Table 1.
Interview with patients | |
A Introduction by researcher | |
• Emphasis on voluntary participation | |
• Explanation of confidentiality and anonymity | |
• Permission for audio taping | |
• Short explanation of the goal of the interview | |
B Open part | |
• Patient’s course of diagnosis of Lynch syndrome | |
• Communication about diagnosis | |
C Structured part | |
Experience with and communication about: | |
• Screening (endoscopic and other) | |
• Surgery | |
• DNA-testing and genetic counselling | |
• Risk communication | |
Communication with: | |
• General practitioner | |
• Treating medical specialists | |
• Relatives | |
D Conclusion of the interview | |
• Issues that were not addressed | |
• Permission to approach a relative and treating medical specialists and general practitioner | |
Interview with medical specialists and general practitioners | |
A Introduction by researcher | |
• Emphasis on voluntary participation | |
• Explanation of confidentiality and anonymity | |
• Permission for audio taping | |
• Short explanation of the goal of the interview | |
B Open part | |
• Patient’s course of diagnosis (either about a patient specifically or the course of ‘a typical Lynch syndrome patient’) | |
• Communication about diagnosis | |
C Structured part | |
Experience with and communication about: | |
• Screening (depending on the specific expertise) | |
• Surgery (depending on the specific expertise) | |
• DNA-diagnostics and heredity | |
• Risk communication | |
• Referral | |
Communication with: | |
• General practitioner and/or other medical specialist involved | |
• Relatives of the patient | |
New developments | |
Their own role in the care for patients with Lynch syndrome and other hereditary cancers | |
D Conclusion of the interview | |
• Issues that were not addressed |
Interviews differed slightly between these specialists depending on their level of expertise. Furthermore, some interviews focused on a specific patient whereas others addressed patients in general with Lynch syndrome