{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T03:43:18Z","timestamp":1778643798800,"version":"3.51.4"},"reference-count":61,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T00:00:00Z","timestamp":1600214400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["P30CA076292"],"award-info":[{"award-number":["P30CA076292"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["U54CA163071"],"award-info":[{"award-number":["U54CA163071"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["U54CA163068"],"award-info":[{"award-number":["U54CA163068"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000054","name":"National Cancer Institute","doi-asserted-by":"publisher","award":["T32CA090314"],"award-info":[{"award-number":["T32CA090314"]}],"id":[{"id":"10.13039\/100000054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Genetic Counseling"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Latinas are less likely to participate in genetic counseling (GC) and genetic testing (GT) than non\u2010Hispanic Whites. A multisite, randomized pilot study tested a culturally targeted educational intervention to increase uptake of GC\/GT among Latina breast cancer (BC) survivors (<jats:italic>N<\/jats:italic>\u00a0=\u00a052). Participants were recruited in Tampa, FL and Ponce, PR and randomized to: (a) fact sheet about BC survivorship (control) or (b) a culturally targeted educational booklet about GC\/GT (intervention). Participants in the intervention condition were also offered no\u2010cost telephone GC followed by free GT with mail\u2010based saliva sample collection. Participants self\u2010reported hereditary breast and ovarian cancer (HBOC) knowledge and emotional distress at baseline and 1\u2010 and 3\u2010month follow\u2010ups. We used logistic regression to examine differences in GC\/GT uptake by study arm (primary outcome) and repeated measures ANOVA to examine the effects of study arm and time on HBOC knowledge and emotional distress (secondary outcomes). Compared to the control arm, intervention participants were more likely to complete GC (OR<jats:sub>Intervention<\/jats:sub>\u00a0=\u00a013.92, 95% CI\u00a0=\u00a03.06\u201363.25, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.01) and GT (OR<jats:sub>Intervention<\/jats:sub>\u00a0=\u00a012.93, 95% CI\u00a0=\u00a02.82\u201359.20, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.01). Study site did not predict uptake of GC (<jats:italic>p<\/jats:italic>\u00a0=\u00a0.08) but Ponce participants were more likely to complete GT (OR<jats:sub>Ponce<\/jats:sub>\u00a0=\u00a04.53, 95% CI\u00a0=\u00a01.04\u201319.72, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.04). ANOVAs demonstrated an increase in HBOC knowledge over time across both groups (<jats:italic>F<\/jats:italic>(2,88)\u00a0=\u00a012.24, <jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.01, \u03b7<jats:sub>p<\/jats:sub><jats:sup>2<\/jats:sup>\u00a0=\u00a00.22). We also found a significant interaction of study arm and time, such that intervention participants demonstrated a greater and sustained (to the 3\u2010month follow\u2010up) increase in knowledge than control participants (<jats:italic>F<\/jats:italic>(2,88)\u00a0=\u00a03.66, <jats:italic>p<\/jats:italic>\u00a0=\u00a0.03, \u03b7<jats:sub>p<\/jats:sub><jats:sup>2<\/jats:sup>\u00a0=\u00a00.08). No other main or interaction effects were significant (all <jats:italic>p<\/jats:italic>\u2019s&gt;\u00a0.15). Study findings demonstrate the potential of our culturally targeted print intervention. Lessons learned from this multisite pilot study for enhancing GC\/GT in Latinas include the need to attend to both access to GC\/GT and individual factors such as attitudes and knowledge.<\/jats:p>","DOI":"10.1002\/jgc4.1324","type":"journal-article","created":{"date-parts":[[2020,9,16]],"date-time":"2020-09-16T22:43:33Z","timestamp":1600296213000},"page":"394-405","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["A pilot randomized trial of an educational intervention to increase genetic counseling and genetic testing among Latina breast cancer survivors"],"prefix":"10.1002","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7695-2428","authenticated-orcid":false,"given":"Claire C.","family":"Conley","sequence":"first","affiliation":[{"name":"Moffitt Cancer Center Tampa FL USA"},{"name":"Georgetown Lombardi Cancer Center Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eida M.","family":"Castro\u2010Figueroa","sequence":"additional","affiliation":[{"name":"Ponce Health Sciences University Ponce PR USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura","family":"Moreno","sequence":"additional","affiliation":[{"name":"Moffitt Cancer Center Tampa FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie","family":"Dutil","sequence":"additional","affiliation":[{"name":"Ponce Health Sciences University Ponce PR USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer D.","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Moffitt Cancer Center Tampa FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carolina","family":"Burgos","sequence":"additional","affiliation":[{"name":"Ponce Health Sciences University Ponce PR USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charit\u00e9","family":"Ricker","sequence":"additional","affiliation":[{"name":"University of Southern California Norris Comprehensive Cancer Center Los Angeles CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jongphil","family":"Kim","sequence":"additional","affiliation":[{"name":"Moffitt Cancer Center Tampa FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristi D.","family":"Graves","sequence":"additional","affiliation":[{"name":"Georgetown Lombardi Cancer Center Washington DC USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimlin Tam","family":"Ashing","sequence":"additional","affiliation":[{"name":"City of Hope Medical Center Duarte CA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gwendolyn P.","family":"Quinn","sequence":"additional","affiliation":[{"name":"New York University, Grossman School of Medicine New York New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hatem","family":"Soliman","sequence":"additional","affiliation":[{"name":"Moffitt Cancer Center Tampa FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan T.","family":"Vadaparampil","sequence":"additional","affiliation":[{"name":"Moffitt Cancer Center Tampa FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,9,16]]},"reference":[{"key":"e_1_2_9_2_1","volume-title":"Cancer Facts & Figures","author":"American Cancer Society","year":"2020"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1200\/jco.2013.31.31_suppl.146"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10903\u2010018\u20100772\u2010z"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1075\u2010122X.2004.21484.x"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.26471"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.3637"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2016.00120"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/gim.2014.125"},{"key":"e_1_2_9_10_1","article-title":"Learner verification: A methodology to create suitable education materials","author":"Chavarria E. A.","journal-title":"Health Literacy Research and Practice"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2017.73.6314"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2012.09.002"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.30621"},{"issue":"2","key":"e_1_2_9_14_1","first-page":"217","article-title":"Trajectories of depression and anxiety in Latina breast cancer survivors","volume":"46","author":"Crane T. E.","year":"2019","journal-title":"Oncology Nursing Forum"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897\u2010016\u20100051\u2010x"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1037\/hea0000161"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2017.0003"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010012\u20102257\u2010y"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10549\u2010015\u20103629\u20103"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2013.01.005"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/ncomms6260"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.8258"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/1524839911404227"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20247"},{"key":"e_1_2_9_25_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare6030116"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897\u2010016\u20109986\u20101"},{"key":"e_1_2_9_27_1","volume-title":"IBM SPSS Statistics for Windows, Version 25.0","author":"IBM Corp","year":"2017"},{"key":"e_1_2_9_28_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2014.58.5885"},{"key":"e_1_2_9_29_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.298.24.2869"},{"issue":"2","key":"e_1_2_9_30_1","first-page":"154","article-title":"Latinos and cancer information: Perspectives of patients, health professionals and telephone cancer information specialists","volume":"9","author":"Kaplan C. P.","year":"2016","journal-title":"Journal of Racial and Ethnic Health Disparities"},{"key":"e_1_2_9_31_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2012.45.9859"},{"key":"e_1_2_9_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/GIM.0b013e3181c9af2d"},{"key":"e_1_2_9_33_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2015.65.9557"},{"key":"e_1_2_9_34_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15324796abm2902s_10"},{"key":"e_1_2_9_35_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12687\u2010015\u20100257\u2010x"},{"key":"e_1_2_9_36_1","unstructured":"Krogstad M. J. &Gonzalez\u2010Barrera A.(2015).A majority of English\u2010speaking Hispanics in the U.S. are bilingual. Available fromhttp:\/\/www.pewresearch.org\/fact\u2010tank\/2015\/03\/24\/a\u2010majority\u2010of\u2010english\u2010speaking\u2010hispanics\u2010in\u2010the\u2010u\u2010s\u2010are\u2010bilingual\/"},{"key":"e_1_2_9_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.25961"},{"key":"e_1_2_9_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/GIM.0b013e3182091ba4"},{"key":"e_1_2_9_39_1","doi-asserted-by":"publisher","DOI":"10.1097\/GIM.0b013e3182091ba4"},{"key":"e_1_2_9_40_1","doi-asserted-by":"publisher","DOI":"10.1177\/107327481602300407"},{"key":"e_1_2_9_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2014.01.002"},{"key":"e_1_2_9_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-017-1214-7"},{"key":"e_1_2_9_43_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.25397"},{"key":"e_1_2_9_44_1","volume-title":"Genetic\/Familial High\u2010Risk Assessment: Breast, Ovarian, and Pancreatic (Version 1.2020)","author":"National Comprehensive Cancer Network (NCCN)","year":"2019"},{"key":"e_1_2_9_45_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.8430"},{"key":"e_1_2_9_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2009.07.003"},{"key":"e_1_2_9_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/10810730.2013.768723"},{"key":"e_1_2_9_48_1","doi-asserted-by":"publisher","DOI":"10.1159\/000284582"},{"key":"e_1_2_9_49_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12687\u2010017\u20100347\u2010z"},{"key":"e_1_2_9_50_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055\u20109965.EPI\u201019\u20100035"},{"key":"e_1_2_9_51_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10897-006-9052-5"},{"key":"e_1_2_9_52_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp071286"},{"key":"e_1_2_9_53_1","doi-asserted-by":"publisher","DOI":"10.3390\/healthcare4040080"},{"key":"e_1_2_9_54_1","doi-asserted-by":"publisher","DOI":"10.1159\/000439162"},{"key":"e_1_2_9_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/0360\u20103016(80)90153\u20104"},{"key":"e_1_2_9_56_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2013.51.3226"},{"key":"e_1_2_9_57_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajmg.c.31602"},{"key":"e_1_2_9_58_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12687\u2010011\u20100058\u20109"},{"key":"e_1_2_9_59_1","doi-asserted-by":"publisher","DOI":"10.1200\/JCO.2011.41.0027"},{"key":"e_1_2_9_60_1","doi-asserted-by":"publisher","DOI":"10.1353\/hpu.2015.0090"},{"key":"e_1_2_9_61_1","doi-asserted-by":"publisher","DOI":"10.1080\/08870446.2016.1208821"},{"key":"e_1_2_9_62_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600\u20100447.1983.tb09716.x"}],"container-title":["Journal of Genetic Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgc4.1324","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jgc4.1324","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgc4.1324","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,17]],"date-time":"2024-07-17T09:57:23Z","timestamp":1721210243000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jgc4.1324"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,16]]},"references-count":61,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2021,4]]}},"alternative-id":["10.1002\/jgc4.1324"],"URL":"https:\/\/doi.org\/10.1002\/jgc4.1324","archive":["Portico"],"relation":{},"ISSN":["1059-7700","1573-3599"],"issn-type":[{"value":"1059-7700","type":"print"},{"value":"1573-3599","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,9,16]]},"assertion":[{"value":"2020-04-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-09-16","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}