Talking about Risk, UncertaintieS of Testing IN Genetics (TRUSTING): development and evaluation of an educational programme for healthcare professionals about BRCA1 & BRCA2 testing

Fallowfield, Lesley, Solis-Trapala, Ivonne, Starkings, Rachel, May, Shirley, Matthews, Lucy, Eccles, Diana, Evans, D Gareth, Turnbull, Clare, Crawford, Gillian and Jenkins, Valerie (2022) Talking about Risk, UncertaintieS of Testing IN Genetics (TRUSTING): development and evaluation of an educational programme for healthcare professionals about BRCA1 & BRCA2 testing. British Journal of Cancer. ISSN 0007-0920

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Abstract

Background
Mainstreaming of germline testing demands that all healthcare professionals have good communication skills, but few have genetic testing and counselling experience. We developed and evaluated educational workshops - Talking about Risk & UncertaintieS of Testing IN Genetics (TRUSTING). Contents included: - presentations and exercises, an interview with a geneticist about BRCA testing, screening and prevention implications, filmed interactions between surgeons, a genetic counsellor and geneticists with a fictitious family; (proband had a BRCA2 pathogenic variant with triple negative breast cancer, her older sister – BRCA2 heterozygous, and cousin – negative for BRCA2 variant).

Methods
Twenty-one surgeons, 5 oncologists, 18 nurses and 9 genetic counsellors participated. Knowledge (18 item MCQ), communication skills (responses to 6 questions from proband and relatives), self-confidence (discussing 9 genetic testing issues) were assessed pre and post workshop.

Results
Knowledge scores improved significantly post workshop (mean change=7.06; 95% confidence interval (CI) 6.37 to 7.74; P<0.001), as did communication (mean change = 5.38; 95% CI 4.37 to 6.38; P<0.001) and self-confidence (P<0.001).

Discussion
Healthcare professionals’ knowledge and self-confidence when discussing the risks and uncertainties in genetics is often poor. TRUSTING workshops significantly enhanced attendees’ navigation of communication difficulties encountered and will be rolled out more widely.

Item Type: Article
Schools and Departments: Brighton and Sussex Medical School > Sussex Health Outcomes Research & Education in Cancer (SHORE-C)
Research Centres and Groups: Sussex Health Outcomes Research and Education in Cancer
SWORD Depositor: Mx Elements Account
Depositing User: Mx Elements Account
Date Deposited: 26 May 2022 06:49
Last Modified: 20 Jun 2022 11:15
URI: http://sro.sussex.ac.uk/id/eprint/106089

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