title: Factors Associated with Interest in Gene-Panel Testing and Risk Communication Preferences in Women from BRCA1/2 Negative Families.
abstract: Scientific advances have allowed the development of multiplex gene-panels to assess many genes simultaneously in women who have tested negative for BRCA1/2. We examined correlates of interest in testing for genes that confer modest and moderate breast cancer risk and risk communication preferences for women from BRCA negative families. Female first-degree relatives of breast cancer patients who tested negative for BRCA1/2 mutations (N = 149) completed a survey assessing multiplex genetic testing interest and risk communication preferences. Interest in testing was high (70 %) and even higher if results could guide risk-reducing behavior changes such as taking medications (79 %). Participants preferred to receive genomic risk communications from a variety of sources including: primary care physicians (83 %), genetic counselors (78 %), printed materials (71 %) and the web (60 %). Factors that were independently associated with testing interest were: perceived lifetime risk of developing cancer (odds ratio (OR) = 1.67: 95 % confidence interval (CI) 1.06-2.65) and high cancer worry (OR = 3.12: CI 1.28-7.60). Findings suggest that women from BRCA1/2 negative families are a unique population and may be primed for behavior change. Findings also provide guidance for clinicians who can help develop genomic risk communications, promote informed decision making and customize behavioral interventions.
authors: University of New Mexico Comprehensive Cancer Center, University of New Mexico, MSC07 4025, 2325 Camino de Salud NE, Albuquerque, NM, 87131-0001, USA. kflores@salud.unm.edu.
authors: Kristina G
authors: KG
authors: Flores
authors: University of New Mexico Comprehensive Cancer Center, University of New Mexico, MSC07 4025, 2325 Camino de Salud NE, Albuquerque, NM, 87131-0001, USA.|Department of Psychology, University of New Mexico, Albuquerque, NM, USA.
authors: Laurie E
authors: LE
authors: Steffen
authors: Department of Psychology, University of New Mexico, Albuquerque, NM, USA.
authors: Christopher J
authors: CJ
authors: McLouth
authors: University of New Mexico Comprehensive Cancer Center, University of New Mexico, MSC07 4025, 2325 Camino de Salud NE, Albuquerque, NM, 87131-0001, USA.|Department of Psychology, University of New Mexico, Albuquerque, NM, USA.
authors: Belinda E
authors: BE
authors: Vicuña
authors: Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
authors: Amanda
authors: A
authors: Gammon
authors: Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
authors: Wendy
authors: W
authors: Kohlmann
authors: University of New Mexico Comprehensive Cancer Center, University of New Mexico, MSC07 4025, 2325 Camino de Salud NE, Albuquerque, NM, 87131-0001, USA.
authors: Lucretia
authors: L
authors: Vigil
authors: University of New Mexico Comprehensive Cancer Center, University of New Mexico, MSC07 4025, 2325 Camino de Salud NE, Albuquerque, NM, 87131-0001, USA.|Department of Internal Medicine, University of New Mexico, Albuquerque, NM, USA.
authors: Zoneddy R
authors: ZR
authors: Dayao
authors: University of New Mexico Comprehensive Cancer Center, University of New Mexico, MSC07 4025, 2325 Camino de Salud NE, Albuquerque, NM, 87131-0001, USA.|Department of Internal Medicine, University of New Mexico, Albuquerque, NM, USA.
authors: Melanie E
authors: ME
authors: Royce
authors: University of New Mexico Comprehensive Cancer Center, University of New Mexico, MSC07 4025, 2325 Camino de Salud NE, Albuquerque, NM, 87131-0001, USA.|Department of Internal Medicine, University of New Mexico, Albuquerque, NM, USA.
authors: Anita Y
authors: AY
authors: Kinney
mesh_terms: D000328:Adult; D000368:Aged; D003142:Communication; D030881:Disclosure; D005190:Family / Q000523:psychology*; D005260:Female; D019398:Genes, BRCA1; D024522:Genes, BRCA2; D005817:Genetic Counseling; D020022:Genetic Predisposition to Disease; D005820:Genetic Testing; D061325:Hereditary Breast and Ovarian Cancer Syndrome / Q000175:diagnosis / Q000235:genetics*; D006801:Humans; D008875:Middle Aged; D012306:Risk
keywords: BRCA1/2 negative; Gene-panel; Genetic testing; Hereditary breast cancer; Informed decision-making