The aims of this study are to categorise the key points given in genet
ic counselling, assess the amount and type of information recalled, an
d examine the relationships between counsellees' knowledge, satisfacti
on with information received, the meeting of expectations, concern and
anxiety. Because of the variety of consultations, a knowledge questio
nnaire of the key points was constructed for each individual counselle
e, with acceptable inter-rater reliability. The information items judg
ed to be the key points in the consultations were assigned to 13 diffe
rent content categories. Thirty-two counsellees were sent a questionna
ire assessing knowledge and other outcomes two to four weeks after att
ending a genetic counselling consultation. The mean percentage of key
points recalled correctly was 76% (s.d. 17%), with 100% recall for fam
ily issues and 68-78% recall for genetic or medical information. Knowl
edge was not associated with satisfaction with information received no
r with levels of concern or anxiety following genetic counselling. The
se results suggest the importance of assessing multiple outcomes of ge
netic counselling. (C) 1997 Elsevier Science Ireland Ltd.