yMean (SD; range, 23-53 y)40.0 (8.2)40.8 (8.5)39.2 (8.0)F = 0.41; df = 1; P = 0.53
    EducationHigh school1125.0731.8418.2χ2 = 2.46; df = 2; P = 0.29
    Technical/some college2352.31254.51150.0
    College graduate1022.7313.6731.8
    Employed full-timeYes3375.01672.71777.3χ2 = 0.12; df = 1; P = 0.73
    No1125.0627.3522.7
    Race/ethnicityWhite4295.5221002090.9χ2 = 2.10; df = 2; P = 0.35
    Other (Asian/Irish)24.50029.1
    Relationship to patientOffspring2863.61568.21359.1χ2 = 4.23; df = 3; P = 0.24
    Sibling715.929.1522.7
    Aunt/uncle/niece/nephew511.4418.214.5
    Grandchild49.114.5313.6
    Primary caregiver to patientYes716.3523.829.1χ2 = 1.71; df = 1; P = 0.19
    No3683.71676.22090.9
    Frequency of seeing patientDaily24.514.514.5χ2 = 1.27;df = 4; P = 0.87
    Weekly613.6313.6313.6
    Monthly920.5422.7418.2
    Lives with patient12.314.500
    Other2659.11254.51463.6
    No. of cigarettes smoked per dayMean (SD; range, 1-30)16.3 (7.2)16.2 (7.5)16.3 (7.0)F = 0.00; df = 1; P = 0.95
    Previous use of smoking cessation services/productsYes2454.51150.01359.1χ2 = 0.37; df = 1; P = 0.54
    No2045.51150.0940.9
  • Table 2.

    Comprehension and information processing of GSTM1 genetic test results delivered online among smokers related to patients with lung cancer

    OutcomesTest result
    GSTM1-present (lower risk)GSTM1-missing (higher risk)Difference
    Immediately after receiving genetic test results (online Session 2)
    Accurate comprehension, n (%)
        Accurate recall of test result22 (100)22 (100)NS
        Accurate interpretation of test result12 (55)22 (100)χ2 = 12.94; df = 1; P < 0.001
    Acceptability of test information*
        Believable1.23 (0.52)1.55 (0.60)NS
        Trustworthy1.27 (0.55)1.50 (0.60)NS
        Easy to understand1.32 (0.65)1.45 (0.60)NS
        Relevant1.32 (0.65)1.45 (0.60)NS
        Important1.23 (0.53)1.41 (0.59)NS
    Processing of genetic test–related information
        Viewed strengths information page, n (%)11 (50)7 (32)NS
        Viewed weaknesses information page, n (%)10 (45)8 (37)NS
        Total no. of information pages viewed3.1 (2.6)2.6 (2.7)NS
    6-mo Follow-up
    Accurate comprehension, n (%)
        Accurate recall of test result18 (100)16 (100)NS
        Accurate interpretation of test result10 (56)15 (94)χ2 = 6.35; df = 1; P = 0.011
    Decisional outcomes
        Regret decision to take genetic test†0 (0%)0 (0%)NS
        Satisfied with decision to take genetic test†17 (100%)16 (94%)NS
    • NOTE: Values represent means (SDs) unless otherwise indicated.

      Abbreviation: NS, not significant.

    • ↵* Possible scores range from 1 to 7; lower scores indicate more positive and higher acceptability responses (e.g., 1 = believable), and higher scores indicate more negative responses or lower acceptability (e.g., 7 = unbelievable).

    • ↵† Measured using a seven-point scale (1 = strongly disagree, 7 = strongly agree); values shown are proportions who gave responses of 4 to 7, that is, who somewhat to strongly agreed with statement.

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Cancer Epidemiology Biomarkers & Prevention: 18 (7)
July 2009
Volume 18, Issue 7
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Responses to Online GSTM1 Genetic Test Results among Smokers Related to Patients with Lung Cancer: A Pilot Study
Saskia C. Sanderson, Suzanne C. O'Neill, Della Brown White, Gerold Bepler, Lori Bastian, Isaac M. Lipkus and Colleen M. McBride
Cancer Epidemiol Biomarkers Prev July 1 2009 (18) (7) 1953-1961; DOI: 10.1158/1055-9965.EPI-08-0620

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Responses to Online GSTM1 Genetic Test Results among Smokers Related to Patients with Lung Cancer: A Pilot Study
Saskia C. Sanderson, Suzanne C. O'Neill, Della Brown White, Gerold Bepler, Lori Bastian, Isaac M. Lipkus and Colleen M. McBride
Cancer Epidemiol Biomarkers Prev July 1 2009 (18) (7) 1953-1961; DOI: 10.1158/1055-9965.EPI-08-0620
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