Supplemental Materials
Genetic Counselors' Implicit Racial Attitudes and Their Relationship to Communication
by K. L. Schaa et al., 2014, Health Psychology
http://dx.doi.org/10.1037/hea0000155
Genetic Counselor Satisfaction with Communication
Answer the questions below based on a scale from 1 to 5 with a score of ‘1’ meaning ‘strongly agree’ '2' means agree, 3 means you are neutral in your agreement, '4' means disagree and '5' means strongly disagree.
Strongly Agree Strongly Disagree
1. This was a very satisfying session for me. 1 2 3 4 5
2. This client is very personable 1 2 3 4 5
3. I would have liked to spend more time with
this client 1 2 3 4 5
4. I didn’t get all the detail I wanted on this
client’s situation (D) 1 2 3 4 5
5. I established effective rapport with this client.(R) 1 2 3 4 5
6. My time was NOT well spent in this session. 1 2 3 4 5
7. This client trusts me a great deal. (R) 1 2 3 4 5
8. I was NOT effective in helping this client
make a decision about further testing 1 2 3 4 5
9. I felt adequately trained and confident
in helping this client with her problem. 1 2 3 4 5
10. This client understood my explanations of
Risks (I) . 1 2 3 4 5
11. This client understood my explanations of 1 2 3 4 5
genetic testing. (I)
12. I didn’t get enough detail from this client
about her psychosocial condition. (D) 1 2 3 4 5
13. This visit was boring. 1 2 3 4 5
14. This visit was unchallenging. 1 2 3 4 5
15. There are aspects of my relationship with this
client that I would like to change (R) 1 2 3 4 5
16. I could NOT understand all that this client
wanted to tell me. (D) 1 2 3 4 5
17. This client demands a lot of personal attention. 1 2 3 4 5
18. I spent more time with this client than I would
have liked. (R) 1 2 3 4 5
19. I was able to respond to the emotional needs 1 2 3 4 5
of this client. (R)
20. I was able to respond to the informational needs 1 2 3 4 5
of this client. (I)
21. I think the client was satisfied with this visit. (R) 1 2 3 4 5
22. All in all, I like this client a lot 1 2 3 4 5
23. This client likes me a lot. (R) 1 2 3 4 5
24. My session with this client was like many 1 2 3 4 5
other sessions that I have with actual clients.
(D) Items in the “satisfaction- feeling that sufficient detail was received from the client” (not used in the current study); (R) items in the “satisfaction – interpersonal rapport” sub-scale; (I) items in the “satisfaction –meeting the informational needs of the client” sub-scale”. All other items did not load well onto any factor and were not used in the subsequent analyses.
Simulated Client Ratings of Nonverbal Behaviors
On a scale of 1 to 6, where one is “NOT AT ALL EFFECTIVE USE” of
the behavior and six is “VERY EFFECTIVE USE” of the behavior, please
rate the genetic counselor on the following. Remember to use the whole range
of the scale for ratings.
NOT AT ALL VERY
EFFECTIVE EFFECTIVE
EYE CONTACT 1 2 3 4 5 6
HEAD NODS 1 2 3 4 5 6
FACIALITATIVE FACIAL
EXPRESSION 1 2 3 4 5 6
SMILES 1 2 3 4 5 6
SEATING POSITION 1 2 3 4 5 6
distance and orientation
of desk and chair
relative to the client
BODY LEAN 1 2 3 4 5 6
foward/back
open/closed
USE OF TOUCH 1 2 3 4 5 6
RESPONDS TO EMOTIONAL 1 2 3 4 5 6
CUES (NON-VERBAL)
RESPONDS TO EMOTIONAL 1 2 3 4 5 6
CUES (VERBAL)
LONG PAUSES AND SILENCE 1 2 3 4 5 6
(listens more/talks less)
Simulated Client Ratings of Genetic Counselor’s Affective Expression
Please rate the genetic counselor on the following. Make a mark on the line indicating where the genetic counselor falls on each continuum.
FRIENDLY______ALOOF
HURRIED ______UNHURRIED
ANXIOUS ______CALM
DOMINANT______SUBMISSIVE
WARM ______COLD
INTERESTED______BORED
PLEASANT ______UNPLEASANT
COMPASSIONATE______DISTANT
SENSITIVE ______INSENSITIVE
CARING ______UNCARING
STRAINED ______COMFORTABLE
ENCOURAGES______DISCOURAGES CLIENT
CLIENT INVOLVEMENT INVOLVEMENT IN
IN DECISION-MAKING DECISION-MAKING
WANTS WHAT ______WANTS WHAT IS BEST FOR
IS BEST FOR CLIENT HIM/HERSELF
ENCOURAGES ______DISCOURAGES CLIENT
CLIENT QUESTIONS QUESTIONS
ACKNOWLEDGES______IGNORES CLIENT EMOTIONS
CLIENT EMOTIONS
Simulated Client Satisfaction with Genetic Counselor’s Communication
Please describe how the genetic counselor acted during TODAY'S session on a
scale of 1 to 6 from (1) NOT AT ALL TO (6) VERY MUCH.
Not at all Very much
1. How much did your genetic counselor 1 2 3 4 5 6
inquire about your emotions or feelings?
2. How much did your genetic counselor 1 2 3 4 5 6
ask questions that allowed more than
a "yes" or "no" answer?
3. How much did your genetic counselor 1 2 3 4 5 6
act warm and open to you, for example by
sitting near you, smiling, or looking you
in the eye?
4. How much did your genetic counselor 1 2 3 4 5 6
wait to hear about all your problems or concerns
before starting to talk about one in particular?
5. How much did your genetic counselor notice 1 2 3 4 5 6
your feelings, especially sad or worried feelings?
6. Did you and your genetic counselor decide 1 2 3 4 5 6
together which problems and concerns you
would talk about today?
7. Did you and your genetic counselor decide 1 2 3 4 5 6
together which of your concerns were
most important to you?
8. How much did your genetic counselor ask 1 2 3 4 5 6
to hear your ideas and explanations?
9. How much did your genetic counselor 1 2 3 4 5 6
understand what you were going through
emotionally?
10. How much did your genetic counselor ask 1 2 3 4 5 6
to hear exactly what you expected in this visit?
11. How much did your genetic counselor act 1 2 3 4 5 6
supportive and give you the feeling
that he/she is a partner with you?
12. How much did your genetic counselor try to find 1 2 3 4 5 6
out about all your problems and concerns?
13. How much did your genetic counselor ask 1 2 3 4 5 6
whether your decision about genetic testing
was interfering with the rest of your life?
14. How much did your genetic counselor seem 1 2 3 4 5 6
interested in what you had to say?