Table 2.
Scales, Factor Loadings, and Scale Reliabilities for Perceived Costs and Benefits of Genetic Counseling for the Management of Children’s and Grandchildren’s Melanoma Risk at the 1-Month and 1-Year Follow-up
| Factor loading on subscale | Mean (SD) of item | |||
|---|---|---|---|---|
| 1 month | 1 year | 1 month | 1 year | |
| Informed and prepared to manage children’s risk | ||||
| Eigenvalue at 1 month = 3.45, 1 year = 3.75; alpha at 1 month = .89, 1 year = .91 | ||||
| I feel better prepared to manage my family’s melanoma risk. | .92 | .96 | 4.13 (1.09) | 4.09 (0.96) |
| I feel I can do something positive about my children’s melanoma risk.a | .85 | .79 | 4.23 (0.96) | 3.95 (1.00) |
| I feel better informed about my children’s melanoma risk. | .75 | .90 | 4.33 (0.96) | 4.19 (1.00) |
| I feel better prepared emotionally to manage my children’s risk.a | .74 | .77 | 3.65 (1.36) | 3.68 (1.25) |
| I feel more confused about my children’s melanoma risk. | −.07 | −.33 | 1.29 (0.80) | 1.33 (0.74) |
| Motivation to reduce children’s sun exposure | ||||
| Eigenvalue 1 month = 3.15, 1 year = 3.34; alpha at 1 month = .84, 1 year = .87 | ||||
| I have made (or my children have made) lifestyle changes to reduce their sun exposure. | .88 | .88 | 3.37 (1.26) | 3.40 (1.23) |
| I am more motivated (or my children are more motivated) to reduce their sun exposure. | .80 | .76 | 3.99 (1.13) | 4.01 (1.06) |
| I protect my children (or my children protect themselves) more from the sun. | .80 | .78 | 3.63 (1.17) | 3.83 (1.14) |
| We have made protection from the sun a family priority.a | .67 | .75 | 3.99 (1.06) | 4.07 (0.99) |
| I teach my children more about melanoma prevention. | .50 | .66 | 3.70 (1.42) | 3.47 (1.28) |
| Motivation to screen children | ||||
| Eigenvalue at 1 month = 3.45, 1 year = 3.67; alpha at 1 month = .88, 1 year = .90 | ||||
| I am more vigilant (or my children are more vigilant) about checking their skin for suspicious moles. | .89 | .92 | 3.49 (1.36) | 3.31 (1.36) |
| We have made skin screening a family priority.a | .87 | .77 | 3.33 (1.27) | 3.08 (1.43) |
| I am more motivated (or my children are more motivated) to examine their skin regularly. | .84 | .94 | 3.72 (1.33) | 3.27 (1.38) |
| I am more motivated to make sure my children get yearly professional total body skin examinations. | .73 | .75 | 3.42 (1.36) | 3.12 (1.29) |
| I teach my children more about screening. | .57 | .68 | 3.48 (1.39) | 3.13 (1.53) |
| Negative emotions about children’s melanoma risk | ||||
| Eigenvalue at 1 month = 1.19, 1 year = 2.85; r = .75 at 1 month, 1 year = .56 | ||||
| I am more worried that my children will get melanoma.a,b | .95 | .56 | 2.33 (1.45) | 2.40 (1.36) |
| I feel discouraged by my children’s melanoma risk. | .69 | 1.00 | 1.72 (1.12) | 1.80 (1.09) |
| Positive emotions about children’s melanoma risk | ||||
| Eigenvalue at 1 month = 2.53, 1 year = 1.56; alpha at 1 month = .81, 1 year = .81 | ||||
| I feel relieved about my children’s melanoma risk. | .86 | .50 | 3.00 (1.60) | 2.83 (1.45) |
| I feel more hopeful about my children’s melanoma risk. | .80 | .55 | 3.77 (1.38) | 3.67 (1.30) |
| I am more relaxed about my children’s behavior in the sun.a | .60 | .53 | 2.43 (1.44) | 2.39 (1.37) |
| Parental reports of children’s greater fear of being in the sun | ||||
| Eigenvalue at 1 month = 3.18, 1 year = 2.46; alpha at 1 month = .90, 1 year =.85 | ||||
| My children are more worried about being in the sun. | 1.00 | .78 | 2.14 (1.29) | 2.27 (1.17) |
| My children are more concerned about being in the sun. | .83 | .79 | 2.46 (1.32) | 2.59 (1.32) |
| My children are more fearful about being in the sun. | .75 | .60 | 1.89 (1.21) | 1.76 (0.98) |
Items excluded from scales due to low endorsement or low loadings appear in italics. All items were assessed on the following scale: 1 = not at all true, 5 = very much true. Unless otherwise indicated, items were developed for the present study based on qualitative accounts from participants who received melanoma genetic test results in our initial test-reporting study [12] (N = 79 at 1 month, N = 75 at 1 year).
aAdapted from Lim et al. [13].
bAdapted from the MICRA [31].