UNASSIGNED: Despite the importance of altruism in an individual's participation in genetic counseling and testing, little research has explored the change in altruistic motivations to test over time. This study analyzed altruistic motivations to test and change in altruistic motivations after genetic counseling and testing among individuals (N  =  120) at elevated risk for @entity6069 mutations. The perceived benefits of genetic testing were assessed and utilized in a mixed-methods, repeated measures design at three time points: pre-counseling, counseling and post-genetic testing, along with transcripts of genetic counseling sessions. Qualitative analysis using an immersion/crystallization method resulted in six common perceived benefits of testing: @entity5 prevention, awareness, family's survival, relief from @entity148 , for science, and future planning. Perceived benefits were then coded into three categories according to Hamilton's kin selection theory: altruistic motivation, personal motivation, and motivation for mutual benefit. At pre-counseling, those with a personal @entity5 history (p  =  0.003) and those with one or more @entity1 (p  =  0.013), were significantly more likely to cite altruistic motivations to test. Altruistic motivations significantly increased post-counseling (p  =  0.01) but declined post-testing (p  <  0.001). Labov's narrative analysis further elucidated the context of altruistic and personal motivations. The possibility of a positive test result might have led those with personal history of @entity5 to have altruistic motivations for testing. Genetic counseling may have increased altruistic motivations to help family and may be a prime opportunity to discuss other forms of altruism.

Impact of Genetic Counseling and Testing on Altruistic Motivations to Test for XXXX : a Longitudinal Study.

@entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity1 :: ('9606', 'Species') :: ['children'] @entity6069 :: ('672;675', 'Gene') :: ['BRCA1/2'] @entity148 :: ('MESH:D001008', 'Disease') :: ['anxiety']
@entity6069 :: (672;675,Gene) :: ['BRCA1/2']
