{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T08:57:44Z","timestamp":1770973064539,"version":"3.50.1"},"reference-count":26,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T00:00:00Z","timestamp":1717891200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Genetic Counseling"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:italic>BRCA1\/2<\/jats:italic> genetic testing has become clinically important in breast cancer care, but increasing demand may put a burden on the shortage of healthcare professionals. We performed a single\u2010center, pilot randomized controlled study to assess the effectiveness of employing a video educational tool that included standard pre\u2010test genetic counseling elements related to <jats:italic>BRCA1\/2<\/jats:italic>. Patients with operable breast cancer who met the criteria for genetic testing based on age, sex, subtype, and family history were recruited. Sixty consenting participants were randomized 1:1 and placed in groups that received either traditional face\u2010to\u2010face pre\u2010test counseling or video\u2010viewing and face\u2010to\u2010face decisional support. To assess decisional conflict in the participants, surveys based on the Decisional Conflict Scale (DCS) were administered two times, once immediately after intervention and again 2\u20134\u2009weeks later. The time taken for counseling and confirmation of whether the participants had undergone testing were also recorded. The difference in the total DCS scores between the two groups was not significantly different for either of the survey periods, and there was no significant difference in the number of participants who underwent testing (23\/30 [76.7%] vs. 26\/30 [86.7%]; <jats:italic>p<\/jats:italic>\u2009=\u20090.51). However, the \u201ceffective decision\u201d subscale score was significantly higher in the video group 2\u20134\u2009weeks after counseling (31.01\u2009\u00b1\u200916.82 vs. 21.43\u2009\u00b1\u200916.09; <jats:italic>p<\/jats:italic>\u2009=\u20090.04 [mean\u2009\u00b1\u2009SD]). The time taken for counseling was significantly shorter in the video group (8.00\u2009\u00b1\u20094.5 vs. 27.00\u2009\u00b1\u20097.61\u2009min; <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001 [median\u2009\u00b1\u2009SD]). Our findings indicate the potential benefit of the video educational tool for providing <jats:italic>BRCA1\/2<\/jats:italic>\u2010related information. These tools may also enable healthcare professionals to spend more time supporting psychological issues. Notably, after some time, patients may question whether their decision was appropriate. Therefore, it is necessary to identify those in conflict and provide them with proper support.<\/jats:p>","DOI":"10.1002\/jgc4.1928","type":"journal-article","created":{"date-parts":[[2024,6,9]],"date-time":"2024-06-09T20:54:01Z","timestamp":1717966441000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["A pilot randomized controlled study to determine the effectiveness of video educational tool in <i>BRCA1\/2<\/i> pre\u2010test counseling for Japanese breast cancer patients"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2230-8958","authenticated-orcid":false,"given":"Haruna","family":"Nakamura","sequence":"first","affiliation":[{"name":"Department of Breast Surgery Kakogawa Central City Hospital  Hyogo Japan"},{"name":"Division of Breast and Endocrine Surgery, Graduate School of Medicine Kobe University  Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3953-6195","authenticated-orcid":false,"given":"Shoko","family":"Morinaga","sequence":"additional","affiliation":[{"name":"Department of Nursing Kakogawa Central City Hospital  Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1077-1886","authenticated-orcid":false,"given":"Kazuhiko","family":"Tsuchiya","sequence":"additional","affiliation":[{"name":"Department of Breast Surgery Kakogawa Central City Hospital  Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-2138-9801","authenticated-orcid":false,"given":"Yoko","family":"Sakoda","sequence":"additional","affiliation":[{"name":"Department of Breast Surgery Kakogawa Central City Hospital  Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-8773-2398","authenticated-orcid":false,"given":"Mitsutoshi","family":"Ogino","sequence":"additional","affiliation":[{"name":"Department of Breast Surgery Kakogawa Central City Hospital  Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1138-5631","authenticated-orcid":false,"given":"Sayaka","family":"Ueno","sequence":"additional","affiliation":[{"name":"Department of Clinical Genetics Kakogawa Central City Hospital  Hyogo Japan"},{"name":"Department of Genomic Medicine, School of Medicine Fujita Health University  Toyoake Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6704-3641","authenticated-orcid":false,"given":"Hirokazu","family":"Tanino","sequence":"additional","affiliation":[{"name":"Department of Breast Surgery Naga Municipal Hospital  Wakayama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2805-6746","authenticated-orcid":false,"given":"Tomonari","family":"Kunihisa","sequence":"additional","affiliation":[{"name":"Division of Breast and Endocrine Surgery, Graduate School of Medicine Kobe University  Hyogo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,6,9]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12687\u2010021\u201000564\u2010x"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010012\u20102460\u2010x"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1324"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2020.7546"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1237"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.6004\/jnccn.2022.0030"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ijc.29032"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16234793"},{"key":"e_1_2_12_10_1","unstructured":"Japan Organization of Hereditary Breast and Ovarian Cancer (JOHBOC). 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