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

Talking about Risk, UncertaintieS of Testing IN Genetics (TRUSTING): development and evaluation of an educational programme for healthcare professionals about BRCA1 & BRCA2 testing
Talking about Risk, UncertaintieS of Testing IN Genetics (TRUSTING): development and evaluation of an educational programme for healthcare professionals about BRCA1 & BRCA2 testing
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) and 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) 6.37–7.74; P < 0.001), as did communication (mean change = 5.38; 95% CI 4.37–6.38; P < 0.001) and self-confidence (P < 0.001).

Discussion
Healthcare professionals’ knowledge and self-confidence when discussing the risks and uncertainties in genetics are often poor. TRUSTING workshops significantly enhanced attendees’ navigation of communication difficulties encountered and will be rolled out more widely.
0007-0920
1116-1122
Fallowfield, Lesley
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Solis-Trapala, Ivonne
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Starkings, Rachel
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May, Shirley
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Matthews, Lucy
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Eccles, Diana
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Evans, D. Gareth
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Turnbull, Clare
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Crawford, Gillian
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Jenkins, Valerie
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Fallowfield, Lesley
9e05a4b7-2bbd-4145-8339-ef8a0897f6cf
Solis-Trapala, Ivonne
d8929dea-8a94-401e-ab9b-86696c01bb1e
Starkings, Rachel
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May, Shirley
fd5355da-c875-4a86-b5fa-15913fbf8d70
Matthews, Lucy
3adbdb65-1a06-4c32-9516-3f9c3b241227
Eccles, Diana
5b59bc73-11c9-4cf0-a9d5-7a8e523eee23
Evans, D. Gareth
f4674794-7830-4646-97f5-673d7c117a3c
Turnbull, Clare
63408861-754b-4f55-a010-29d1bea914e2
Crawford, Gillian
c49ec103-2936-4897-8f25-96abe25b3a9f
Jenkins, Valerie
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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, 127 (6), 1116-1122. (doi:10.1038/s41416-022-01871-x).

Record type: Article

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) and 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) 6.37–7.74; P < 0.001), as did communication (mean change = 5.38; 95% CI 4.37–6.38; P < 0.001) and self-confidence (P < 0.001).

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

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More information

Accepted/In Press date: 26 May 2022
Published date: 17 June 2022
Additional Information: Funding Received funding from the Breast Cancer Research Foundation.

Identifiers

Local EPrints ID: 467293
URI: http://eprints.soton.ac.uk/id/eprint/467293
ISSN: 0007-0920
PURE UUID: 3f5ce119-0df6-462a-9460-1cf65bd3c1e1
ORCID for Diana Eccles: ORCID iD orcid.org/0000-0002-9935-3169

Catalogue record

Date deposited: 05 Jul 2022 16:49
Last modified: 17 Nov 2022 02:31

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Contributors

Author: Lesley Fallowfield
Author: Ivonne Solis-Trapala
Author: Rachel Starkings
Author: Shirley May
Author: Lucy Matthews
Author: Diana Eccles ORCID iD
Author: D. Gareth Evans
Author: Clare Turnbull
Author: Valerie Jenkins

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