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The aims of this qualitative study were to (1) recognize relevant aspects across the whole process of genetic counselling in PST for late\u2010onset neurodegenerative disorders that might indicate effective practice from the consultand's perspective; and (2) analyse aspects of current protocols of counselling that might be relevant for successful practice. We interviewed 22 consultands undergoing PST for late\u2010onset neurological disorders (Huntington disease, spinocerebellar ataxias and familial amyloid polyneuropathy ATTRV30M) in the three major counselling services for these diseases in Portugal. The main themes emerging from the content analysis were (1) the consultand's general assessment of the PST process in genetic services; (2) appropriateness and adaptation of the protocol to the consultand's personal expectations and needs; and (3) consultand's experience of the decision\u2010making process and the role of engagement and counselling skills of the counsellor. Participants also provided a set of recommendations and constructive criticisms relating to the length of the protocol, the time gap between consultations and the way results were delivered. These issues and the construction of the relationship between counsellor and counselee should be further investigated and used for the improvement of current protocols of counselling.<\/jats:p>","DOI":"10.1007\/s10897-012-9561-3","type":"journal-article","created":{"date-parts":[[2013,1,6]],"date-time":"2013-01-06T22:50:19Z","timestamp":1357512619000},"page":"437-447","source":"Crossref","is-referenced-by-count":24,"title":["What Counts as Effective Genetic Counselling for Presymptomatic Testing in Late\u2010Onset Disorders? A Study of the Consultand's Perspective"],"prefix":"10.1002","volume":"22","author":[{"given":"L\u00eddia","family":"Guimar\u00e3es","sequence":"first","affiliation":[{"name":"ICBAS Universidade do Porto Porto Portugal"}]},{"given":"Jorge","family":"Sequeiros","sequence":"additional","affiliation":[{"name":"ICBAS Universidade do Porto Porto Portugal"},{"name":"UnIGENe and Centre for Predictive and Preventive Genetics (CGPP), IBMC\u2014Institute for Molecular and Cell Biology Universidade do Porto Rua do Campo Alegre, 823 Porto 4150\u2010180 Portugal"}]},{"given":"Heather","family":"Skirton","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Plymouth University Plymouth Taunton UK"}]},{"given":"Milena","family":"Paneque","sequence":"additional","affiliation":[{"name":"ICBAS Universidade do Porto Porto Portugal"},{"name":"UnIGENe and Centre for Predictive and Preventive Genetics (CGPP), IBMC\u2014Institute for Molecular and Cell Biology Universidade do Porto Rua do Campo Alegre, 823 Porto 4150\u2010180 Portugal"},{"name":"School of Nursing and Midwifery Plymouth University Plymouth Taunton UK"}]}],"member":"311","published-online":{"date-parts":[[2013,1,7]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"240","article-title":"Genetic counselling","volume":"27","author":"ASHG\u2014American Society of Human Genetics Ad Hoc Committee on Genetic Counselling","year":"1975","journal-title":"American Journal of Human Genetics"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/1096-8628(20000918)94:3<189::AID-AJMG3>3.0.CO;2-E"},{"issue":"2","key":"e_1_2_6_4_1","first-page":"175","article-title":"The relationship of physician medical interview style to patient satisfaction","volume":"32","author":"Bertakis K. 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