Dejana Braithwaite1, Stephen Sutton, James Mackay, Judith Stein, Jon Emery. 1. Carol Franck Buck Breast Care Center, UCSF Comprehensive Cancer Center, University of California, 2186 Geary Boulevard, Suite 103, San Francisco, CA 94115, USA. dejana.braithwaite@ucsfmedctr.org
Abstract
BACKGROUND: Innovative technologies that enable the collection of family history information and the assessment of breast cancer risk have a potential to enhance the quality of preventive care. We developed a computerized tool that supports stratification of breast cancer risk, genetic risk assessment in the clinical environment (GRACE). METHODS: In a preliminary evaluation of the tool's impact, we randomized women with a family history of breast cancer (n=72) to either use the GRACE tool or undergo risk counseling by a nurse specialist. RESULTS: There was no statistically significant differences between the GRACE and nurse counselling groups in risk perceptions (F=.03, P>.05) and cancer-related worries (F=.80, P>.05). However, patients reported more positive attitudes toward working with the nurse. CONCLUSION: It was feasible to use GRACE in a Clinic. Additional research is required to identify solutions for providing emotional support in conjunction with the tool.
RCT Entities:
BACKGROUND: Innovative technologies that enable the collection of family history information and the assessment of breast cancer risk have a potential to enhance the quality of preventive care. We developed a computerized tool that supports stratification of breast cancer risk, genetic risk assessment in the clinical environment (GRACE). METHODS: In a preliminary evaluation of the tool's impact, we randomized women with a family history of breast cancer (n=72) to either use the GRACE tool or undergo risk counseling by a nurse specialist. RESULTS: There was no statistically significant differences between the GRACE and nurse counselling groups in risk perceptions (F=.03, P>.05) and cancer-related worries (F=.80, P>.05). However, patients reported more positive attitudes toward working with the nurse. CONCLUSION: It was feasible to use GRACE in a Clinic. Additional research is required to identify solutions for providing emotional support in conjunction with the tool.
Authors: Barbara A Athens; Samantha L Caldwell; Kendall L Umstead; Philip D Connors; Ethan Brenna; Barbara B Biesecker Journal: J Genet Couns Date: 2017-03-02 Impact factor: 2.537
Authors: Lori A Orlando; Adam H Buchanan; Susan E Hahn; Carol A Christianson; Karen P Powell; Celette Sugg Skinner; Blair Chesnut; Colette Blach; Barbara Due; Geoffrey S Ginsburg; Vincent C Henrich Journal: N C Med J Date: 2013 Jul-Aug
Authors: R Ryanne Wu; Lori A Orlando; Tiffany L Himmel; Adam H Buchanan; Karen P Powell; Elizabeth R Hauser; Astrid B Agbaje; Vincent C Henrich; Geoffrey S Ginsburg Journal: BMC Fam Pract Date: 2013-08-06 Impact factor: 2.497
Authors: Xuan Li; Ryan M Kahn; Noelani Wing; Zhen Ni Zhou; Andreas Ian Lackner; Hannah Krinsky; Nora Badiner; Rhea Fogla; Isabel Wolfe; Hannah Bergeron; Becky Baltich Nelson; Charlene Thomas; Paul J Christos; Ravi N Sharaf; Evelyn Cantillo; Kevin Holcomb; Eloise Chapman-Davis; Melissa K Frey Journal: JCO Clin Cancer Inform Date: 2021-06
Authors: Louisa L Lo; Ian M Collins; Mathias Bressel; Phyllis Butow; Jon Emery; Louise Keogh; Prue Weideman; Emma Steel; John L Hopper; Alison H Trainer; Gregory B Mann; Adrian Bickerstaffe; Antonis C Antoniou; Jack Cuzick; Kelly-Anne Phillips Journal: JMIR Form Res Date: 2018-11-07