{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T18:01:58Z","timestamp":1770746518458,"version":"3.49.0"},"reference-count":37,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI19\/01195"],"award-info":[{"award-number":["PI19\/01195"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI23\/01047"],"award-info":[{"award-number":["PI23\/01047"]}],"id":[{"id":"10.13039\/501100004587","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":[[2025,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Effective breast cancer (BC) screening relies on shared decision\u2010making and clear communication to help patients understand their risk and choose strategies aligned with that risk. The CanRisk tool was used to estimate BC risk in healthy women with a familial history of BC and the absence of a pathogenic variant in BC genes. Results were disclosed to patients using different formats, and data were collected to analyze the association between patient characteristics and risk communication preferences. Participants preferred their risk explained by percentages (59%) over fractions (15%), icon arrays (13%) or risk groups (13%) and 10\u2010year risk estimation was favored to remaining lifetime risk (71% vs. 22%). Participants highlighted the use of positive and negative formats and comparison with the population's risk formats, and line graphic (61%) was selected over numerical table or a color\u2010graph (19% each). However, participants with lower numeracy preferred color graphics (OR: 1.42; 95% CI 1.15\u20131.77\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.001). The use of percentages, line graphics, and 10\u2010year risk formats are highly accepted for healthy participants with a family history of BC, although adaptation may be needed for those with lower numeracy skills.\n                  <\/jats:p>","DOI":"10.1002\/jgc4.70114","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T12:55:18Z","timestamp":1758200118000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Exploring communication preferences for disclosing breast cancer risk in women with a family history"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2844-5998","authenticated-orcid":false,"given":"Adri\u00e0","family":"L\u00f3pez\u2010Fern\u00e1ndez","sequence":"first","affiliation":[{"name":"Hereditary Cancer Genetics Group Vall d'Hebron Institut d'Oncologia (VHIO)  Barcelona Spain"},{"name":"Medical Oncology Department Hospital Universitari Vall d'Hebron  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2015-9564","authenticated-orcid":false,"given":"M\u00f2nica","family":"Pardo","sequence":"additional","affiliation":[{"name":"Hereditary Cancer Genetics Group Vall d'Hebron Institut d'Oncologia (VHIO)  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eduard","family":"P\u00e9rez\u2010Ballestero","sequence":"additional","affiliation":[{"name":"Hereditary Cancer Genetics Group Vall d'Hebron Institut d'Oncologia (VHIO)  Barcelona Spain"},{"name":"Medical Oncology Department Hospital Universitari Vall d'Hebron  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Esther","family":"Darder","sequence":"additional","affiliation":[{"name":"Hereditary Cancer Program Hospital Dr Josep Trueta, Institut Catal\u00e0 d'Oncologia  Girona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosa","family":"Alfonso","sequence":"additional","affiliation":[{"name":"Familial Cancer Clinic, Medical Oncology Hospital de la Santa Creu i Sant Pau  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Torres\u2010Esquius","sequence":"additional","affiliation":[{"name":"Hereditary Cancer Genetics Group Vall d'Hebron Institut d'Oncologia (VHIO)  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V\u00edctor","family":"Navarro Garc\u00e9s","sequence":"additional","affiliation":[{"name":"Oncology Data Science (ODysSey) Group VHIO  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teresa","family":"Ram\u00f3n y Cajal","sequence":"additional","affiliation":[{"name":"Familial Cancer Clinic, Medical Oncology Hospital de la Santa Creu i Sant Pau  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joan","family":"Brunet","sequence":"additional","affiliation":[{"name":"Hereditary Cancer Program Hospital Dr Josep Trueta, Institut Catal\u00e0 d'Oncologia  Girona Spain"},{"name":"Hereditary Cancer Program Hospital Duran i Reynals, Institut Catal\u00e0 d'Oncologia, IDIBELL  Barcelona Spain"},{"name":"Medical Sciences Department, Faculty of Medicine Universitat de Girona  Girona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0762-6415","authenticated-orcid":false,"given":"Judith","family":"Balma\u00f1a","sequence":"additional","affiliation":[{"name":"Hereditary Cancer Genetics Group Vall d'Hebron Institut d'Oncologia (VHIO)  Barcelona Spain"},{"name":"Medical Oncology Department Hospital Universitari Vall d'Hebron  Barcelona Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0229999"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055\u20109965.EPI\u201020\u20101319"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djr318"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/30.6.473"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0014474"},{"key":"e_1_2_10_7_1","doi-asserted-by":"crossref","unstructured":"Garcia\u2010Retamero R. &Galesic M.(2013).Transparent communication of health risks: Overcoming cultural differences.https:\/\/doi.org\/10.1007\/9781461443582","DOI":"10.1007\/978-1-4614-4358-2"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X10369000"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/sjp.2019.16"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969141319883662"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbi.2019.103208"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2008.07.023"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.2147\/PPA.S232941"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000079383"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/risa.12531"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41436\u2010020\u20100884\u20104"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41436\u2010018\u20100406\u20109"},{"key":"e_1_2_10_18_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X0102100105"},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1369\u20106513.2001.00119.x"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djaf067"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djaa178"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1158\/1055\u20109965.epi\u201022\u20100756"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajhg.2018.11.002"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885\u2010021\u201008347\u2010w"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1787\/b263dc5d-en"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13058\u2010021\u201001399\u20107"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X15587676"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1093\/jnci\/djv124"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885\u2010020\u201007464\u20102"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12885\u2010020\u201006745\u20100"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X0102100604"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003\u20104819\u2010127\u201011\u2010199712010\u201000003"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1470\u20102045(18)30902\u20101"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2008.07.013"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2020.06.031"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.59720\/23\u2010160"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X13511706"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.7326\/M14\u20100295"}],"container-title":["Journal of Genetic Counseling"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jgc4.70114","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:15:39Z","timestamp":1761696939000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jgc4.70114"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,18]]},"references-count":37,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["10.1002\/jgc4.70114"],"URL":"https:\/\/doi.org\/10.1002\/jgc4.70114","archive":["Portico"],"relation":{},"ISSN":["1059-7700","1573-3599"],"issn-type":[{"value":"1059-7700","type":"print"},{"value":"1573-3599","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,18]]},"assertion":[{"value":"2024-09-25","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-08-29","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-09-18","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70114"}}