Evaluating and improving the implementation of a community-based hereditary cancer screening program

Area of Science:

• Oncology
• Genetics
• Public Health

Background:

• Healthcare disparities in cancer genetic services, including BRCA1/2 mutation testing, are prevalent.
• A screening tool was developed to identify high-risk women in community health settings.

Purpose of the Study:

• To evaluate the implementation of a cancer genetic screening tool in a community health setting.
• To identify opportunities for improving cancer genetic screening and clinician education.

Main Methods:

• A mixed-method approach was used, including surveys and semi-structured interviews with clinicians.
• Novel surveys assessed clinician acceptance and implementation of the screening tool.
• Educational modules were developed and evaluated to address identified knowledge and confidence gaps.

Main Results:

• Clinicians reported confidence in using the tool but less confidence in cancer genetics knowledge and connecting clients to services.
• Educational modules significantly improved clinician knowledge on genetic topics and confidence in referring patients.
• Clinicians recognized the benefits of genetic testing for informing medical management in high-risk patients.

Conclusions:

• Gaps in knowledge and confidence challenge community clinicians' ability to connect patients with genetic services.
• Consistent, genetics-focused education is crucial for non-genetic clinicians to enhance screening program effectiveness.
• Improving clinician capacity is vital for reducing healthcare disparities in cancer genetic services.