BRCAShare—Assessment of an animated digital message for intrafamilial communication of pathogenic variant positive test results: A feasibility study.

While genetic testing for hereditary breast and ovarian cancer syndrome (HBOC) is well‐established in the field of medicine, family members' uptake of cascade genetic testing for known familial pathogenic variants remains low. Probands often become responsible for initiating familial communication a...

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Publicado en:Journal of Genetic Counseling Vol. 32; no. 2; pp. 475 - 486
Autores principales: Aeilts, Amber M., Carpenter, Kristen M., Hovick, Shelly R., Byrne, Lindsey, Shoben, Abigail B., Senter, Leigha
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Apr2023
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2023
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: BRCAShare—Assessment of an animated digital message for intrafamilial communication of pathogenic variant positive test results: A feasibility study.
      aug:
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          Aeilts, Amber M.
          Carpenter, Kristen M.
          Hovick, Shelly R.
          Byrne, Lindsey
          Shoben, Abigail B.
          Senter, Leigha
        affil: Division of Human Genetics, Department of Internal Medicine, The Ohio State University, Columbus Ohio,, USA
      sug:
        subj:
          Genes, BRCA
          Virulence
          Family Relations
          Communication
          Genetic Variation
          Human
          Male
          Female
          Adult
          Pilot Studies
          Instant Messaging
          Questionnaires
          Genetic Screening
          Genetic Counseling
          Hereditary Breast and Ovarian Cancer Syndrome
          United States
          Health Services Accessibility
          Adult: 19-44 years
          Male
          Female
      ab: While genetic testing for hereditary breast and ovarian cancer syndrome (HBOC) is well‐established in the field of medicine, family members' uptake of cascade genetic testing for known familial pathogenic variants remains low. Probands often become responsible for initiating familial communication about their testing results, and barriers to communication may include difficulty in conveying information to relatives and a lack of communication resources for probands' use. In this study, we tested a two‐minute animated digital message (ADM) intervention guided by the Health Belief Model (HBM) in an unselected sample to determine hypothetical individual perceptions of susceptibility and severity and behavioral intention to act on the information provided in the ADM. We recruited genetic testing naïve adults from the United States with no personal history of cancer through Amazon Mechanical Turk to participate in this study. Participants were presented a hypothetical scenario describing a relative's recent HBOC diagnosis, viewed the ADM, and answered a questionnaire assessing participants' perception of the HBM constructs in relation to the hypothetical scenario and participants' intentions to pursue cascade genetic testing, talk to a healthcare professional, or talk to family members after ADM viewing. Participants (n = 373) largely perceived HBOC as serious and believed that they could benefit from the information provided by genetic testing; 76% hypothetically intended to pursue genetic testing at a cost of $100 or less, and 90% intended to either pursue testing or talk to a healthcare provider or family members. This feasibility study in an unaffected population could mimic the experience of distant/less‐engaged relatives in HBOC families after receiving unexpected information about cascade genetic testing. Most participants demonstrated behavioral intention toward cascade testing, at a rate higher than literature would suggest is typical in high‐risk families, indicating that a theory‐supported, simple to use intervention may be useful in clinical practice.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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