Piloting a Spanish-Language Web-Based Tool for Hereditary Cancer Genetic Testing
The delivery of hereditary cancer pre-test education among Spanish-language patients is impeded by the dearth of Spanish-speaking genetic counselors. To address this gap, we evaluated a web-based genetic education tool delivered in Spanish to provide information typically discussed during an initial...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-09-01
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| Series: | Current Oncology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1718-7729/30/9/606 |
| _version_ | 1797580698125598720 |
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| author | Deborah Cragun Gretter Manso Stefania Alastre Arcusa Brenda Zuniga Julie Dutil Marcia Cruz Tuya Pal |
| author_facet | Deborah Cragun Gretter Manso Stefania Alastre Arcusa Brenda Zuniga Julie Dutil Marcia Cruz Tuya Pal |
| author_sort | Deborah Cragun |
| collection | DOAJ |
| description | The delivery of hereditary cancer pre-test education among Spanish-language patients is impeded by the dearth of Spanish-speaking genetic counselors. To address this gap, we evaluated a web-based genetic education tool delivered in Spanish to provide information typically discussed during an initial genetic counseling session. Spanish-speaking patients with a personal or family history of cancer were recruited at two centers in Puerto Rico and through social media. A total of 41 participants completed a survey before and after viewing the tool to measure knowledge, attitudes, and decisional empowerment. A subset of 10 participants completed a virtual semi-structured interview to assess the usability and appropriateness of the tool. Paired t-tests were calculated to evaluate changes in knowledge and attitudes. A McNemar test assessed for decisional empowerment. Interview transcripts were translated from Spanish to English and inductively coded and analyzed. Results revealed significant increases in knowledge (<i>p</i> < 0.001), while attitudes about genetic testing did not change (<i>p</i> = 0.77). The proportion of individuals who felt fully informed and empowered to decide about whether to undergo genetic testing increased from 15% to 51% (<i>p</i> < 0.001). Qualitative data indicated that participants found the tool easy to use with informative and valuable content. Our findings suggest this Spanish-language tool is a user-friendly and scalable solution to help inform and empower many individuals to decide about cancer genetic testing, recognizing that others may still benefit from genetic counseling prior to testing. |
| first_indexed | 2024-03-10T22:53:34Z |
| format | Article |
| id | doaj.art-c39973798a2f48deb3ac26cc8cd6732a |
| institution | Directory Open Access Journal |
| issn | 1198-0052 1718-7729 |
| language | English |
| last_indexed | 2024-03-10T22:53:34Z |
| publishDate | 2023-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj.art-c39973798a2f48deb3ac26cc8cd6732a2023-11-19T10:11:09ZengMDPI AGCurrent Oncology1198-00521718-77292023-09-013098352836210.3390/curroncol30090606Piloting a Spanish-Language Web-Based Tool for Hereditary Cancer Genetic TestingDeborah Cragun0Gretter Manso1Stefania Alastre Arcusa2Brenda Zuniga3Julie Dutil4Marcia Cruz5Tuya Pal6College of Public Health, University of South Florida, Tampa, FL 33620, USADepartment of Human Genetics, University of Miami Miller School of Medicine, Miami, FL 33124, USAMoffitt Cancer Center, Tampa, FL 33612, USAVanderbilt–Ingram Cancer Institute, Nashville, TN 37232, USAUniversity of Puerto Rico Comprehensive Cancer Center, San Juan, PR 00936, USAUniversity of Puerto Rico Comprehensive Cancer Center, San Juan, PR 00936, USAVanderbilt–Ingram Cancer Institute, Nashville, TN 37232, USAThe delivery of hereditary cancer pre-test education among Spanish-language patients is impeded by the dearth of Spanish-speaking genetic counselors. To address this gap, we evaluated a web-based genetic education tool delivered in Spanish to provide information typically discussed during an initial genetic counseling session. Spanish-speaking patients with a personal or family history of cancer were recruited at two centers in Puerto Rico and through social media. A total of 41 participants completed a survey before and after viewing the tool to measure knowledge, attitudes, and decisional empowerment. A subset of 10 participants completed a virtual semi-structured interview to assess the usability and appropriateness of the tool. Paired t-tests were calculated to evaluate changes in knowledge and attitudes. A McNemar test assessed for decisional empowerment. Interview transcripts were translated from Spanish to English and inductively coded and analyzed. Results revealed significant increases in knowledge (<i>p</i> < 0.001), while attitudes about genetic testing did not change (<i>p</i> = 0.77). The proportion of individuals who felt fully informed and empowered to decide about whether to undergo genetic testing increased from 15% to 51% (<i>p</i> < 0.001). Qualitative data indicated that participants found the tool easy to use with informative and valuable content. Our findings suggest this Spanish-language tool is a user-friendly and scalable solution to help inform and empower many individuals to decide about cancer genetic testing, recognizing that others may still benefit from genetic counseling prior to testing.https://www.mdpi.com/1718-7729/30/9/606hereditary cancergenetic counselingcancer education |
| spellingShingle | Deborah Cragun Gretter Manso Stefania Alastre Arcusa Brenda Zuniga Julie Dutil Marcia Cruz Tuya Pal Piloting a Spanish-Language Web-Based Tool for Hereditary Cancer Genetic Testing Current Oncology hereditary cancer genetic counseling cancer education |
| title | Piloting a Spanish-Language Web-Based Tool for Hereditary Cancer Genetic Testing |
| title_full | Piloting a Spanish-Language Web-Based Tool for Hereditary Cancer Genetic Testing |
| title_fullStr | Piloting a Spanish-Language Web-Based Tool for Hereditary Cancer Genetic Testing |
| title_full_unstemmed | Piloting a Spanish-Language Web-Based Tool for Hereditary Cancer Genetic Testing |
| title_short | Piloting a Spanish-Language Web-Based Tool for Hereditary Cancer Genetic Testing |
| title_sort | piloting a spanish language web based tool for hereditary cancer genetic testing |
| topic | hereditary cancer genetic counseling cancer education |
| url | https://www.mdpi.com/1718-7729/30/9/606 |
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