RATIONALE: A study that evaluates the support of a decision guide used together with genetic counseling may improve communication between mothers undergoing BRCA1/2 testing and their minor-age children. PURPOSE: This randomized phase III trial is studying standard genetic counseling given together with a decision guide to see how well it works compared with genetic counseling alone in improving communication between mothers undergoing BRCA1/2 testing and their minor-age children.
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Self-reported outcomes at 1-and 6-months
Timeframe: 6 months
Decision conflict, as assessed by the Decisional Conflict Scale
Timeframe: 6 months
Parents' decision satisfaction with their communication decision, as assessed by the Satisfaction With Decision Scale
Timeframe: 6 months
Decision quality
Timeframe: 6 months
Disclosure of genetic testing results by parents
Timeframe: 6 months
Child-rearing alliance between parents, as measured by the Parenting Alliance Measure at baseline, after learning test results, and at 1 and 6 months after genetic counseling
Timeframe: 6 months
Parent-child communication, as assessed by the Parent-Adolescent Communication Scale at baseline, after learning test results, and at 1 and 6 months after genetic counseling
Timeframe: 6 months
Family functioning, as assessed by the Family Relationship Index at baseline, after learning test results, and at 1 and 6 months after genetic counseling
Timeframe: 6 months
Children's stress and worry, as assessed by the Child Behavior Checklist at baseline, after learning test results, and at 1 and 6 months after genetic counseling
Timeframe: 6 months
Parents' knowledge and awareness of the advantages and disadvantages of disclosing maternal BRCA1/2 test results to their children
Timeframe: 6 months
Parents' preferences and values regarding family communication of genetic test results
Timeframe: 6 months
Decision self-efficacy, as assessed by the Decision Self-Efficacy Scale
Timeframe: 6 months
Cognitive appraisals
Timeframe: 6 months