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Use of this tool is combined with a behaviour change counselling protocol (the Self-management Support Programme) based on the Five A's model (Assess Advise Agree Assist Arrange).
Although the intervention is tailored, a counselling protocol is developed to serve as a guideline for the counselling sessions.
This counselling protocol is derived from the highly successful Huntington's protocol developed at the Institute of Medical Genetics in Cardiff.
These precounselling factors should be explicitly addressed in the genetic counselling protocol, and should be a guiding element in the process of providing information.
4 37 38 Power of the study was insufficient, but the primary aim of the original trial was to evaluate the feasibility of the counselling protocol.
The program is based on the Five A's model (Assess, Advise, Agree, Assist, Arrange), a counselling protocol to support self-management in a primary care setting [ 24, 25].
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Counselling was done by four trained counsellors (2 dieticians, two movement scientists) and according to two comparable standardized counselling protocols, one for each communication method [ 9, 22].
Lerman (1997) has questioned the appropriateness of counselling protocols such as the one in this study as they are derived from Huntington's disease protocols.
As HBV and HCV co-infected patients have a higher risk of progressing to fulminant hepatitis, developing chronic infection, cirrhosis and hepatocellular carcinoma [ 2, 11], it is extremely important for targeted intervention programs for PWIDs to include HBV and HCV in prevention messages and counselling protocols for PWIDs and their families.
Genetic testing was performed following genetic counselling under protocol MWH-97-082.
This paper presents the first full micro costing of a commonly used cancer genetic counselling and testing protocol used in the UK.
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