Table 2.
Checklist (27 items a , b) to assess on the basis of audiorecorded consultations (n = 131) whether psychosocial workers (n = 5) delivered the two-phased intervention as intended
| Phase | Element | After 1st training day (n = 79) | After 2nd training day (n = 52) | |
|---|---|---|---|---|
| 1 | 1 | Agenda setting | ||
| Is the aim of the counseling explained? | 92 % | 96 % | ||
| Does the counselee give permission for the counseling? | 75 % | 98 % | ||
| Does the psychosocial worker ask whether or not the counselee has received the summary letter? | 80 % | 81 % | ||
| Does the psychosocial worker explain she has pedigree and summary letter? | 82 % | 96 % | ||
| 2 | Exploring | |||
| Did the psychosocial worker ask whether the counselee was advised to inform relatives? | 4 % | 8 % | ||
| Did the counselees identify him/herself which relatives are at-risk/need to be informed? | 41 % | 73 % | ||
| Did the counselee report him/herself which advise the relatives should get? | 44 % | 69 % | ||
| Is the risk to develop cancer for relatives discussed? | 54 % | 85 % | ||
| Did the psychosocial worker systematically ask for each at-risk relative? | 90 % | 94 % | ||
| Did the psychosocial worker make clear to the counselee whether all relatives were correctly informed or not? | 80 % | 94 % | ||
| 3 | Evaluation ( relatives not informed ) | n = 19 (24 %) | n = 16 (31 %) | |
| 2* | 1 | Information provision | ||
| Did the psychosocial worker ask whether the counselee is willing to continue talking about informing relatives? | 6 % | 18 % | ||
| Did the psychosocial worker add information? | 61 % | 82 % | ||
| Did the psychosocial worker correct information? | 11 % | 29 % | ||
| Did the psychosocial worker check whether or not the counselee understood the information? | 11 % | 12 % | ||
| 2 | Building motivation and self-efficacy | |||
| Did the psychosocial worker ask the counselee to list arguments not to inform relatives? | 44 % | 53 % | ||
| Did the psychosocial worker ask whether or not the counselee was willing to list arguments in favor of informing relatives? | 28 % | 35 % | ||
| 3 | Brainstorming | |||
| Did the psychosocial worker stimulate the counselee to actively brainstorm about informing relatives? | 72 % | 77 % | ||
| Was there brainstorming? | 72 % | 65 % | ||
*Percentages are calculated from the number of counselees that have not informed all their relatives
aStudy specific checklist based on Wiggers et al. 2005
bAll audiotapes coded by a research assistant